快速康复联合针对性护理方案对经内镜逆行性胰胆管造影术的影响研究  

Study on the effect of rapid rehabilitation combined with targeted nursing program on endoscopic retrograde cholangiopancreatography

作　　者：曹桂莉 胡春霞 郭爱香[1] 卢兰玉[1] 许华民 蒿玉敬[1] CAO Guili;HU Chunxia;GUO Aixiang;LU Yulan;XU Huamin;HAO Yujing(The People’s Hospital of Liaocheng,Liaocheng 252000,China)

机构地区：[1]山东省聊城市人民医院消化内镜室,252000

出　　处：《护理实践与研究》2021年第1期39-42,共4页Nursing Practice and Research

摘　　要：目的探讨经内镜逆行性胰胆管造影术行快速康复联合针对性护理方案,对患者术后恢复、并发症的发生、生活质量以及护理满意度的影响。方法选取2017年6月—2019年6月在聊城市人民医院行经内镜逆行性胰胆管造影术(ERCP)治疗的胆总管结石患者80例,依据组间基线资料匹配的原则分为对照组和观察组,每组各40例。对照组行常规护理方案,观察组行快速康复联合针对性护理方案。比较两组患者术后恢复、并发症的发生、生活质量以及护理满意度相关指标。结果观察组患者术中出血量、术后首次进食时间、鼻胆管造影和留置时间、住院时间优于对照组(P<0.05)。观察组并发症发生率低于对照组(χ^2=4.588,P=0.032)。手术前两组患者胃肠道生活质量指数(GIQLI)评分差异无统计学意义(P>0.05)。出院2周后,两组患者GIQLI评分较治疗前有改善,观察组患者GIQLI评分优于对照组,差异有统计学意义(P<0.05)。观察组护理总满意度97.50%,优于对照组的82.50%,差异有统计学意义(P<0.05)。结论ERCP行快速康复联合针对性护理方案,能够提高患者护理满意度,降低术后并发症的发生并加快术后恢复,有效改善患者生活质量。Objective To explore the effect of rapid rehabilitation combined with targeted nursing program performed in endoscopic retrograde cholangiopancreatography(ERCP)on patients'postoperative recovery,occurrence of complications,quality of life and nursing satisfaction.Methods We selected 80 cases of patients with choledocholithiasis who underwent ERCP treatment in Peaple’s Hospital of Liaocheng from June 2017 to June 2019,and they were divided into a control group and an observation group according to the principle of matching baseline data between groups,with 40 cases in each group.The control group underwent routine nursing program,and the observation group underwent rapid rehabilitation combined with targeted nursing program to compare the related indicators such as postoperative recovery,occurrence of complications,quality of life and nursing satisfaction.Results In the observation group,the amount of blood loss,the time of first eating after the operation,the time of radiography through nose-bile tube and indwelling time,and the length of hospital stay were better than those of the control group(P<0.05).The incidence of complications in the observation group was lower than that in the control group(χ^2=4.588,P=0.032).There was no significant difference in gastrointestinal qality of life index(GIQLI)scores between the two groups before surgery(P>0.05).Two weeks after discharge,the GIQLI scores of the two groups of patients improved compared to before treatment,the GIQLI score in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).The total nursing satisfaction of the observation group was 97.50%,which was better than 82.50%of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of the rapid rehabilitation combined with targeted nursing programs performed in ERCP can improve patient’s nursing satisfaction,reduce the occurrence of postoperative complications,accelerate postoperative recovery,and

关 键 词：经内镜逆行性胰胆管造影术 快速康复外科理念 针对性护理 

分 类 号：R473.6[医药卫生—护理学]