质量反馈护理模式对肝内胆管结石手术患者的并发症与应激反应的影响  

To Explore the Effect of Quality Feedback Nursing Model on Complications and Stress Response in Patients with Hepatolithiasis Surgery

作　　者：薛惠琴 XUE Huiqin(Department of Hepatobiliary and Pancreatic Surgery,Fujian Provincial Hospital,Fuzhou 350001,China)

机构地区：[1]福建省立医院肝胆胰外科,福州350001

出　　处：《中国医药指南》2024年第18期123-125,共3页Guide of China Medicine

摘　　要：目的分析在肝内胆管结石手术治疗中采取质量反馈护理模式的应用价值及对并发症与应激反应的影响。方法将2022年1月至2023年12月我院接收的120例行肝内胆管结石术治疗的患者作为本次研究对象,以随机数字表法分组,即观察组(质量反馈护理模式,60例)与对照组(常规护理,60例),比较两组护理后护理满意度、并发症发生率(切口感染、胸腔积液、腹腔感染)、恢复时间(术后首次排气时间、排便时间、下床时间、进食时间、切口拆线时间、腹腔引流管拔除时间、术后住院时间),观察两组护理时手术前后应激反应[皮质醇(Cor)、肾上腺素(E)、去甲肾上腺素(NE)]。结果观察组护理满意度高于对照组(P<0.05);观察组并发症发生率、恢复时间均低于对照组(P<0.05);两组术前应激水平比较无明显差异(P>0.05),术后应激水平状态观察组效果优于对照组(P<0.05)。结论在肝内胆管结石手术治疗中采取质量反馈护理模式可减轻术后应激反应,减少术后并发症的发生,较常规护理模式还可缩短术后恢复时间,提高护理满意度。Objective To analyze the application value of quality feedback nursing model in the surgical treatment of intrahepatic bile duct stones,and its impact on complications and stress response.Methods The subjects of this study were 120 patients who received intrahepatic cholangiolithiasis treatment in our hospital from January 2022 to December 2023.They were randomly divided into an observation group(quality feedback nursing mode,60 cases)and a control group(conventional nursing,60 cases)using a random number table method.The nursing satisfaction,incidence of complications(incision infection,pleural effusion,abdominal infection),recovery time(first postoperative exhaust time,defecation time,bed time,eating time,incision suture removal time,abdominal drainage tube removal time,and postoperative hospital stay time)were compared between the two groups.The stress responses[cortisol(Cor),epinephrine(E),norepinephrine(NE)]before and after operation were observed in the two groups.Results The nursing satisfaction of the observation group was higher than that of the control group(P<0.05);The incidence of complications and recovery time in the observation group were lower than those in the control group(P<0.05);There was no statistically significant difference in preoperative stress levels between the two groups(P>0.05).However,the observation group showed better improvement in stress levels compared to the control group after surgery(P<0.05).Conclusions Adopting a quality feedback nursing model in the surgical treatment of intrahepatic bile duct stones can alleviate postoperative stress reactions,reduce the occurrence of postoperative complications,shorten postoperative recovery time,and improve nursing satisfaction compared to conventional nursing models.

关 键 词：质量反馈护理 肝内胆管结石 手术 并发症 应激反应 

分 类 号：R473.6[医药卫生—护理学] R575.62[医药卫生—临床医学]