微格教学法联合3H护理对腹腔镜胆囊切除术患者围手术期的影响  

Effect of microteaching method combined with 3H nursing on the perioperative period of patients undergoing laparoscopic cholecystectomy

作　　者：陆忆 Lu Yi(Operating Room of Yangzhou Hospital of Traditional Chinese Medicine,Jiangsu Yangzhou 225002,China)

机构地区：[1]扬州市中医院手术室,江苏扬州225002

出　　处：《临床普外科电子杂志》2024年第1期58-63,共6页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的探讨微格教学法联合3H护理对腹腔镜胆囊切除术患者围手术期的影响。方法选取2022年3月至12月扬州市中医院收治的行腹腔镜胆囊切除术的住院患者126例,按照随机数字表法分为对照组和观察组,各63例。对照组患者行常规护理干预,观察组患者在对照组的基础上给予微格教学法联合3H护理。比较两组患者疾病知晓率、围手术期情况及并发症发生情况。结果观察组患者疾病知识掌握优良率高于对照组(87.30%比50.79%);患者术后C反应蛋白、白介素-6、肿瘤坏死因子-α水平均低于对照组,差异均有显著性(P<0.05)。干预后,观察组患者汉密尔顿焦虑量表、抑郁自评量表及匹兹堡睡眠质量指数量表评分均低于对照组,术后并发症发生率低于对照组(3.17%比12.70%),差异均有显著性(P<0.05)。结论微格教学法联合3H护理有利于提高患者对疾病知识的知晓率,缓解患者的应激反应及不良情绪,改善患者的睡眠质量,降低患者并发症发生风险。Objective Exploring the impact of micro teaching method combined with 3H nursing on the perioperative period of patients undergoing laparoscopic cholecystectomy.Method 126 hospitalized patients who underwent laparoscopic cholecystectomy admitted to Yangzhou Hospital of Traditional Chinese Medicine from March to December 2022 were randomly divided into a control group and an observation group,with 63 patients in each group,using a random number table method.The control group received routine nursing intervention,while the observation group received micro teaching method combined with 3H nursing on the basis of the control group.Compare the disease awareness rate,perioperative situation,and incidence of complications between two groups of patients.Result The observation group had a higher disease knowledge awareness rate than the control group(87.30%vs.50.79%);Postoperative C-reactive protein,interleukin-6,and tumor necrosis factor-αlevels in patients were all lower than those of the control group,and the differences were significant(P<0.05).After intervention,the Hamilton anxiety scale,self rating depression scale,and Pittsburgh sleep quality index scores of the observation group were lower than those of the control group,and the incidence of postoperative complications was lower than that of the control group(3.17%vs.12.70%),with significant differences(P<0.05).Conclusion Microteaching combined with 3H nursing is beneficial to improve the excellent rate of patients'knowledge of disease,relieve the stress reaction and bad mood of patients,improve the sleep quality of patients,and reduce the possibility of complications.

关 键 词：微格教学法 腹腔镜胆囊切除术 围手术期 3H护理 

分 类 号：R47[医药卫生—护理学]