护理干预促进腹腔镜胆道手术后肠功能恢复的效果观察  

Effect of Nursing Intervention on Intestinal Function Recovery after Laparoscopic Biliary Surgery

作　　者：黄丽阳 林钐 洪琳 HUANG Liyang;LIN Shan;HONG Lin(Putian Hanjiang Hospital,Putian 351100,China)

机构地区：[1]福建省莆田市涵江医院,福建莆田351100

出　　处：《中国医药指南》2023年第16期38-41,共4页Guide of China Medicine

摘　　要：目的探究护理干预促进腹腔镜胆道手术后肠功能恢复的效果观察。方法选择我院于2021年1月1日至2022年12月31日收治的120例腹腔镜胆道手术患者为研究对象,依据不同护理方式划分为观察组(综合性护理干预模式)与对照组(常规护理),每组各60例。比较分析两组间的胃肠道功能水平、生活质量评分、护理满意度、不良反应发生情况、遵医行为等差异。结果手术后观察组患者的首次肛门排气、首次肛门排便以及肠鸣音恢复时间均明显短于对照组,差异有统计学意义(P<0.05);观察组社会、环境、躯体、心理评分均明显高于对照组,差异有统计学意义(P<0.05);观察组中患者护理总满意率[58例(96.67%)]高于对照组[40例(66.67%)],差异有统计学意义(P<0.05);观察组的腹痛腹胀、肛门延迟排气、恶心呕吐[3例(5.00%)]明显低于对照组[10例(16.67%)],差异有统计学意义(P<0.05);观察组的戒烟限酒、情绪控制、自我监测、合理饮食、定期复查、正确用药、运动情况指标均明显高于对照组,差异有统计学意义(P<0.05)。结论针对腹腔镜胆道手术患者,采用综合性护理干预模式可有效改善患者的遵医行为和胃肠道功能反应指标,提升患者对护理的满意程度,以及手术之后的生活质量,降低不良反应的发生,适合应用于临床推广。Objective To explore the effect of nursing intervention on the recovery of intestinal function after laparoscopic biliary surgery.Methods One hundred and twenty patients with laparoscopic biliary surgery admitted to our hospital from January 1,2021 to December 31,2022 were divided into observation group(comprehensive nursing intervention)and control group(routine nursing)according to different nursing methods,there were 60 cases in each group.The gastrointestinal function reaction,quality of life score,nursing satisfaction,occurrence of adverse reactions,and compliance behavior between the two groups were compared and analyzed.Results After operation,the first time of anal exhaust,defecation and recovery time of bowel sounds in the observation group were significantly shorter than those in the control group(P<0.05).The society,environment,body and psychology of the observation group were significantly higher than those of the control group(P<0.05).The total satisfaction rate of 58 patients(96.67%)in the observation group was higher than that of 40 patients(66.67%)in the control group,and the difference was statistically significant(P<0.05).The abdominal pain,abdominal distension,delayed anal exhaust,nausea and vomiting in 3 patients(5.00%)in the observation group were significantly lower than those in 10 patients(16.67%)in the control group,with a statistically significant difference(P<0.05).The indicators of smoking cessation and alcohol restriction,mood control,self-monitoring,reasonable diet,regular review,correct medication and exercise in the observation group were significantly higher than those in the control group(P<0.05).Conclusion For patients undergoing laparoscopic biliary surgery,the adoption of comprehensive nursing intervention model will effectively improve their compliance behavior and gastrointestinal functional response indicators,improve their satisfaction with nursing,and improve their quality of life after surgery,reduce the incidence of adverse reactions,and is suitable for clinical promoti

关 键 词：腹腔镜胆道手术 肠功能恢复 护理 满意度 

分 类 号：R473.6[医药卫生—护理学]