优质护理在腹腔镜治疗腹壁缺损患者术后的干预效果分析  

Analysis of the effect of high-quality nursing intervention on patients with abdominal wall defect after laparoscopic operation

作　　者：朱云霞[1] 王锋锋[2] 徐金美[3] Zhu Yunxia;Wang Fengfeng;Xu Jinmei(Operating Room,Nantong City Hospital of Traditional Chinese Medicine,Nantong 226001,Jiangsu Province,China;Department of Anesthesiology,Nantong City Hospital of Traditional Chinese Medicine,Nantong 226001,China;Operating Room,Nantong University Affiliated Hospital,Nantong 226000,China)

机构地区：[1]南通市中医院手术室,江苏省226001 [2]南通市中医院麻醉科,江苏省226001 [3]南通大学附属医院手术室,江苏省226000

出　　处：《中华疝和腹壁外科杂志（电子版）》2021年第1期113-116,共4页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨优质护理在腹腔镜治疗腹壁缺损患者术后的干预效果。方法回顾性分析2014年1月至2017年10月南通市中医院收治78例腹壁缺损患者的临床资料。根据护理方式不同分为观察组(39例)和对照组(39例)。78例患者行无张力修补开放手术后,给予对照组患者围手术期常规护理,给予观察组患者围手术期优质护理。比较2组患者术后切口愈合情况、术后并发症、手术相关临床参数及疼痛程度情况。结果对照组1例患者拆线后伤口为Ⅱ期愈合,其余患者均为Ⅰ期愈合。与对照组比较,观察组术后自主活动时间提前,住院时间缩短,并发症发生率降低,差异均有统计学意义(P<0.05)。术后12 h至7 d,2组患者视觉模拟评分均呈逐渐降低趋势,观察组低于对照组,差异有统计学意义(P<0.05)。结论优质护理模式能够减轻腹壁缺损患者术后疼痛,促进伤口愈合,降低并发症发生风险。Objective To explore the effect of high-quality nursing intervention in patients with abdominal wall defect after laparoscopic operation.Methods The clinical data of 78 patients with abdominal wall defects admitted to Nantong Traditional Chinese Medicine hospital from January 2014 to October 2017 were retrospectively analyzed,and they were divided into the experiment group(n=39)and the control group(n=39)according to the different ways of nursing care.After the patients underwent tension-free repair,patients in the control group received routine nursing during the perioperative period,and patients in the experiment group received high-quality care during the perioperative period.The surgical incision healing,postoperative complications,surgery related clinical parameters and pain degree were compared between the 2 groups.Results In the control group,one patient had wound healed in second-stage after the suture removal,and the other patients reached the first stage of healing.Compared with the control group,the autonomic activity time of the experiment group advanced,the hospitalization time shortened,the incidence rate of complications decreased(P<0.05).Compared with before surgery,the VAS scores of the 2 groups gradually decreased from 12 h to 7 d after operation,and the experiment group were lower than the control group(P<0.05).Conclusion High-quality nursing model can reduce postoperative pain of patients with abdominal wall defects,promote wound healing,and reduce the risk of complications.

关 键 词：护理 腹壁缺损 康复 

分 类 号：R473.6[医药卫生—护理学]