高龄急性胆囊炎患者行腹腔镜胆囊手术后的优质护理效果  

High-quality Nursing Effect of Elderly Patients with Acute Cholecystitis after Laparoscopic Cholecystectomy

作　　者：朴美卉 PIAO Meihui(Liaoyang Central Hospital,Liaoyang 111000,China)

机构地区：[1]辽阳市中心医院,辽宁辽阳111000

出　　处：《中国医药指南》2023年第7期11-14,共4页Guide of China Medicine

摘　　要：目的分析高龄急性胆囊炎患者实施腹腔镜胆囊手术后的优质护理效果。方法将我院在2019年2月至2020年5月收治的84例经腹腔镜胆囊手术治疗的高龄急性胆囊炎患者随机分为观察组和对照组,每组42例,分别配合优质护理和常规护理,统计两组患者经过不同护理之后的疼痛缓解时间、胃肠道功能恢复时间、住院时间、并发症发生率以及护理前后的生活质量、焦虑、抑郁情绪,护理以后的满意度等,并进行统计学比较。结果①观察组护理以后的疼痛缓解时间、胃肠道功能恢复时间、住院时间和对照组相比明显更短(P<0.05)。②观察组(5例,占11.90%)相比对照组(16例,占38.10%),其并发症发生率具有明显更低的水平(P<0.05)。③护理前,两组患者的SF-36生活质量量表评分无差异(P>0.05);护理后,两组患者的SF-36生活质量量表评分均改善,但观察组的改善效果更为显著(P<0.05)。④护理前,两组患者的GAD-7量表、PHQ-9量表评分差异不显著(P>0.05);护理后,两组的GAD-7量表、PHQ-9量表评分均得到改善,但观察组的改善效果更突出(P<0.05)。⑤观察组(40例,占95.24%)相比对照组(34例,占80.95%)具有明显更高的护理满意度(P<0.05)。结论经过腹腔镜胆囊手术,对高龄急性胆囊炎患者进行治疗的同时使用优质护理方法进行护理配合,有助于提升患者的康复效果,在巩固手术治疗效果的同时也兼顾了治疗的安全性,能从内到外充分的进行调整,满足生活质量的需求也能满足心理的需求,可以提高患者的满意度。Objective To analyze the high-quality nursing effect of elderly patients with acute cholecystitis after laparoscopic cholecystectomy.Methods A total of 84 elderly patients with acute cholecystitis treated by laparoscopic gallbladder surgery who were treated in our hospital from February 2019 to May 2020 were randomly divided into an observation group and a control group,42 cases in each group.Nursing,pain relief time,gastrointestinal function recovery time,hospitalization time,complication rate,quality of life before and after nursing,anxiety,depression,and satisfaction after nursing were calculated for the two groups of patients after different nursing care.,and make statistical comparisons.Results(1)Compared with the control group,the operation time,gastrointestinal function recovery time,and hospitalization time in the observation group were significantly shorter than those in the control group(P<0.05).(2)Compared with the control group(16 cases,38.10%),the complication rate of the observation group(5 cases,accounting for 11.90%)was significantly lower(P<0.05).(3)Before nursing,there was no difference in the scores of SF-36 quality of life scale between the two groups(P>0.05).After nursing,the SF-36 quality of life scale scores improved in both groups,but the improvement was more significant in the observation group(P<0.05).(4)Before nursing,the scores of GAD-7 scale and PHQ-9 scale were not significantly different between the two groups(P>0.05).After nursing,the GAD-7 scale and PHQ-9 scale scores of both groups were improved,but the improvement was more prominent in the observation group(P<0.05).(5)The observation group(40 cases,accounting for 95.24%)compared with the control group(34 cases,accounting for 80.95%),the nursing satisfaction level was significantly higher(P<0.05).Conclusion The elderly patients with acute cholecystitis treated by laparoscopic gallbladder surgery can effectively promote the recovery of the patient's condition through high-quality nursing care,which greatly improves the effect of s

关 键 词：高龄急性胆囊炎 腹腔镜胆囊手术 生活质量 并发症 焦虑 抑郁 

分 类 号：R473.5[医药卫生—护理学] R657.4[医药卫生—临床医学]