综合护理在经腹部外伤性手术治疗的外伤性脾破裂患者中的应用效果  

Application Effect of Comprehensive Nursing in Traumatic Splenic Rupture Patients Treated with Abdominal Trauma Surgery

作　　者：陈琳[1] 姜秀琴[1] CHEN Lin;JIANG Xiuqin(Dalian municipal central hospital,Dalian,Liaoning 116033)

机构地区：[1]大连市中心医院,辽宁大连116033

出　　处：《中国伤残医学》2024年第4期100-104,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨综合护理干预在经腹部外伤性手术治疗的外伤性脾破裂患者中的应用效果.方法:选取大连市中心医院收治的85例经腹部外伤性手术治疗的外伤性脾破裂患者为研究对象,按随机数字表法将患者分为对照组(n=42)和观察组(n=43).对照组给予常规护理措施,观察组在对照组的基础上联合使用综合护理干预.比较2组的心理状态、生活质量和并发症发生情况.结果:护理前,2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、抑郁评分均低于对照组,组间差异有统计学意义(P<0.05).护理前,2组健康调查简表(SF-36)评分比较,差异无统计学意义(P>0.05);护理后,观察组SF-36评分高于对照组,差异有统计学意义(P<0.05).观察组并发症总发生率(2.32%)低于对照组(19.04%),差异有统计学意义(P<0.05).观察组卧床时间、首次排气时间、首次进食时间、脾窝引流管留置时间、住院时间均短于对照组,组间差异有统计学意义(P<0.05).观察组总满意度(97.67%)高于对照组(83.72%),差异有统计学意义(P<0.05).结论:给予外伤性脾破裂患者综合护理能够帮助患者疏导不良情绪,提高患者生活质量,降低并发症发生率.Objective:To explore the application effect of comprehensive nursing intervention in traumatic splenic rupture patients treated with abdominal trauma surgery.Methods:85 traumatic splenic rupture patients treated with abdominal trauma surgery in Dalian Municipal Central Hospital were selected as the research objects.They were randomly divided into a control group(n=42)and an observation group(n=43)according to random number table.The control group received routine nursing care,while the observation group was combined with the control group on the basis of comprehensive nursing intervention.The psychological status,quality of life,and accurrence of complications were compared between the two groups.Results:Before nursing,there was no statistically significant difference in comparison of anxiety and depression scores between the two groups(P>0.05).After nursing,the anxiety and depression scores of the observation group were lower than those of the control group,and the differences between groups were statistically significant(P<0.05).Before nursing,there was no statistically significant difference in the Short Form Health Survey(SF-36)scores between the two groups(P>0.05).After nursing,the SF-36 scores of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).The total incidence of complications in the observation group(2.32%)was lower than that in the control group(19.04%),and the difference was statistically significant(P<0.05).The observation group had shorter bed rest time,time to first flatus,time to first oral intake,duration of splenic fossa drainage tube retention,and length of hospital stay compared to the control group,and the differences between groups were statistically significant(P<0.05).The total satisfaction rate in the observation group(97.67%)was higher than that in the control group(83.72%),and the difference was statistically significant(P<0.05).Conclusion:Providing traumatic splenic rupture patients with comprehensive nursing ca

关 键 词：外伤性脾破裂 综合护理干预 心理状态 生活质量 并发症 

分 类 号：R473.6[医药卫生—护理学]