综合护理干预对胆囊结石腹腔镜手术患者术后疼痛及舒适度的影响  

Influence of Comprehensive Nursing Intervention on Postoperative Pain and Comfort in Patients with Cholecystolithiasis Laparoscopic Surgery

作　　者：王丽欣 WANG Lixin(Beipiao Central Hospital,Beipiao 122100,China)

机构地区：[1]辽宁省北票市中心医院,辽宁北票122100

出　　处：《中国医药指南》2022年第30期57-60,共4页Guide of China Medicine

摘　　要：目的论胆囊结石腹腔镜手术患者实施综合护理对改善疼痛和舒适度的效果。方法随机将来我院治疗的68例经腹腔镜手术治疗的胆囊结石患者(于2020年2月至2021年2月入院)分为观察组和对照组,平均34例。分别对两组患者实施综合护理和常规护理,比较两组患者经过不同护理以后的疼痛情况、舒适度、并发症发生率、康复所需时间、护理前后的负面心理和生活质量等。结果①观察组的疼痛程度明显比对照组更轻(P<0.05)。②观察组(32例,占94.12%)的舒适度评分明显高于对照组(27例,占79.41%)(P<0.05)。③观察组(3例,占8.82%)经过护理以后的并发症发生率相比对照组(12例,占35.29%)明显更低(P<0.05)。④观察组的机械通气时间更少,胃肠功能恢复时间和住院时间也比对照组更短(P<0.05)。⑤护理前,两组患者的GAD-7评分>16分、PHQ-9评分>18分,但组间差异不显著(P>0.05);护理后,观察组的两项量表的评分改善效果都比对照组更为突出(P<0.05)。⑥护理前,两组患者的SF-36生活质量量表评分均低于70分,且组间的差异不显著(P>0.05);护理后,两组SF-36生活质量量表评分均有提升,但观察组的提升幅度更明显(P<0.05)。结论对经过腹腔镜手术治疗的胆囊结石患者实施综合护理能有效的改善患者的疼痛程度,提高舒适度,可以减少并发症出现的概率促进患者术后恢复,改善患者的焦虑和抑郁心理,同时也能提高整体生活质量,值得推荐。Objective To discuss the effect of comprehensive nursing on improving pain and comfort in patients undergoing laparoscopic surgery for cholecystolithiasis.Methods Sixty-eight patients(admission from February 2020 to February 2021)with cholecystolithiasis treated by laparoscopic surgery in our hospital in the future were randomly divided into observation group and control group,with an average of 34 cases.The two groups of patients were given comprehensive nursing and routine nursing,and the pain,comfort,complication rate,recovery time,negative psychology and quality of life before and after nursing were compared between the two groups.Results(1)The pain degree of the observation group was significantly lighter than that of the control group,with statistical difference(P<0.05).(2)The comfort score of the observation group(32 cases,accounting for 94.12%)was significantly higher than that of the control group(27 cases,accounting for 79.41%),with statistical difference(P<0.05).(3)the incidence of complications in the observation group(3 cases,accounting for 8.82%)after nursing was compared with the control group(12 cases,accounting for 35.29%)was significantly lower,with a statistical difference(P<0.05).(4)The observation group had less mechanical ventilation time,and the gastrointestinal function recovery time and hospitalization time were also shorter than those of the control group,with statistical difference(P<0.05).(5)Before nursing,the scores of GAD-7 and PHQ-9 of the two groups were>16 points and>18 points,but there was no significant difference between them(P>0.05);After nursing,the improvement in scores on both scales in the observation group was more prominent than that in the control group,with statistical differences(P<0.05).(6)Before nursing,the SF-36 score was less than 70 points in both groups and the difference between groups was not significant(P>0.05).After nursing,the SF-36 quality of life scale scores in both groups were improved,but the improvement in the observation group was more obvious,with s

关 键 词：综合护理 常规护理 胆囊结石 腹腔镜 疼痛 舒适度 满意度 

分 类 号：R473.6[医药卫生—护理学]