预防护理在改善老年结石性急性胆管炎患者腹腔镜手术中并发症的研究  

The Study of Preventive Nursing in Improving the Complications of Laparoscopic Surgery in Elderly Patients with Calculous Acute Cholangitis

作　　者：谭晓霞 钟妙 刘慧[1] TAN Xiaoxia;ZHONG Miao;LIU Hui(Department of Hepatobiliary Surgery,Gaozhou People's Hospital,Gaozhou,Guangdong Province,525200 China)

机构地区：[1]高州市人民医院肝胆外科,广东高州525200

出　　处：《中外医疗》2021年第22期147-150,共4页China & Foreign Medical Treatment

摘　　要：目的探讨预防护理在改善老年结石性急性胆管炎患者腹腔镜手术中并发症的研究。方法纳入该院2015年1月—2019年8月的老年CBDS合并胆囊结石患者,依据护理方式分为两组对照组(n=38)和观察组(n=30),对照组采用常规护理,观察组在对照组基础上采用预防护理。分析两组患者的手术时间和住院时间,并统计患者的并发症发生率。分析两组的护理满意度。结果观察组手术时间(101.41±12.69)min和住院时间(9.25±0.49)d均显著少于对照组手术时间(112.62±10.08)min和住院时间(12.62±1.09)d,差异有统计学意义(t=4.061、15.710,P<0.05);对照组和观察组感染并发症发生率分别为31.58%和10.00%,观察组并发症感染率显著低于对照组,差异有统计学意义(χ^(2)=4.541,P<0.05)。观察组住院环境(35.41±3.27)分、护理态度(48.63±5.69)分、护理过程(48.62±4.07)分和护理质量(38.52±1.49)分显著高于对照组住院环境(25.41±2.63)分、护理态度(40.25±3.52)分、护理过程(38.51±4.19)分和护理质量(30.34±4.79)分,差异有统计学意义(t=13.980、7.457、10.000、9.004,P<0.05)。结论预防护理在老年结石性急性胆管炎患者腹腔镜手术中运用可有效的降低并发症发生率,有效提高了护理质量。Objective To explore the study of preventive care in improving the complications of laparoscopic surgery in elderly patients with calculous acute cholangitis.Methods The elderly CBDS patients with gallbladder stones in the hospital from January 2015 to August 2019 were conveniently selected.According to the nursing method,they were divided into two groups of control group(38 cases)and observation group(30 cases).Preventive care was used on the basis of the control group.Analyzed the operation time and hospital stay of the two groups of patients,and count the incidence of complications of the patients.Analyzed the nursing satisfaction of the two groups.Results The operation time(101.41±12.69)min and the hospitalization time(9.25±0.49)d in the observation group were significantly less than the operation time(112.62±10.08)min and the hospitalization time(12.62±1.09)d in the control group.The difference was statistically significant(t=4.061,15.710,P<0.05);the incidence of infection complications in the control group and observation group were 31.58%and 10.00%,respectively.The complication infection rate in the observation group was significantly lower than that in the control group,and the difference was statistically significant(χ^(2)=4.541,P<0.05).The scores of hospitalization environment(35.41±3.27)points,nursing attitude(48.63±5.69)points,nursing process(48.62±4.07)points and nursing quality(38.52±1.49)points of the observation group were significantly higher than those of the control group(25.41±2.63)points,nursing attitude(40.25±3.52)points points,nursing process(38.51±4.19)points and nursing quality(30.34±4.79)points,the difference was statistically significant(t=13.980,7.457,10.000,9.004,P<0.05).Conclusion The use of preventive care in laparoscopic surgery for elderly patients with calculous acute cholangitis can effectively reduce the incidence of complications and effectively improve the quality of care.

关 键 词：胆总管结石 急性胆管炎 腹腔镜胆总管探查取石术 并发症 预防护理 

分 类 号：R473[医药卫生—护理学]