国际护理学杂志
國際護理學雜誌
국제호이학잡지
INTERNATIONAL JOURNAL OF NURSING
2012年
10期
1792-1794
,共3页
腹腔镜%胆道镜%胆囊结石%胆总管结石%临床护理
腹腔鏡%膽道鏡%膽囊結石%膽總管結石%臨床護理
복강경%담도경%담낭결석%담총관결석%림상호리
Laparoscopic%Choledochoscope%Gallstones%Bile duct stones%Clinical care
目的 探讨三镜联合胆总管探查术治疗胆囊伴胆总管结石患者的护理.方法 将我科2011年1月至2012年6月收治的胆囊伴胆总管结石患者80例分为研究组和对照组各40例,对照组采用常规临床护理,研究组在对照组护理基础上,联合患者家属共同实施并发症预防性护理措施,比较两组患者术后出血、体内组织器官和切口感染发生率及家属满意度.结果 两组患者术后出血发生率无显著性差异(P＞0.05);研究组患者体内组织器官感染和切口感染的发生率明显低于对照组,并发症总发生率明显低于对照组,差异有统计学意义(P＜0.05);研究组患者家属临床满意度达到97.5％,对照组满意度82.5％,两组比较差异具有统计学意义(P＜0.05).结论 联合患者家属共同实施并发症预防性护理措施,在三镜联合治疗胆囊伴胆总管结石方面较常规护理具有更好的效果,可有效减少并发症,加快患者康复,同时可使家属更加理解和认同医疗工作,改善医患关系,提高满意度.
目的 探討三鏡聯閤膽總管探查術治療膽囊伴膽總管結石患者的護理.方法 將我科2011年1月至2012年6月收治的膽囊伴膽總管結石患者80例分為研究組和對照組各40例,對照組採用常規臨床護理,研究組在對照組護理基礎上,聯閤患者傢屬共同實施併髮癥預防性護理措施,比較兩組患者術後齣血、體內組織器官和切口感染髮生率及傢屬滿意度.結果 兩組患者術後齣血髮生率無顯著性差異(P＞0.05);研究組患者體內組織器官感染和切口感染的髮生率明顯低于對照組,併髮癥總髮生率明顯低于對照組,差異有統計學意義(P＜0.05);研究組患者傢屬臨床滿意度達到97.5％,對照組滿意度82.5％,兩組比較差異具有統計學意義(P＜0.05).結論 聯閤患者傢屬共同實施併髮癥預防性護理措施,在三鏡聯閤治療膽囊伴膽總管結石方麵較常規護理具有更好的效果,可有效減少併髮癥,加快患者康複,同時可使傢屬更加理解和認同醫療工作,改善醫患關繫,提高滿意度.
목적 탐토삼경연합담총관탐사술치료담낭반담총관결석환자적호리.방법 장아과2011년1월지2012년6월수치적담낭반담총관결석환자80례분위연구조화대조조각40례,대조조채용상규림상호리,연구조재대조조호리기출상,연합환자가속공동실시병발증예방성호리조시,비교량조환자술후출혈、체내조직기관화절구감염발생솔급가속만의도.결과 량조환자술후출혈발생솔무현저성차이(P＞0.05);연구조환자체내조직기관감염화절구감염적발생솔명현저우대조조,병발증총발생솔명현저우대조조,차이유통계학의의(P＜0.05);연구조환자가속림상만의도체도97.5％,대조조만의도82.5％,량조비교차이구유통계학의의(P＜0.05).결론 연합환자가속공동실시병발증예방성호리조시,재삼경연합치료담낭반담총관결석방면교상규호리구유경호적효과,가유효감소병발증,가쾌환자강복,동시가사가속경가리해화인동의료공작,개선의환관계,제고만의도.
Objective To explore the nursing effects of three endoscopic combination with common bile duct exploration on treating the patients with gallbladder associated with common bile duct stones.Methods A total of 80 patients with gallbladder associated with common bile duct stones were divided into two groups.Control group adopted routine clinical nursing and on the basis of it study group adopted complications preventive care measures under the help of the families.Two groups were compared with infections and the satisfaction of families.Results The occurrence of infection and complicaiton in the study group were lower than that in the control group.The satisfaction of families was respectively 97.5％ in study group and 82.5％ in control group.All the differences were significant (P ＞0.05).Conclusions Implementation of complications preventive care measures jointed with families can effectively reduce complication,promote the patients'rehabilitation,improve the relationship of doctor-patient and improve the satisfaction.
