流质用于妇科腹腔镜术前肠道准备结合叙事护理效果观察  

Effect of fluid on preoperative bowel preparation combined with narrative nursing for gynecologic laparoscopy

作　　者：时军辉[1] 孔玉贤[2] SHI Jun-hui;KONG Yu-xian(Department of Gynaecology,Xinxiang First People’s Hospital,Xinxiang 453003,Henan,China;Department of Clinical Nutrition, Xinxiang First People’s Hospital,Xinxiang 453003,Henan,China)

机构地区：[1]新乡市第一人民医院妇科,河南新乡453003 [2]新乡市第一人民医院医院营养科,河南新乡453003

出　　处：《肿瘤代谢与营养电子杂志》2018年第3期287-291,共5页Electronic Journal of Metabolism and Nutrition of Cancer

摘　　要：目的调查护理人员在妇科患者腹腔镜术前运用叙事护理方法指导患者进行肠道准备的可行性和临床效果。方法采用回顾性研究,将2017年3月~2017年7月在我院妇科行腹腔镜全子宫切除患者,分为应用叙事疗法肠内营养治疗组(研究组)与未应用叙事疗法肠内营养治疗组(对照组),比较住院行腹腔镜手术患者的术前肠道准备效果。分析两组患者手术医师对两组患者肠道准备的满意度,术后患者排气时间及住院时间是否具有统计学差异。结果手术医师对研究组患者的肠道准备满意度达90%,对照组患者的肠道准备满意度为64%,差异有统计学意义(P <0.01)。研究组术后患者对肠道准备的满意度与对照组相比,差异均具统计学意义(P <0.05)。研究组患者排气时间、住院时间明显低于对照组,差异具有统计学意义(P <0.05)。结论护理人员对需要手术的患者运用叙事治疗方法进行肠道准备安全有效,可减轻患者的心理压力,顺利完成围手术期护理,同时提高了术中手术医师的满意度,加速了患者术后恢复的时间。在与患者沟通的过程中护理人员增加了被患者尊重的程度,进一步激发护理人员学习专科知识的积极性,提高护理质量。Objective To investigate the feasibility and clinical effect of using narrative nursing method to guide patients to prepare bowel preparation before gynecologic laparoscopic surgery.Methods A retrospective study was conducted to observe the effect of preoperative intestinal preparation in patients undergoing laparoscopic surgery by laparoscopic total hysterectomy in July 2017 to March 2017 in our hospital,which were divided into the application of narrative therapy(study group)and the non applied narrative therapy enteral nutritional support(control group).The satisfaction of the two groups of surgeons for bowel preparation of the two groups of patients,postoperative exhaust time and length of stay were statistically different.Results The satisfaction of the surgeons to the bowel preparation of the patients in the study group was 90%,and the satisfaction of the intestinal preparation in the control group was 64%,and the difference was statistically significant(P<0.01).The satisfaction of bowel preparation in the study group was statistically significant compared with that in the control group(P<0.05).The exhaust time and hospitalization time in the study group were significantly lower than those in the control group(P<0.05).Conclusions It is safe and effective to tell the patients who need surgery by narrative method of oral enteral nutrition,to reduce the psychological pressure of the patients,to complete the perioperative nursing,and to improve the satisfaction of the surgeons in the operation,and to accelerate the recovery time of the patients after operation.In the course of communication with the patients,the nursing staff increased the degree of respect to the patients,further stimulated the enthusiasm of the nursing staff to learn the specialized knowledge,and improved the quality of nursing.

关 键 词：叙事护理 流质制剂 妇科腹腔镜 术前肠道准备 

分 类 号：R473.71[医药卫生—护理学]