中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
29期
3489-3492
,共4页
崔梅%张殿红%张凤苹%廉德花
崔梅%張殿紅%張鳳蘋%廉德花
최매%장전홍%장봉평%렴덕화
胆总管结石%内镜治疗%综合护理干预
膽總管結石%內鏡治療%綜閤護理榦預
담총관결석%내경치료%종합호리간예
Common bile duct stones%Endoscopy therapy%Comprehensive nursing intervention
目的 探讨综合护理干预对内镜下治疗胆总管结石效果的影响.方法 将137例内镜下治疗胆总管结石患者随机分为干预组(n=69)和对照组(n=68).对照组接受内镜治疗前后常规护理,干预组在此基础上,给予术前视听训练干预,术中音乐疗法干预及术后体位训练干预.观察比较两组患者干预效果.结果 两组患者治疗前呼吸、心率、血氧饱和度比较差异无统计学意义(P＞0.05)；治疗后干预组呼吸频率为(23.6±3.4)次/min,术后首次下床时间为(19.24±3.67)h,取石成功率97.10％,并发症发生率为4.35％,对照组分别为(28.9±3.7)次/min,(24.62±4.81)h,86.76％,16.18％,两组间差异均有统计学意义(t =8.72,7.35；x2=4.96,5.03；P＜0.05).治疗后干预组心率、血压低于对照组,血氧饱和度高于对照组,患者术后鼻胆管拔除时间及住院时间较对照组缩短,术后睡眠时间较对照组延长,差异均有统计学意义(P＜0.05).结论 综合护理干预提高治疗的依从性,促进患者早日康复,达到了预期效果.
目的 探討綜閤護理榦預對內鏡下治療膽總管結石效果的影響.方法 將137例內鏡下治療膽總管結石患者隨機分為榦預組(n=69)和對照組(n=68).對照組接受內鏡治療前後常規護理,榦預組在此基礎上,給予術前視聽訓練榦預,術中音樂療法榦預及術後體位訓練榦預.觀察比較兩組患者榦預效果.結果 兩組患者治療前呼吸、心率、血氧飽和度比較差異無統計學意義(P＞0.05)；治療後榦預組呼吸頻率為(23.6±3.4)次/min,術後首次下床時間為(19.24±3.67)h,取石成功率97.10％,併髮癥髮生率為4.35％,對照組分彆為(28.9±3.7)次/min,(24.62±4.81)h,86.76％,16.18％,兩組間差異均有統計學意義(t =8.72,7.35；x2=4.96,5.03；P＜0.05).治療後榦預組心率、血壓低于對照組,血氧飽和度高于對照組,患者術後鼻膽管拔除時間及住院時間較對照組縮短,術後睡眠時間較對照組延長,差異均有統計學意義(P＜0.05).結論 綜閤護理榦預提高治療的依從性,促進患者早日康複,達到瞭預期效果.
목적 탐토종합호리간예대내경하치료담총관결석효과적영향.방법 장137례내경하치료담총관결석환자수궤분위간예조(n=69)화대조조(n=68).대조조접수내경치료전후상규호리,간예조재차기출상,급여술전시은훈련간예,술중음악요법간예급술후체위훈련간예.관찰비교량조환자간예효과.결과 량조환자치료전호흡、심솔、혈양포화도비교차이무통계학의의(P＞0.05)；치료후간예조호흡빈솔위(23.6±3.4)차/min,술후수차하상시간위(19.24±3.67)h,취석성공솔97.10％,병발증발생솔위4.35％,대조조분별위(28.9±3.7)차/min,(24.62±4.81)h,86.76％,16.18％,량조간차이균유통계학의의(t =8.72,7.35；x2=4.96,5.03；P＜0.05).치료후간예조심솔、혈압저우대조조,혈양포화도고우대조조,환자술후비담관발제시간급주원시간교대조조축단,술후수면시간교대조조연장,차이균유통계학의의(P＜0.05).결론 종합호리간예제고치료적의종성,촉진환자조일강복,체도료예기효과.
Objective To investigate the effect of comprehensive nursing intervention on the treatment of common bile duct stones undergoing endoscopy.Methods A total of 137 patients with common bile duct stones undergoing the endoscopic treatment were randomly divided into intervention group (n =69 cases) and control group (n =68 patients).All the patients received routine care before and after the endoscopic treatment.In addition,the patients in the intervention group received audio-visual training intervention with preoperative,music therapy with intra-operative and position training intervention with postoperative.The intervention effect was compared between the two groups.Results Breath rate,heart rate,oxygen saturation before treatment were not different in the two groups (P＞0.05).Breath frequency in intervention group after treatment was (23.6 ±3.4) time/min,the first bed time was (19.24 ± 3.67)h,extubation rate was 97.10％ and complication rate was 4.35％ and those in control group were (28.9 ± 3.7) time/min,(24.62 ±4.81 ) h,86.76％ and 16.18％respectively,and the differences were significant ( t =8.72,7.35 ; x2 =4.96,5.03 ; P ＜ 0.05 ).Heart rate,blood pressure in experimental group after treatment were reduced and the extubation time and in hospital time were shorten than control group,however,the sleeping time was longer in experimental group (P ＜ 0.05).Conclusions Comprehensive nursing intervention can improve treatment compliance,promote patients' early recovery and achieve the desired effect.
