康复护理干预在胆囊炎患者中的应用效果探索  

Effect of Rehabilitation Nursing Intervention in Patients with Cholecystitis

作　　者：曹美 CAO Mei(Fuxin Mine General Hospital,China Resources Liaojian Group,Fuxin 123000,China)

机构地区：[1]华润辽健集团阜新矿总医院,辽宁阜新123000

出　　处：《中国医药指南》2022年第16期46-50,共5页Guide of China Medicine

摘　　要：目的 探索康复护理干预在胆囊炎患者中的应用效果。方法 在我院2018年1月至2019年10月诊治的胆囊炎患者中随机抽取148例为对象,均接受腹腔镜手术治疗,按照随机数字表法分组,对照组(74例)患者给予常规护理干预,观察组(74例)在此基础上给予康复护理干预,对比两组术后恢复指标的差异。结果 两组的术后肛门排气时间、术后下床活动时间、术后住院时间比较差异均有统计学意义,P <0.05;观察组患者的术后并发症发生率(6.76%)低于对照组患者的术后并发症发生率(20.27%),P <0.05;观察组与对照组在术后6 h的VAS评分差异无统计学意义,P> 0.05,术后24 h、48 h、72 h,观察组的VAS评分均低于对照组,P <0.05;观察组术后第1天、第3天的血清IL-6、CRP水平均低于对照组,P <0.05;观察组在护理后SF-36量表的生理功能评分、生理职能评分、一般健康状况评分、精力评分、躯体疼痛评分、社会功能评分、情感职能评分、精神健康评分均高于对照组,P <0.05;观察组患者的护理满意度(95.95%)高于对照组的护理满意度(83.78%),P <0.05。结论康复护理干预在胆囊炎患者中应用效果肯定,有助于促进患者术后尽早康复,构建和谐护患关系。Objective To explore the effect of rehabilitation nursing intervention in patients with cholecystitis.Methods One hundred and forty eight cases of cholecystitis were randomly selected from January 2018 to October 2019 in our hospital,all of them were treated by laparoscopic surgery,and were grouped by random digital table method:the control group(74 cases) patients were given routine nursing intervention,and the observation group(74 cases) was given rehabilitation nursing intervention on this basis,and the postoperative recovery index of the two groups was compared.Results The postoperative anal exhaust time and operation time in the two groups were lower than that in the control group.After getting out of bed activity time,postoperative hospitalization time were significantly different,P<0.05.The incidence of postoperative complications in the observation group was 6.76%lower than that in the control group,the incidence of postoperative complications was 20.27%,P<0.05.There was no significant difference in VAS score between the observation group and the control group at 6 hours after operation,P>0.05.At 24 hours,48 hours and 72 hours after operation,the VAS score of the observation group was lower than that of the control group,P<0.05.The levels of serum IL-6 and CRP in the observation group on the 1st and 3rd day after operation were lower than those in the control group,P<0.05.The physiological function score,physiological function score,general health status score,energy score,physical pain score,social function score,emotional function score,and mental health score of the SF-36 scale in the observation group after nursing were higher than those in the control group,P<0.05;the nursing satisfaction of the observation group was 95.95% higher than that of the control group 83.78%,P<0.05.Conclusion The effect of rehabilitation nursing intervention in patients with cholecystitis is positive,which is helpful to promote the recovery of patients as soon as possible after operation,and to construct a harmonious nurse-

关 键 词：康复护理干预 胆囊炎 腹腔镜胆囊切除术 康复操 并发症 

分 类 号：R473.6[医药卫生—护理学]