中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
12期
1388-1390
,共3页
胆囊切除术,腹腔镜%康复%全程整体护理
膽囊切除術,腹腔鏡%康複%全程整體護理
담낭절제술,복강경%강복%전정정체호리
Cholecystectomy,laparoscopic%Recovery%Holistic nursing
目的 探讨全程整体护理对腹腔镜胆囊切除患者身心康复的影响,为开展全程整体护理模式提供参考依据.方法 选择行腹腔镜胆囊切除术患者80例,随机分为观察组和对照组各40例,对照组采取择期手术普通常规护理,观察组采取责任包干制全程整体护理,比较两组患者焦虑程度、术后第1次下床活动时间、术后肛门排气时间及住院天数的差异.结果 干预前观察组患者焦虑自评量表(SAS)评分为(47.17±2.67)分,对照组为(46.20 ±2.16)分,组间比较差异无统计学意义(t=1.795,P＞0.05).干预后观察组患者SAS评分为(42.43±2.89)分、术后第1次下床活动时间为(14.78±4.06)h、术后肛门排气时间为(27.83±2.74)h、住院天数为(3.68±0.53)d；术后对照组患者SAS评分为(45.10±1.48)分、第1次下床活动时间(24.00±6.21)h、肛门排气时间(35.33±3.62)h、住院天数(5.00 ±0.56)d,组间比较差异有统计学意义(t值分别为-5.209,-7.863,-10.457,-10.966；P＜0.01).结论 全程整体护理为患者提供全程化、全面化、专业化的无缝隙服务,从心理上和生理上减轻了腹腔镜胆囊切除患者的痛苦,促进患者的身心康复,缩短住院时间.
目的 探討全程整體護理對腹腔鏡膽囊切除患者身心康複的影響,為開展全程整體護理模式提供參攷依據.方法 選擇行腹腔鏡膽囊切除術患者80例,隨機分為觀察組和對照組各40例,對照組採取擇期手術普通常規護理,觀察組採取責任包榦製全程整體護理,比較兩組患者焦慮程度、術後第1次下床活動時間、術後肛門排氣時間及住院天數的差異.結果 榦預前觀察組患者焦慮自評量錶(SAS)評分為(47.17±2.67)分,對照組為(46.20 ±2.16)分,組間比較差異無統計學意義(t=1.795,P＞0.05).榦預後觀察組患者SAS評分為(42.43±2.89)分、術後第1次下床活動時間為(14.78±4.06)h、術後肛門排氣時間為(27.83±2.74)h、住院天數為(3.68±0.53)d；術後對照組患者SAS評分為(45.10±1.48)分、第1次下床活動時間(24.00±6.21)h、肛門排氣時間(35.33±3.62)h、住院天數(5.00 ±0.56)d,組間比較差異有統計學意義(t值分彆為-5.209,-7.863,-10.457,-10.966；P＜0.01).結論 全程整體護理為患者提供全程化、全麵化、專業化的無縫隙服務,從心理上和生理上減輕瞭腹腔鏡膽囊切除患者的痛苦,促進患者的身心康複,縮短住院時間.
목적 탐토전정정체호리대복강경담낭절제환자신심강복적영향,위개전전정정체호리모식제공삼고의거.방법 선택행복강경담낭절제술환자80례,수궤분위관찰조화대조조각40례,대조조채취택기수술보통상규호리,관찰조채취책임포간제전정정체호리,비교량조환자초필정도、술후제1차하상활동시간、술후항문배기시간급주원천수적차이.결과 간예전관찰조환자초필자평량표(SAS)평분위(47.17±2.67)분,대조조위(46.20 ±2.16)분,조간비교차이무통계학의의(t=1.795,P＞0.05).간예후관찰조환자SAS평분위(42.43±2.89)분、술후제1차하상활동시간위(14.78±4.06)h、술후항문배기시간위(27.83±2.74)h、주원천수위(3.68±0.53)d；술후대조조환자SAS평분위(45.10±1.48)분、제1차하상활동시간(24.00±6.21)h、항문배기시간(35.33±3.62)h、주원천수(5.00 ±0.56)d,조간비교차이유통계학의의(t치분별위-5.209,-7.863,-10.457,-10.966；P＜0.01).결론 전정정체호리위환자제공전정화、전면화、전업화적무봉극복무,종심리상화생리상감경료복강경담낭절제환자적통고,촉진환자적신심강복,축단주원시간.
Objective To explore the influence of holistic nursing on the physical and mental health of patients with laparoscopic cholecystectomy,and to provide references for the implement of the holistic nursing model in hospitals.Methods Totals of 80 patients with laparoscopic cholecystectomy were randomly divided into observation group and control group,with 40 cases in each group.The patients in control group received the ordinary routine nursing,while the patients in observation group received holistic nursing.The two groups were compared in anxiety levels,the first postoperative ambulation time,anal exhaust time and the number of days of hospitalization.Results In the score of SAS,baseline data of two groups was similar [(47.17 ± 2.67) vs (46.20 ± 2.16) ; t =1.795,P ＞ 0.05].The score of SAS (42.43 ± 2.89),the first postoperative ambulation time (14.78 ± 4.06) h,postoperative anal exhaust time (27.83 ± 2.74) h and the number of days in hospital (3.68 ± 0.53) d in observation group was lower than that in control group [(45.10 ± 1.48),(24.00 ± 6.21) h,(35.33 ± 3.62) h,(5.00 ± 0.56) d,respectively] after intervention,and the difference was statistically significant (t =-5.209,-7.863,-10.457,-10.966 ; P ＜ 0.01).Conclusions Holistic nursing for patients provided comprehensive,specialized service.The implementation of holistic nursing can reduce physical and physiological suffering for patients with laparoscopic cholecystectomy,and promote the patient' s physical and psychological recovery.The application of holistic nursing should be widely applied in hospitals.
