优质护理对胰肾联合移植术后患者的影响研究  

Study on the influence of high-quality nursing on patients after simultaneous pancreas kidney transplantation

作　　者：张英花 ZHANG Ying-hua(Department of Renal Transplantation,Tianjin First Central Hospital,Tianjin 300192,China)

机构地区：[1]天津市第一中心医院肾移植科,天津300192

出　　处：《中国城乡企业卫生》2022年第11期8-10,共3页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的观察优质护理对胰肾联合移植术患者的影响,以探究患者术后有效的护理方法,促进患者术后恢复。方法选取2018年1月—2020年1月天津市第一中心医院收治的胰肾联合移植术患者78例,随机分为对照组和观察组各39例,对照组患者给予常规护理干预,观察组患者给予优质护理干预。观察两组患者手术后恢复情况、肠梗阻发生率、自我护理能力、心理状态以及护理质量评分。结果观察组术后下床活动时间、胃管留置时间、排便时间、住院时间均短于对照组,差异均有统计学意义(P<0.05)。观察组术后肠梗阻发生率为2.56%,低于对照组的15.38%,差异有统计学意义(χ2=3.9235,P=0.0476)。观察组患者干预后自我护理能力、护理质量评分高于对照组,SAS、SDS评分低于对照组,差异均有统计学意义(P<0.05)。结论优质护理对胰肾联合移植术患者具有积极影响,患者经护理干预后恢复较好,肠梗阻发生率低,还可提升患者自我护理能力,改善心理状态,提升护理水平,值得临床推广应用。Objective To observe the effect of high-quality nursing on patients undergoing simultaneous pancreas kidney transplantation,so as to explore effective postoperative nursing methods for patients and promote postoperative recovery of patients.Methods From January 2018 to January 2020,78 patients with simultaneous pancreas kidney transplantation admitted to Tianjin First Central Hospital were selected and randomly divided into control group and observation group with 39 cases in each group.The patients in the control group were given routine nursing intervention,and the patients in the observation group were given high-quality nursing intervention.The postoperative recovery condition,incidence of intestinal obstruction,self-care ability,psychological state and nursing quality score were observed in the two groups.Results The postoperative time of getting out of bed activity,gastric tube retention time,defecation time and hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significally significant(P<0.05).The incidence of postoperative intestinal obstruction in the observation group was 2.56%,which was lower than 15.38%in the control group,and the difference was statistically significant(χ^(2)=3.9235,P=0.0476).The scores of self-care ability and nursing quality of the patients after intervention in the observation group after intervention were higher than those in the control group,and the scores of SAS and SDS were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion High-quality nursing had a positive impact on patients undergoing simultaneous pancreas kidney transplantation.The patients recovered well after nursing intervention,and the incidence of intestinal obstruction was low.It could also improve the self-care ability of patients,improve the psychological state and the nursing level.It was worthy of clinical promotion and application.

关 键 词：胰肾联合移植术 优质护理 恢复效果 肠梗阻 自我护理能力 

分 类 号：R4[医药卫生—临床医学]