围术期护理在后腹腔镜肾上腺肿瘤切除术中的应用效果  

Application Effect of Perioperative Nursing in Retrolaparoscopic Adrenal Tumor Resection

作　　者：陈花梅 张品 翁海琴 CHEN Huamei;ZHANG Pin;WENG Haiqin(Department of Urology,Putian First Hospital,Putian,Fujian Province,351100 China)

机构地区：[1]莆田市第一医院泌尿外科,福建莆田351100

出　　处：《中外医疗》2024年第6期122-125,130,共5页China & Foreign Medical Treatment

摘　　要：目的探讨围术期护理在后腹腔镜肾上腺肿瘤切除术中的应用效果。方法随机选取2020年1月—2022年12月在莆田市第一医院进行后腹腔镜肾上腺肿瘤切除术的140例患者为研究对象,以患者接受手术治疗时间先后为标准分为两组,每组70例,对照组行常规护理,观察组行针对性围术期护理。对比两组干预效果。结果观察组的术后首次下床时间、首次进餐时间、初次排气时间均短于对照组,差异有统计学意义(P均<0.05);观察组的护理满意度为95.71%,高于对照组的80.00%,差异有统计学意义(χ^(2)=8.101,P=0.004);观察组的并发症发生率为4.29%,低于对照组的15.71%,差异有统计学意义(χ^(2)=5.097,P=0.024)。结论在后腹腔镜肾上腺肿瘤切除术中对患者应用围术期护理,可以缩短术后康复时间,提高患者对医护行为的认同感,减少术后并发症发生率。Objective To investigate the effect of perioperative nursing in retrolaparoscopic adrenal tumor resection.Methods A total of 140 patients undergoing retrolaparoscopic adrenal tumor resection in Putian First Hospital from January 2020 to December 2022 were selected randomly as the study objects,and were divided into two groups ac-cording to the time of receiving surgical treatment,with 70 cases in each group.The control group practiced routine care,and the observation group practiced targeted perioperative care.The effect of intervention was compared between the two groups.Results The observation group's first postoperative time to get out of bed,first meal time,and first ex-haustion time were shorter than those of the control group,and the differences were statistically significant(all P<0.05).The observation group's nursing care satisfaction was 95.71%,which was higher than that of the control group(80.00%),and the difference was statistically significant(χ^(2)=8.101,P=0.004).The complication rate of the observa-tion group was 4.29%,which was lower than that of the control group(15.71%),and the difference was statistically sig-nificant(χ^(2)=5.097,P=0.024).Conclusion The application of perioperative nursing to patients in retrolaparoscopic ad-renal tumor resection can shorten postoperative rehabilitation time,improve patients'identification with medical care behavior,and reduce the probability of postoperative complications.

关 键 词：肾上腺肿瘤 后腹腔镜肾上腺肿瘤切除术 围术期护理 

分 类 号：R473[医药卫生—护理学]