优质护理干预在腹腔镜下急性胃穿孔修补术期的应用效果分析  

Analysis of the effect of high-quality nursing intervention in laparoscopic repair of acute gastric perforation

作　　者：熊红妹 Xiong Hongmei(Department of Surgical,Nanchang Xin Jian District People＇s Hospital,Nanchang,Jiangxi,330000,China)

机构地区：[1]南昌市新建区人民医院外科,江西南昌330000

出　　处：《当代医学》2018年第34期117-119,共3页Contemporary Medicine

摘　　要：目的探析腹腔镜下急性胃穿孔修补术期患者实施优质护理干预的临床效果。方法将2016年4月至2017年10月来本院行腹腔镜下急性胃穿孔修补术的90例患者选为研究对象,依照随机数字表法分为常规组(n=45)与优质组(n=45)。常规组患者实施常规护理,优质组患者实施优质护理干预,对两组患者干预前后促胃液素(GAS)、心理状态及并发症发生情况进行统计比较。结果两组干预后GAS水平明显升高,相较于干预前,差异有统计学意义(P<0.05),且优质组GAS水平明显高于常规组,差异有统计学意义(P<0.05)。两组干预后抑郁评分、焦虑评分明显降低,相较于干预前,差异有统计学意义(P<0.05),且优质组抑郁评分、焦虑评分明显低于常规组,差异有统计学意义(P<0.05)。优质组并发症发生率(4.4%)明显低于常规组(17.8%),差异有统计学意义(P<0.05)。结论腹腔镜下急性胃穿孔修补术期患者实施优质护理干预的临床效果更加确切,不仅可以提升GAS水平,降低抑郁评分、焦虑评分,还可以减少并发症的发生,是一种值得临床推广与应用的护理方式。Objective To investigate the clinical effect of high-quality nursing intervention in patients undergoing laparoscopic repair of acute gastric perforation. Methods Ninety patients who underwent laparoscopic surgery for acute gastrectomy in our hospital from April 2016 to October 2017 were selected as subjects. According to the random number table method, they were divided into routine group （n=45） and high quality group （n=45）. Routine care was performed in the routine group and quality care interventions were performed in the high-quality group. Gastrin （GAS）, mental status, and complications were statistically compared between the two groups before and after intervention. Results： GAS levels increased significantly after intervention in both groups, compared with before intervention, the difference was statistically significant （P〈0.05）, and GAS level in high-quality group was significantly higher than that in conventional group, there was a statistically significant difference （P〈0.05）. Depression scores and anxiety scores decreased significantly after intervention in both groups, compared with before the intervention, the difference was statistically significant （P〈0.05）. Depression scores and anxiety scores in the high-quality group were significantly lower than those in the conventional group, with statistical differences （P〈0.05）. The incidence of complications in the high-quality group （4.4%） was significantly lower than that in the conventional group （17.8%）, there was a statistically significant difference （P〈0.05）. Conclusion： The clinical effect of high-quality nursing intervention in patients undergoing laparoscopic gastrectomy for acute gastrectomy is more accurate. It can not only improve the level of GAS, reduce the depression score, anxiety score, but also reduce the incidence of complications. It is a worthy clinical promotion. The application of care.

关 键 词：腹腔镜 急性胃穿孔修补术 优质护理干预 促胃液素 

分 类 号：R473.6[医药卫生—护理学]