以个体为中心的围手术期护理在胆结石术后患者中的应用  

Application of individual centered perioperative nursing in postoperative patients with gallstones

作　　者：李娟娟 Li Juanjuan(General Surgery Department of Hefei Second People’s Hospital,Anhui Hefei 230011,China)

机构地区：[1]合肥市第二人民医院普外科,安徽合肥230011

出　　处：《临床普外科电子杂志》2025年第1期89-92,共4页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的探讨以个体为中心的围手术期护理在胆结石术后患者中的应用效果。方法选择合肥市第二人民医院2022年10月至2024年7月收治的80例胆结石手术患者作为研究对象,根据随机数字表法分为对照组与观察组,各40例。对照组采用常规护理,观察组采用以个体为中心的围手术期护理,比较两组患者的手术指标、术后数字分级评分法(numerical rating scale,NRS)评分、并发症发生情况。结果观察组的排气时间、首次下床活动时间、住院时间短于对照组,住院费用低于对照组,且术后24h、术后72h的NRS评分低于对照组,差异均有显著性(P<0.05)。观察组的术后并发症发生率为5.00%,明显低于对照组(22.50%),差异有显著性(P<0.05)。结论以个体为中心的围手术期护理临床应用效果良好,可以充分改善患者围手术期相关指标,缓解患者疼痛。Objective To explore the application eff ect of individual centered perioperative nursing in post-operative patients with gallstones.Method 80 patients who underwent gallstones surgery at the Second People’s Hospital of Hefei from October 2022 to July 2024 were selected as the study subjects.They were randomly divided into a control group and an observation group,with 40 patients in each group,using a random number table method.The control group received routine care,while the observation group received individual centered perioperative care.The surgical indicators,postoperative numerical rating scale(NRS)scores,and incidence of complications were compared between the two groups of patients.Result The observation group had shorter exhaust time,fi rst time getting out of bed,and hospitalization time compared to the control group.The hospitalization cost was lower than that of the control group,and the scores of the digital grading system at 24 hours and 72 hours after surgery were lower than those of the control group,with signifi cant diff erences(P<0.05).The incidence of postoperative complications in the observation group was 5.00%,signifi cantly lower than that in the control group(22.50%),and the diff erence was signifi cant(P<0.05).Conclusion The clinical application of individual centered perioperative nursing has shown good results,which can fully improve patient perioperative related indicators and alleviate pa-tient pain.

关 键 词：以个体为中心 围手术期 护理 胆结石 

分 类 号：R473.6[医药卫生—护理学]