医护一体化护理干预对老年胰十二指肠切除手术围术期的作用分析  

Analysis of the Effect of Integrated Nursing Intervention on the Perioperative Period of Elderly Pancreaticoduodenectomy

作　　者：肖思瑶 XIAO Si-yao(Department of General Surgery,People's Hospital of Maguan County,Wenshan Prefecture,Wenshan,Yunnan Province,663700 China)

机构地区：[1]文山州马关县人民医院普外科,云南文山663700

出　　处：《中外医疗》2019年第5期157-159,168,共4页China & Foreign Medical Treatment

摘　　要：目的分析老年胰十二指肠切除手术(PD)围术期应用医护一体化护理干预的临床作用。方法从2016年12月—2018年6月期间在该院行PD手术的老年患者中便利抽取67例随机分为常规组与观察组。常规组33例,予用常规护理干预,观察组36例,在常规组基础上予用医护一体化护理干预。对比两组死亡率以及两组存活患者术后恢复情况、护理满意度、并发症。结果观察组与对照组死亡率分别为0.00%、6.06%,两组差异无统计学意义(χ~2=2.247,P=0.134);观察组存活患者胃管留置时间、下床时间、住院时间分别为(9.53±2.12)d、(2.16±0.63)d、(12.57±2.65)d,常规组分别为(11.79±4.35)d、(3.89±0.92)d、(16.35±3.07)d,观察组显著短于常规组,差异有统计学意义(t=2.762,P=0.007;t=9.082,P=0.000;t=5.410,P=0.000);观察组护理满意度(97.22%)显著高于常规组(80.65%),差异有统计学意义(χ~2=4.892,P=0.027),并发症出现率(5.56%)显著低于常规组(22.58%),差异有统计学意义(χ~2=4.152,P=0.042)。结论老年PD围术期应用医护一体化护理干预可改善术后恢复情况、提升护理满意度、减少并发症。Objective To analyze the clinical role of nursing intervention in the treatment of perioperative pancreaticoduodenectomy(PD).Methods From December 2016 to June 2018,67 patients who underwent PD surgery in our hospital were convenient selected and randomly divided into the conventional group and the observation group.In the routine group,33 patients were treated with routine nursing intervention,and 36 patients in the observation group were treated with integrated nursing intervention on the basis of the routine group.The mortality of the two groups and the postoperative recovery,nursing satisfaction,and complications were compared between the two groups.Results The mortality of the observation group and the control group were 0.00%and 6.06%,respectively.The difference between the two groups was not significant(χ^2=2.247,P=0.134).The survival time,bedtime and hospitalization time of the patients in the observation group were(9.53±2.12)d,(2.16±0.63)d,(12.57±2.65)d,the conventional group were(11.79±4.35)d,(3.89±0.92)d,(16.35±3.07)d,and the observation group was significantly shorter than the conventional group,the difference was statistically significant(t=2.762,P=0.007;t=9.082,P=0.000;t=5.410,P=0.000);the observation group satisfaction(97.22%)was significantly higher than the conventional group(80.65%),the difference was statistically significant(χ^2=4.892,P=0.027),the incidence of complications(5.56%)was significantly lower than that of the conventional group(22.58%),the difference was statistically significant(χ^2=4.152,P=0.042).Conclusion The application of integrated nursing intervention in elderly patients with PD can improve postoperative recovery,improve nursing satisfaction and reduce complications.

关 键 词：医护一体化护理 胰十二指肠切除手术 并发症 死亡率 

分 类 号：R473.6[医药卫生—护理学]