人性照护理论指导的细节化护理在胆囊炎合并胆囊结石手术患者中的应用效果  

Application effects of human care theory-guided detailed nursing in surgery patients with cholecystitis and cholecystolithiasis surgery

作　　者：李芬 LI Fen(Department of Hepatobiliary Surgery of Zhengzhou Second Hospital,Zhengzhou 450000 Henan,China)

机构地区：[1]郑州市第二人民医院肝胆外科,河南郑州450000

出　　处：《中国民康医学》2025年第9期178-180,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察人性照护理论指导的细节化护理在胆囊炎合并胆囊结石手术患者中的应用效果。方法:选取2021年2月至2023年6月该院收治的82例胆囊炎合并胆囊结石手术患者进行前瞻性研究,按随机数字表法将其分为对照组(n=41)与观察组(n=41)。对照组予以常规护理,观察组在对照组基础上予以人性照护理论指导的细节化护理,比较两组围手术期指标(术后禁食时间、首次下床活动时间、住院时间)水平,术后疼痛程度[视觉模拟评分法(VAS)]评分、护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]和住院舒适度[Kolcaba舒适状况量表(GCQ)]评分。结果:观察组术后禁食时间、首次下床活动时间、住院时间均短于对照组,差异有统计学意义(P<0.05);术后3 d、出院时,两组VAS评分均低于术后1 d,且观察组低于对照组,差异有统计学意义(P<0.05);护理后,两组SAS、SDS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组GCQ评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上联合人性照护理论指导的细节化护理应用于胆囊炎合并胆囊结石手术患者中,可降低负性情绪与疼痛程度评分,提高住院舒适度,以及缩短康复进程的效果优于单纯常规护理。Objective:To observe application effects of human care theory-guided detailed nursing in patients with cholecystitis and cholecystolithiasis surgery.Methods:From February 2021 to June 2023,82 patients with cholecystitis and cholecystolithiasis surgery treated in this hospital were selected for the prospective study.According to the random number table method,they were divided into control group(n=41)and observation group(n=41).The control group was given routine nursing,while the observation group was given the the human care theoryguided detailed nursing on the basis of that of the control group.The perioperative related indexes(postoperative fasting time,first ambulation time,hospitalization time)levels,the postoperative pain degree[visual analogue scale(VAS)]score,the negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]scores,and the hospitalization comfort[Kolcaba comfort scale(GCQ)]scores before and after the nursing were compared between the two groups.Results:The postoperative fasting time,the first out-of-bed time and the hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).Three days after the surgery and at discharge,the VAS scores of the two groups were lower than those 1 day after the surgery,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of SAS and SDS in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,after the nursing,the GCQ scores of the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the human care theory-guided detailed nursing c

关 键 词：人性照护理论 细节化护理 胆囊炎合并胆囊结石 负性情绪 疼痛程度 舒适度 

分 类 号：R575.6[医药卫生—消化系统]