以症状管理理论为基础护理对ERCP术后患者腹痛的影响  

Effect of symptom management theory on abdominal pain after ERCP

作　　者：周丹[1] 乔冠男 邵楠[1] 陈佩[1] Zhou Dan;Qiao Guan-nan;Shao Nan;Chen Pei(Department of Gastroenterology,Zhengzhou First People's Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州市第一人民医院消化内一科,河南郑州450000

出　　处：《四川生理科学杂志》2023年第9期1552-1554,1574,共4页Sichuan Journal of Physiological Sciences

基　　金：河南省医学科技攻关计划项目(LHGJ20191007)。

摘　　要：目的:探究以症状管理理论为基础的经内镜逆行性胰胆管造影术(Endoscopic retrograde cholangiopan-creatography,ERCP)术后护理对患者腹痛症状的影响。方法:回顾性选取2019年6月至2022年6月在我院接受ERCP术的88例患者,随机分为两组,对照组患者采用常规护理;观察组患者在对照组基础上进行以症状管理理论为基础的护理:根据每位患者自身病情,以腹痛为独立症状管理内容,分析腹痛可能的原因,制定具有针对性的护理方案。于患者术后第一天、第三天、第七天进行腹痛程度问卷调查。观察小组根据患者口述,记录患者首次排气时间和首次排便时间。于患者术后第一天和第七天采用焦虑自评量表评价患者焦虑水平,于患者术后第七天采用我院自拟的护理满意度调查问卷进行护理满意度评价。结果:术后第三天和第七天,观察组患者腹痛等级明显优于对照组患者;观察组患者首次排气时间和首次排便时间均优于对照组;两组患者第七天焦虑自评评分均优于第一天,但第七天观察组患者焦虑自评评分明显优于对照组;观察组患者的护理满意度打分远高于对照组。结论:以症状管理理论为基础护理能够明显改善ERCP患者术后腹痛,降低患者焦虑情绪,提高护理认可度,值得推广。Objective:The theory of symptom management is based on the exploration of the symptoms of abdominal pain and the impact ofERCP postoperative care on patients.Methods:Retrospective selection of 88 patients who received ERCP in our hospital from June 2019 to June 2022 were randomly divided into two groups.The patients in the control group received routine care;The patients in the observation group were nursed based on the theory of symptom management based onthe control group.According to thecondition of each patient,take abdominal pain as the independent symptom management content,analyze the possible causes of abdominal pain,and formulate a targeted nursing plan.The degree of abdominal pain of the patient on the 1st,3rd and 7th day after operation was investigated.Observe the records of the patient's oral,basic,initial,and defecation time.On the 1st and 7th day after operation,the patient's anxiety Self-evaluation Scale was used;on the 7th day after operation,the patient's anxiety Self-evaluation Scale was used;on the 7th day after operation,the patient's anxiety Self-evaluation Scale was used;on the 7th day after operation,the patient's author's hospital was used;on the 7th day after operation,the patient's nursing home was completed;on the 7th day after operation,the patient's foot survey was completed.It is necessary to evaluate the adequacy of the use and care facilities.Results:On the third and seventh day after surgery,abdominal pain was apparently measured higher in these patients than in control groups;Both the first exhaust time and the first depilation time of the group resulted in a control group;The SAS for both groups of patients was higher on the seventh day than on the first,whereas the analysis of patients on the seventh day was clearly better than the control group;The study in the group rated the patients'satisfaction with care significantly higher than the control group.Conclusion:To sum up,nursing based on symptom management theory can significantly improve postoperative abdominal pain of ERCP

关 键 词：症状管理理论 ERCP 腹痛 术后护理 

分 类 号：R473.5[医药卫生—护理学]