细致化护理干预对急性复杂性阑尾炎患者术后康复及负性情绪的影响  

Effect of Detailed Nursing Intervention on Postoperative Rehabilitation and Negative Emotion in Patients with Acute Complex Appendicitis

作　　者：王柳霖 赵培培 刘阳 王丽 WANG Liulin;ZHAO Peipei;LIU Yang;WANG Li(Department of General Surgery,Tianjin Rehabilitation and Nursing Center,Tianjin 300381,China)

机构地区：[1]天津康复疗养中心普通外科,天津300381

出　　处：《中国伤残医学》2024年第16期153-156,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨细致化护理干预对急性复杂性阑尾炎患者术后康复及负性情绪的影响。方法:选取2019年2月—2024年2月天津康复疗养中心接收的80例急性复杂性阑尾炎患者为研究对象,按随机数字表法分为对照组和观察组,各40例。对照组采用常规护理干预,观察组采用细致化护理干预。对比两组围手术期指标、负性情绪、生活质量、并发症发生情况及护理满意度。结果:观察组排气、首次下床、引流管拔除及住院时间均短于对照组,差异均有统计学意义(P<0.05)。护理后,两组焦虑自评量表和抑郁自评量表评分均低于护理前,且观察组均低于对照组,差异均有统计学意义(P<0.05)。护理后,两组生活质量综合评定问卷-74各个维度评分均高于护理前,且观察组高于对照组,差异均有统计学意义(P<0.05)。护理后,观察组护理满意度为95.00%,高于对照组的80.00%,差异有统计学意义(P<0.05)。护理期间,观察组并发症发生率为0.00%,低于对照组的15.00%,差异有统计学意义(P<0.05)。结论:细致化护理干预有助于促进急性复杂性阑尾炎患者的术后康复,减少其负性情绪,提高生活质量和护理满意度,降低并发症发生率。Objective:To explore the effect of detailed nursing intervention on postoperative rehabilitation and negative emotion of patients with acute complex appendicitis.Methods:A total of 80 patients with acute complex appendicitis admitted to Tianjin Rehabilitation and Nursing Center from February 2019 to February 2024 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 40 cases in each group.The control group was treated with routine nursing intervention,and the observation group was treated with detailed nursing intervention.Perioperative indexes,negative emotions,quality of life,complications and nursing satisfaction were compared between the two groups.Results:The exhaust time,first time out of bed time,drainage tube removal time and hospital stay in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).After nursing,Self-Rating Anxiety Scale and Self-Rating Depression Scale scores in both groups were lower than before nursing,and observation group were lower than control group,with statistical significance(P<0.05).After nursing,the scores of Generic Quality of Life Inventory-74 in both groups were higher than before nursing,and the observation group was higher than the control group,with statistical significance(P<0.05).After nursing,the nursing satisfaction of the observation group was 95.00%higher than 80.00%of the control group,the difference was statistically significant(P<0.05).During the nursing period,the complication rate of the observation group was 0.00%lower than 15.00%of the control group,the difference was statistically significant(P<0.05).Conclusion:Detailed nursing intervention can promote postoperative rehabilitation of patients with acute complex appendicitis,reduce negative emotion,improve quality of life and nursing satisfaction,and reduce the incidence of complications.

关 键 词：急性复杂性阑尾炎 腹腔镜阑尾炎切除术 细致化护理干预 术后康复 负性情绪 并发症 

分 类 号：R572[医药卫生—消化系统]