基于“互联网+”优化日间手术院前管理流程对腹腔镜胆囊切除手术患者的影响  

Effect of optimizing the pre hospital management process of daytime surgery based on"Internet+"on patients undergoing laparoscopic cholecystectomy

作　　者：黄跃英[1] 魏笳[1] 张志娟 刘玲玲 HUANG Yueying;WEI Jia;ZHANG Zhijuan;LIU Lingling(The Second Affi liated Hospital of Nanchang University,Nanchang,330006,China)

机构地区：[1]南昌大学第二附属医院,江西省南昌市330006

出　　处：《护理实践与研究》2023年第10期1509-1513,共5页Nursing Practice and Research

基　　金：江西省卫健委普通科技计划项目(编号:20204328)。

摘　　要：目的探索基于“互联网+”优化日间手术院前管理流程对腹腔镜胆囊切除手术患者手术结局、心理状态及应对方式的影响。方法选择2020年1月—2021年12月南昌大学第二附属医院所收治的400例腹腔镜胆囊切除手术患者为研究对象,按照组间基本特征均衡可比的原则分为对照组与观察组,各200例。对照组患者给予常规护理干预,观察组患者在常规护理基础上采用基于“互联网+”优化日间手术院前管理流程进行干预,对比两组患者的手术结局、心理状态及应对方式。结果干预后,观察组手术时间、术中出血量、术后卧床时间、住院时间均优于对照组,组间比较差异有统计学意义(P<0.05);干预后,观察组HAMA、HAMD评分均低于对照组,组间比较差异具有统计学意义(P<0.05);干预后,观察组患者面对评分高于对照组,回避、屈服评分低于对照组,组件比较差异有统计学意义(P<0.05)。结论应用基于“互联网+”优化日间手术院前管理流程针对干预腹腔镜胆囊切除手术患者,能够有效改善其手术结局及心理状态,促进患者选择积极的应对方式。Objective To explore the impact of optimizing the pre hospital management process of daytime surgery based on"Internet+"on the surgical outcome,psychological status and coping style of patients undergoing laparoscopic cholecystectomy.Methods A total of 400 patients undergoing laparoscopic cholecystectomy admitted to the Second Affiliated Hospital of Nanchang University from January 2020 to December 2021 were selected as the study subjects.They were divided into a control group and an observation group based on the principle of balanced and comparable basic characteristics between the groups,with 200 patients in each group.The patients in the control group were given routine nursing intervention,and the patients in the observation group were intervened by optimizing the pre hospital management process of daytime surgery based on"Internet+"on the basis of routine nursing.The surgical outcome,psychological state and coping style of the patients in the two groups were compared.Results After intervention,the observation group had better surgical time,intraoperative bleeding,postoperative bed rest time,and hospital stay than the control group,the differences between the groups were statistically significant(P<0.05).After intervention,the HAMA and HAMD scores in the observation group were lower than those in the control group,the differences between the groups were statistically significant(P<0.05).After intervention,the confront score in the observation group was higher than that in the control group,the avoidance and yield scores were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The application of"Internet+"based optimization of the pre hospital management process of daytime surgery to intervene in patients undergoing laparoscopic cholecystectomy can effectively improve their surgical outcomes and psychological status,and promote patients to choose positive coping styles.

关 键 词：“互联网+” 日间手术 腹腔镜 手术结局 心理状态 应对方式 

分 类 号：R473.6[医药卫生—护理学]