针对性护理对老年急性胆囊炎患者腹腔镜术后并发症的预防价值  

The Preventive Value of Targeted Nursing on the Complications of Laparoscopic Operation in the Elderly Patients with Acute Cholecystitis

作　　者：朱静 ZHU Jing(Panshan County People's Hospital,Panjin 124100,China)

机构地区：[1]辽宁省盘锦市盘山县人民医院,辽宁盘锦124100

出　　处：《中国医药指南》2022年第9期137-139,共3页Guide of China Medicine

摘　　要：目的 通过对比简列数据,研究针对性护理在预防老年急性胆囊炎患者腹腔镜术后并发症的价值,并验证此项护理模式的有效性、安全性。方法 遵循护理差异分组原则,选择我院2018年2月至2022年2月收治的120例老年急性胆囊炎患者,均给予腹腔镜术式治疗,按人数均分为两组,即对照组(60例,常规护理)和观察组(60例,针对性护理);观察临床指标用时情况、术后生活质量以及术后并发症(胆瘘、出血、感染)发生率,将相关数据予以统计分析并做总结性报告。结果 观察组患者的护理效果显优且具有一定实施价值,其护理效果各项评分改善情况显著优于对照组患者的相关情况,观察组各指标用时显著较短,P<0.05。经护理后观察组的生活质量各指标评分显著较高,P<0.05。观察组术后并发症发生率(6.67%)较对照组低(26.67%),P<0.05。结论 对接受腹腔镜术式治疗的老年急性胆囊炎患者开展护理干预,建议采纳精细化、针对性强的护理模式,其效果确切,能有效改善临床症状表现,减少并发症。另外,其护理效果较为理想且安全性较高,可在提升护理质量的同时有效改善生活质量并降低术后并发症发生率,同时促使患者对护理工作满意度提高,提倡推广,建议临床广泛应用。Objective To study the value of targeted nursing in preventing postoperative complications of laparoscopic surgery in elderly patients with acute cholecystitis, and to verify the efiectiveness and safety of this nursing model. Methods Following the principle of nursing difierence grouping, 120 elderly patients with acute cholecystitis in our hospital from February 2018 to February 2022 were divided into two groups according to the number of patients(all given laparoscopic treatment) into control group(60 cases, routine nursing) and observation group(60 cases, targeted nursing). The time of clinical indicators, postoperative quality of life and the incidence of postoperative complications(biliary fistula, bleeding and infection) were observed, and the relevant data were statistically analyzed and summarized. Results Compared with the control group, the nursing efiect of the patients in the observation group was excellent and had certain implementation value. The improvement of each score of the nursing efiect in the observation group was significantly better than that of the patients in the control group. Compared with the control group,the time of each index in the observation group was significantly shorter(P<0.05). Compared with the control group, after nursing, the scores of various indexes of quality of life in the observation group were significantly higher(P<0.05). The incidence of postoperative complications in the observation group(6.67%) was lower than that in the control group(26.67%)(P<0.05). Conclusion To carry out nursing intervention for elderly patients with acute cholecystitis treated by laparoscopy, it is suggested to adopt a fine and targeted nursing model, which has a definite efiect, can efiectively improve clinical symptoms and reduce complications. In addition, the nursing efiect is ideal and the safety is high. It can efiectively improve the quality of life and reduce the incidence of postoperative complications while improving the quality of nursing. At the same time, it can promote the sa

关 键 词：针对性护理 老年患者 急性胆囊炎 腹腔镜术式 术后并发症 

分 类 号：R473.6[医药卫生—护理学]