细节护理用于胆囊炎患者手术室目标护理的临床体会-现代医学

细节护理用于胆囊炎患者手术室目标护理的临床体会

单位：陕西省人民医院手术室, 陕西西安 710068

分类号：R473.6

出版年·卷·期（页码）：2017·36·第八期（1205-1209）

摘要：

目的：研究细节护理用于胆囊炎患者手术室目标护理的临床价值。方法：将我院89例胆囊炎患者抽签随机分为观察组与对照组，分别45例、44例，两组均以改善患者生存质量为护理目标，观察组实施细节护理，对照组采取常规护理流程，比较两组术后康复指标（排气时间、进食时间、下床时间、出院时间及补液时间），分组记录两组术后并发症发生率并进行比较，随访观察两组术后1月生活质量改善情况。结果：两组术后均无死亡、再入院病例，组间差异无统计学意义（χ²=0.000，P=1.000），观察组并发症总发生率为4.4%与对照组29.5%比较显著较低（P<0.01）；观察组术后排气时间、进食时间、下床时间、出院时间及补液时间分别为（11.8±3.2） h、（12.9±2.3） h、（7.5±1.9） h、（3.7±1.2） d、（2.1±1.2） h均显著低于对照组（15.9±1.8） h、（16.7±2.1） h、（11.5±2.5） h、（5.6±2.6） d、（4.8±1.9） h，差异有统计学意义（P<0.01）；观察组护理后生理功能、生理职能、社会功能、精神状态、质量总分与本组护理前及对照组护理后比较显著较高（P<0.01），对照组与护理前比较生理功能及质量总分差异有统计学意义（P<0.05）。结论：细节护理可加快胆囊炎患者术后康复进程，通过改善护理方案、完善护理细节降低术后并发症发生率，对患者短期生活质量的改善显著，具有一定的临床推广价值。

Objective: To study the clinical value of detail nursing applied in targeted nursing of patients with cholecystitis in operating room.Methods: Eighty-nine patients with cholecystitis were randomized into observation group(45cases) and control group(44 cases). The nursing objectives of both groups were to improve the quality of life of patients. The observation group received detailed nursing while the control group received routine nursing. The rehabilitation indexes(exhaust time, eating time, off-bed time, discharge time and fluid infusion time) were compared between the two groups. The incidence of postoperative complications were recorded and compared between the two groups. The improvement of quality of life in the two groups in postoperative one month was observed. Results: There were no death and re-hospitalized cases in the two groups after operation(X²=0.000, P=1.000). The incidence of complications in the observation group(4.4%) was significantly lower than the control group(29.5%)(P<0.01); the postoperative exhaust time, eating time, off-bed time, discharge time and fluid infusion time of the observation group[(11.8±3.2) h,(12.9±2.3) h,(7.5±1.9) h,(3.7±1.2) d,(2.1±1.2) h] were significantly shorter than those of the control group[(15.9±1.8) h,(16.7±2.1) h,(11.5±2.5 h),(5.6±2.6) d,(4.8±1.9) h](P<0.01); the total scores of physiological function, physiological role, social function, mental state and quality in the observation group after nursing were significantly higher than those in the same group before nursing and those in the control group after nursing(P<0.01). There were significant differences in total scores of physiological function and quality in the control group before nursing(P<0.05).Conclusion: Detailed nursing can accelerate rehabilitation process of patients with cholecystitis. Through improvement of nursing program and details, the incidence of postoperative complications can be reduced. It also can significantly improve short-term quality of life.

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