基于循证理念的护理策略对行腹腔镜治疗的胆囊结石患者术后疼痛程度及生存质量的影响  

Effect of evidence-based nursing strategy on postoperative pain and quality of life in patients with cholecystolithiasis undergoing laparoscopic treatment

作　　者：何琴琴 许蔚[1] HE Qinqin;XU Wei(Department of General Surgery,Nanjing First HospitalNanjing Medical University,Jiangsu Province,Nanjing210000,China)

机构地区：[1]南京医科大学附属南京医院南京市第一医院普外科,江苏南京210000

出　　处：《中国医药导报》2022年第28期178-181,共4页China Medical Herald

基　　金：江苏省自然科学基金项目(BK20190597)。

摘　　要：目的探讨基于循证理念的护理策略对行腹腔镜治疗的胆囊结石患者术后的影响。方法选取2020年6月至2021年6月南京市第一医院行腹腔镜治疗的胆囊结石患者86例,根据随机数字表法将其分为常规组和观察组,常规组43例采用传统护理,观察组43例在常规组的基础上实施基于循证理念的护理策略,均护理3个月。比较两组视觉模拟评分法(VAS)评分、疼痛持续时间,以及美国特种外科医院膝关节WHO生存质量评分(WHOQOL-100)、焦虑自评量表(SAS)得分、抑郁自评量表(SDS)得分、满意度情况。结果护理后,观察组VAS评分低于护理前,且观察组低于常规组(P<0.05);观察组疼痛持续时间低于常规组(P<0.05)。护理后,两组WHOQOL-100评分均高于护理前,且观察组高于常规组(P<0.05)。护理后,两组SAS、SDS评分均低于护理前,且观察组低于常规组(P<0.05)。观察组护理总满意度高于常规组(P<0.05)。结论基于循证理念的护理策略应用于行腹腔镜治疗的胆囊结石患者,有利于缓解疼痛感、焦虑、抑郁情绪,缩短疼痛持续时间,提高生活质量护理满意度。Objective To explore the effect of evidence-based nursing strategy on postoperative pain and quality of life in patients with cholecystolithiasis undergoing laparoscopic treatment.Methods A total of 86 patients with gallbladder stones who underwent laparoscopic treatment in Nanjing First Hospital from June 2020 to June 2021 were selected,and divided into the conventional group and the observation group according to the random number table method.A total of 43 patients in the conventional group received traditional nursing,while 43 patients in the observation group received evidence-based nursing strategy on the basis of the conventional group,all patients were nursed for three months.The visual analogue scale(VAS)score,pain duration,hospital for special surgery knee joint WHO quality of life score(WHOQOL-100),self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score,and satisfaction were compared between the two groups.Results After nursing,the VAS score of the observation group was lower than that before nursing,and the observation group was lower than that of the conventional group(P<0.05).The duration of pain in the observation group was lower than that in the conventional group(P<0.05).After nursing,the WHOQOL-100 score of the two groups was higher than that before nursing,and the observation group was higher than that of the conventional group(P<0.05).After nursing,the SAS and SDS scores of the two groups were lower than those before nursing,and the observation group was lower than that of the conventional group(P<0.05).The total satisfaction of nursing in the observation group was higher than that in the conventional group(P<0.05).Conclusion Evidence-based nursing strategy applied in patients with gallstones undergoing laparoscopic treatment is conducive to relieve pain,anxiety and depression,shorten the duration of pain,and improve the quality of life nursing satisfaction.

关 键 词：循证理念 胆囊结石 生活质量 

分 类 号：R473[医药卫生—护理学]