系统护理干预在腹腔镜手术治疗阑尾炎患者中的应用  

Application of Systemic Nursing Intervention in the Treatment of Patients with Appendicitis by Laparoscopic Surgery

作　　者：韩娜[1] HAN Na(Department of Critical Care Medicine,Anshan Hospital,the First Affiliated Hospital of China Medical University,Anshan 114000,China)

机构地区：[1]中国医科大学附属第一医院鞍山医院重症医学科,辽宁鞍山114000

出　　处：《中国医药指南》2022年第21期187-188,F0003,共3页Guide of China Medicine

摘　　要：目的评价腹腔镜手术治疗阑尾炎期间辅助系统护理干预的积极意义。方法选择我院2020年1月至2020年9月期间收治的成人阑尾炎疾病患者,总计92例。予以全部患者腹腔镜手术治疗,采取随机法分为常规护理的对照组(n=46)、系统护理干预的观察组(n=46),比较患者术后恢复时间、情绪状况、并发症、满意度。结果胃肠功能恢复时间比较,观察组下床活动时间(2.10±0.50)d、肠鸣音恢复(13.30±3.50)h、肛门排气(15.80±3.20)h、肛门排便时间(43.50±2.50)h、住院时间(5.50±0.50)d均短于对照组,P<0.05;并发症发生情况比较,观察组患者腹胀等并发症发生率4.35%低于对照组,P<0.05;护理满意度问卷调查,观察组患者护理总满意度95.65%高于对照组,P<0.05;焦虑自评量表(SAS)、抑郁自评量表(SDS)评估患者情绪状况,观察组阑尾炎患者SAS评分(30.20±2.20)、SDS评分(30.03±2.30)均低于对照组,P<0.05。结论腹腔镜手术治疗阑尾炎患者术后腹胀等并发症情况明显,延长术后恢复时间。而给予患者辅助系统护理干预效果显著,可以加速患者康复、稳定患者情绪,患者满意度高。Objective To evaluate the positive significance of auxiliary system nursing intervention during laparoscopic surgery for appendicitis.Methods A total of 92 adult patients with appendicitis who were admitted to our hospital from January 2020 to September 2020 were selected.All patients were treated with laparoscopic surgery,and were randomly divided into a control group(n=46)with conventional care and an observation group with systemic nursing intervention(n=46).The postoperative recovery time,emotional status,complications,and satisfaction of the patients were compared.Results Comparison of the recovery time of gastrointestinal function:the time of getting out of bed in the observation group(2.10±0.50)d,recovery of bowel sounds(13.30±3.50)h,anal exhaust(15.80±3.20)h,anal defecation time(43.50±2.50)h,hospitalization time(5.50±0.50)d was shorter than that of the control group,P<0.05.Comparing the incidence of complications:the incidence of complications such as abdominal distension in the observation group(4.35%)was lower than that of the control group,P<0.05.Nursing satisfaction according to questionnaire survey:95.65%of the patients in the observation group have higher overall satisfaction with care than the control group,P<0.05.The patients are evaluated by the Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)for emotional state:the SAS score(30.20±2.20)and SDS score(30.03±2.30)of appendicitis patients in the observation group were lower than those in the control group,P<0.05.Conclusion Postoperative complications such as abdominal distension in patients with appendicitis treated by laparoscopic surgery are obvious,and the postoperative recovery time is prolonged.The systemic nursing intervention of the for patients has a significant effect,which can accelerate the recovery of patients,stabilize the emotions of patients,and have high patient satisfaction.

关 键 词：系统护理干预 腹腔镜手术 阑尾炎 胃肠功能恢复 并发症情况 护理满意度 情绪状况 

分 类 号：R473.6[医药卫生—护理学]