预见性护理全程渗透法在胆囊结石腹腔镜治疗患者中的应用效果分析  

Analysis of the Application Effect of Anticipatory Nursing Whole Penetration Method in Patients with Gallbladder Stone Laparoscopic Treatment

作　　者：张海云 张敏 ZHANG Haiyun;ZHANG Min(Department of Surgery,Pizhou Hospital of Traditional Chinese Medicine,Pizhou,Jiangsu Province,221300 China)

机构地区：[1]邳州市中医院外科,江苏邳州221300

出　　处：《中外医疗》2023年第23期145-149,共5页China & Foreign Medical Treatment

摘　　要：目的分析将预见性护理全程渗透法用于胆囊结石腹腔镜手术治疗中的临床价值。方法便利选择2020年5月—2023年2月在邳州市中医院接受腹腔镜治疗的72例胆囊结石患者为研究对象,采用随机数表法分为两组,每组36例。对照组采用常规护理,观察组采用预见性护理全程渗透法护理。比较两组心理状态、疼痛程度、并发症及护理满意度。结果护理前,两组焦虑、抑郁评分比较,差异无统计学意义(P>0.05);护理后,观察组焦虑、抑郁评分分别为(41.23±6.15)分、(42.85±5.44)分,较对照组的(47.26±5.74)分、(48.71±5.75)分更低,差异有统计学意义(t=4.301、4.442,P<0.05)。护理前,两组视觉模拟疼痛评分比较,差异无统计学意义(P>0.05);护理后,观察组为(2.03±0.52)分,较对照组的(3.16±0.55)分更低,差异有统计学意义(t=8.958,P<0.05)。观察组并发症发生率5.56%,较对照组的22.22%更低,差异有统计学意义(χ^(2)=4.181,P<0.05)。观察组护理满意度94.44%,较对照组的75.00%更高,差异有统计学意义(χ^(2)=5.258,P<0.05)。结论将预见性护理全程渗透法用于胆囊结石腹腔镜手术治疗中可发挥积极作用,能够缓解其负性心理,减少并发症。Objective To analyze the clinical value of using the anticipatory care whole penetration method in the laparoscopic surgical treatment of gallbladder stones.Methods 72 patients with cholecystolithiasis who received laparoscopic treatment in Pizhou Hospital of Traditional Chinese Medicine from May 2020 to February 2023 were conveniently selected as the study subjects.They were divided into two groups with 36 cases in each group by random number table method.The control group was treated with routine nursing,and the observation group was treated with predictive permeation nursing.The psychological state,pain degree,complications and nursing satisfaction of the two groups were compared.Results Before nursing,there was no statistically significant difference in anxiety and depression scores between the two groups(P>0.05).After nursing,the scores of anxiety and depression in the observation group were(41.23±6.15)points and(42.85±5.44)points,respectively,which were lower than those in the control group(47.26±5.74)points and(48.71±5.75)points,and the difference was statistically significant(t=4.301,4.442,P<0.05).Before nursing,there was no statistically significant difference in visual analogue pain scores between the two groups(P>0.05).After nursing,the score of observation group was(2.03±0.52)points,which was lower than that of control group(3.16±0.55)points,and the difference was statistically significant(t=8.958,P<0.05).The complication rate of the observation group was 5.56%,which was lower than that of the control group(22.22%),and the difference was statistically significant(χ^(2)=4.181,P<0.05).Nursing satisfaction in the observation group was 94.44%,which was higher than 75.00%in the control group,and the difference was statistically significant(χ^(2)=5.258,P<0.05).Conclu⁃sion It can play a positive role in the treatment of cholecystolithiasis laparoscopic surgery by using the predictive nursing infiltration method,which can alleviate the negative psychology and reduce complications.

关 键 词：预见性护理 全程渗透法 胆囊结石 腹腔镜手术 疼痛程度 护理满意度 

分 类 号：R473[医药卫生—护理学]