胆道镜取石术治疗左肝内胆管结石的围手术期护理  

Perioperative Nursing of Choledocholithotomy to Treat Left Intrahepatic Bile Duct Stones

作　　者：王爽 WANG Shuang(Beipiao Central Hospital,Beipiao 122100,China)

机构地区：[1]北票市中心医院,辽宁北票122100

出　　处：《中国医药指南》2022年第32期58-61,共4页Guide of China Medicine

摘　　要：目的研究胆道取石手术治疗左肝内胆管结石的围手术期护理方法。方法选择2019年3月至2020年4月到我院进行胆道镜取石术治疗的90例左肝内胆管结石患者随机分为观察组和对照组,每组平均45例。给予观察组患者围手术期优质护理,给予对照组患者常规护理。对两组患者经过不同护理之后的满意度、护理前后的负面心理、睡眠质量、护理以后的并发症发生率、术后不同阶段的疼痛、护理前后的生活质量等进行统计和比较。结果①观察组(44例,占97.78%)患者对护理的满意度评价质量高于对照组(38例,占84.44%)(P<0.05)。②观察组和对照组在开展护理之前评价负面心理和睡眠质量差异无统计学意义(P>0.05),经过护理以后,观察组患者的负面心理和睡眠质量得到明显的恢复,和对照组相比差异有统计学意义(P<0.05)。③观察组(3例,占6.67%)出现的并发症概率和对照组(13例,占28.89%)相比明显更低(P<0.05)。④分别在术后12 h、术后3 d、术后1周对患者的疼痛进行评估,观察组的疼痛明显比对照组更轻(P<0.05)。⑤观察组和对照组在开展护理之前评估生活质量,差异无统计学意义(P>0.05),护理之后观察组在生活质量上的改善相比对照组明显更占优势(P<0.05)。结论采用胆道取石手术治疗左肝内胆管结石患者在围手术期配合优质护理实施干预能更得到患者更高的认可,可改善患者的焦虑和抑郁心理,能提高患者整体的睡眠质量,可以保护患者的安全,减少各类并发症和风险出现的概率,减轻术后的疼痛,使患者的生活质量得到提升。Objective To study the perioperative nursing methods for the treatment of left intrahepatic bile duct stones by biliary lithotripsy.Methods A total of 90 patients with left intrahepatic bile duct stones who underwent choledochoscopy in our hospital from March 2019 to April 2020 were selected and randomly divided into an observation group and a control group,with an average of 45 cases in each group.The patients in the observation group were given high-quality nursing care during the perioperative period,and the patients in the control group were given routine nursing care.Statistics and comparisons were made on the satisfaction of the two groups of patients after different nursing,negative psychology before and after nursing,sleep quality,complication rate after nursing,pain at different stages after operation,and quality of life before and after nursing.Results(1)The patients in the observation group(44 cases,accounting for 97.78%)were more satisfied with the nursing than those in the control group(38 cases,accounting for 84.44%)(P<0.05).(2)There was no obvious deviation in the evaluation of negative psychology and sleep quality before nursing in the observation group and the control group(P>0.05).After nursing,the negative psychology and sleep quality of the patients in the observation group were significantly restored,and there was a significant difference compared with the control group(P<0.05).(3)The incidence of complications in the observation group(3 cases,6.67%)was significantly lower than that in the control group(13 cases,28.89%)(P<0.05).(4)The pain of the patients was evaluated at 12 hours,3 days and 1 week after operation,and the pain of the observation group was significantly lighter than that of the control group(P<0.05).(5)The quality of life in the observation group and the control group was evaluated before nursing,and there was no significant difference(P>0.05).After nursing,the improvement of quality of life in the observation group was significantly superior to that in the control group(P<0.0

关 键 词：围手术期护理 左肝内胆管结石 疼痛 睡眠 生活质量 

分 类 号：R473.6[医药卫生—护理学]