细节护理模式对腹腔镜胆囊切除术患者生活质量、术后并发症的影响  

Effect of Detailed Nursing Mode on Quality of Life and Postoperative Complications in Patients Undergoing Laparoscopic Cholecystectomy

作　　者：唐金云 TANG Jinyun(Department of Orthopedics,the Third Hospital of Fuqing,Fuqing 350301,China)

机构地区：[1]福建省福清市第三医院骨科,福清350301

出　　处：《中国医药指南》2024年第18期162-165,共4页Guide of China Medicine

摘　　要：目的探讨细节护理模式对腹腔镜胆囊切除术患者生活质量、术后并发症的影响。方法选择我院2022年1月至2022年12月期间收治的100例行腹腔镜胆囊切除术治疗的患者,结合患者应用的不同护理方法将其分为观察组(50例)和对照组(50例)。观察组患者应用细节护理模式干预,对照组患者采用常规护理,比较两组患者术中出血量、进食时间、首次排气时间等围手术期指标,患者护理前后物质生活、躯体功能、心理功能等生活质量评分和TNF-α、IL-6血清炎性因子水平,患者发生切口感染、皮下气肿等并发症情况以及不同时段的疼痛程度。结果进食、排气、住院的时间指标对比中,与对照组相比观察组更短(P<0.05)。两组患者干预前各项生活质量评分和血清炎性因子水平比较无显著差异(P>0.05),干预后观察组患者生活质量评分高于对照组,炎性因子水平低于对照组(P<0.05)。观察组患者术后并发症发生率低于对照组(P<0.05)。观察组患者术后1~3 d的VAS疼痛评分均比对照组低(P<0.05)。结论为腹腔镜胆囊切除术患者提供细节护理模式加以干预,可改善患者围手术期指标,缓解术后疼痛,减少并发症的发生,提高生活质量。Objective To explore the effect of detailed nursing mode on quality of life and postoperative complications in laparoscopic cholecystectomy patients.Methods From January 2022 to December 2022,100 patients were treated with laparoscopic cholecystectomy in our hospital,the patients were divided into observation group(50 cases)and control group(50 cases).The patients in the control group were given routine nursing care,while the patients in the observation group were given detailed intervention,perioperative indexes such as intraoperative blood loss,feeding time and first exhaust time,quality of life scores such as material life,physical function and psychological function,serum levels of TNF-αand IL-6 inflammatory factors before and after nursing,complications such as incision infection and subcutaneous emphysema of patients,and pain degree at different periods were compared between the two groups.Results Compared with the control group,the observation group had shorter duration of food intake,exhaust and hospitalization(P<0.05).There was no significant difference in the scores of QOL and the levels of serum inflammatory factors between the two groups before intervention(P>0.05),but the scores of qol in the observation group were higher than those in the control group after intervention,the level of inflammatory factors was lower than that of the control group(P<0.05).The postoperative complication rate of observation group was lower than that of control group(P<0.05).The VAS pain scores of the patients in the observation group were lower than those in the control group 1-3 days after operation(P<0.05).Conclusions Providing detailed nursing intervention for laparoscopic cholecystectomy patients can improve perioperative parameters,relieve postoperative pain,reduce complications and improve quality of life.

关 键 词：细节护理模式 腹腔镜胆囊切除术 生活质量 术后并发症 

分 类 号：R473.6[医药卫生—护理学] R657.4[医药卫生—临床医学]