全程护理干预对外伤性肝脾破裂患者结局的影响  

Influence of Whole Course Nursing Intervention on the Outcome of Patien with Traumatic Liver and Spleen Rupture

作　　者：寇晓梅 KOU Xiaomei(Department of general surgery,the first Peoples hospital of Pingyuan county,Pingyuan,Shandong province 253100)

机构地区：[1]平原县第一人民医院普外科,山东平原253100

出　　处：《中国伤残医学》2023年第12期35-38,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：探讨对外伤性肝脾破裂者予全程护理干预对改善患者结局的作用。方法:选择我院2020年1月—2021年12月收治的外伤性肝脾破裂患者60例,以随机数字表法分为对照组(常规护理,n=30)与观察组(联合全程护理干预,n=30),采用焦虑(SAS)、抑郁(SDS)自评量表调查患者干预前后负性情绪状态,比较2组术后下床时间、排气时间、排便时间、住院时间,统计2组并发症发生率,并于患者出院前调查患者护理满意度。结果:观察组干预后SAS、SDS评分分别为(40.55±4.72)分、(38.25±4.10)分,均低于对照组(P<0.05);观察组下床时间为(27.18±4.24)小时、排气时间为(45.76±7.12)小时、排便时间为(47.19±10.41)小时,以及住院时间为(8.64±1.59)天,均短于对照组(P<0.05);观察组并发症发生率低于对照组(6.67%vs33.33%)(P<0.05);观察组护理满意度高于对照组(93.33%vs73.33%)(P<0.05)。结论:对外伤性肝脾破裂者采用全程护理干预能减轻患者负性情绪,可加快患者术后康复进程,能降低并发症风险,并可提高患者护理满意度。Objective:To investigate the effect of whole-course nursing intervention on improving the outcome of patients with traumatic liver and spleen rupture.Methods:A total of 60 patients with traumatic liver and spleen rupture from January 2020 to December 2021 were selected and divided into routine nursing control group(n=30)and combined whole-course nursing intervention observation group(n=30)by random number table method,and self-rating anxiety(SAS)and depression(SDS)scales were used to investigate the negative emotional state of patients before and after intervention.The postoperative ambulation time,exhaust time,defecation time,and hospitalization time were compared between the two groups,and the incidence of complications between the two groups was calculated.,and survey patient care satisfaction before discharge from hospital.Results:After intervention,the SAS and SDS scores of the observation group were(40.55±4.72)points and(38.25±4.10)points,respectively,which were lower than those of the control group(P<0.05).The air time(45.76±7.12)h,defecation time(47.19±10.41)h and hospitalization time(8.64±1.59)d were all shorter than those in the control group(P<0.05);the incidence of complications in the observation group was lower than that in the control group(6.67%vs33.33%,P<0.05);the nursing satisfaction of the observation group was higher than that of the control group(93.33%vs73.33%,P<0.05).Conclusion:The whole-course nursing intervention for patients with traumatic liver and spleen rupture can reduce the negative emotions of the patients,speed up the postoperative recovery process,reduce the risk of complications,and improve the nursing satisfaction of the patients.

关 键 词：全程护理干预 外伤性肝脾破裂 负性情绪 康复进程 并发症 

分 类 号：R473[医药卫生—护理学]