风险前瞻应对模式在肝破裂围手术期患者中的应用  

Application of prospective risk coping model in patients with liver rupture during perioperative period

作　　者：李艳萍 许立霞[1] 郑志彬[1] 陈瑞[1] Li YanPing;Xu Lixia;Zheng Zhibin;Chen Rui(Department of Hepatobiliary Surgery,Henan Provincial People's Hospital,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院肝胆外科,郑州450003

出　　处：《中华现代护理杂志》2022年第2期215-219,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨风险前瞻应对模式在肝破裂术后患者并发症预防中的应用效果。方法采用便利抽样法,于2019年1月—2020年12月选取在河南省人民医院肝胆外科收治的130例肝破裂患者作为研究对象。将2020年1—12月就诊的65例肝破裂患者作为研究组,采用风险前瞻应对模式进行干预,将2019年1—12月就诊的65例肝破裂患者作为对照组,采用常规方式进行干预。比较两组肝破裂患者手术耐受优良率、术后并发症发生情况及护理满意度。结果研究组患者手术耐受优良率为95.38%(62/65),高于对照组的80.00%(52/65),研究组患者术后并发症总发生率为7.69%(5/65),低于对照组患者的21.54%(14/65),研究组患者护理满意度为95.38%(62/56),高于对照组患者的83.08%(54/65),以上差异均有统计学意义(均P<0.05)。结论在肝破裂围手术期开展风险前瞻应对模式不仅能够提高患者手术耐受性,降低术后并发症发生率,促进护患关系和谐发展。Objective To explore the effects of prospective risk coping model on preventing complications in patients with liver rupture.Methods Totally 130 patients in Hepatobiliary Surgery at Henan Provincial People's Hospital from January 2019 to December 2020 were selected by convenient sampling.65 patients with liver rupture who sought medical service from January to December 2020 were include into the research group,who underwent intervention with the prospective risk coping model,while 65 patients who came to the hospital from January to December 2019 were included into the control group,who received routine intervention.The good rate of surgical tolerance,postoperative complications,and nursing satisfaction were compared between the two groups of patients with liver rupture.Results The good rate of surgical tolerance in the research group was 95.38%(62/65),which was higher than that 80.00%(52/65)in the control group;the total incidence of postoperative complications in the research group was 7.69%(5/65),which was lower than that 21.54%(14/65)in the control group;and the nursing satisfaction of patients in the research group was 95.38%(62/56),which was higher than that 83.08%(54/65)in the control group,the differences were statistically significant(All P<0.05).Conclusions The prospective risk coping model during the perioperative period of liver rupture can improve the patient's surgical tolerance,reduce the incidence of postoperative complications,and promote the harmonious development of the nurse-patient relationship.

关 键 词：围手术期护理 手术后并发症 肝破裂 风险前瞻应对模式 手术耐受性 

分 类 号：R473.6[医药卫生—护理学]