中国微创外科杂志
中國微創外科雜誌
중국미창외과잡지
CHINESE JOURNAL OF MINIMALLY INVASIVE SURGERY
2015年
4期
382-385
,共4页
老年患者%腹腔镜胆囊切除术%围术期护理
老年患者%腹腔鏡膽囊切除術%圍術期護理
노년환자%복강경담낭절제술%위술기호리
Elderly patients%Laparoscopic cholecystectomy%Perioperative care
目的：探讨老年腹腔镜胆囊切除术（ laparoscopic cholecystectomy ，LC）患者围术期对护理及相关知识的需求。方法采用自行设计问卷，对195例老年LC患者入院当日、术前、术后、出院前的护理需求进行调查。结果入院当日100％的患者希望知道主刀医师，97．9％（191／195）的患者希望了解疾病原因及预防，96．9％（189／195）的患者希望了解手术费用，63．6％（124／195）的患者希望基础疾病对手术的影响等；术前98．5％（194／195）的患者希望了解手术的安全性及手术所需时间，95．9％（187／195）的患者希望了解需做的术前准备，69．2％（135／195）的患者希望了解术前紧张如何处理等；术后100％（195／195）的患者希望知道手术的过程及结果，94．9％（185／195）的患者希望护士能提供必要的帮助，88．2％（172／195）、75．9％（148／195）、74．9％（146／195）的患者希望了解术后疼痛的处理办法、术后基础疾病用药情况、术后如何饮食及活动；出院前100％（195／195）的患者希望知道出院后的复查时间及随访指征，99．0％（193／195）、90．8％（177／195）的患者希望了解出院后饮食注意事项、锻炼的方法与时间等。结论护士应把握好老年LC患者不同阶段的护理需求，有针对性进行护理，以减少并发症的发生，争取患者早日康复。
目的：探討老年腹腔鏡膽囊切除術（ laparoscopic cholecystectomy ，LC）患者圍術期對護理及相關知識的需求。方法採用自行設計問捲，對195例老年LC患者入院噹日、術前、術後、齣院前的護理需求進行調查。結果入院噹日100％的患者希望知道主刀醫師，97．9％（191／195）的患者希望瞭解疾病原因及預防，96．9％（189／195）的患者希望瞭解手術費用，63．6％（124／195）的患者希望基礎疾病對手術的影響等；術前98．5％（194／195）的患者希望瞭解手術的安全性及手術所需時間，95．9％（187／195）的患者希望瞭解需做的術前準備，69．2％（135／195）的患者希望瞭解術前緊張如何處理等；術後100％（195／195）的患者希望知道手術的過程及結果，94．9％（185／195）的患者希望護士能提供必要的幫助，88．2％（172／195）、75．9％（148／195）、74．9％（146／195）的患者希望瞭解術後疼痛的處理辦法、術後基礎疾病用藥情況、術後如何飲食及活動；齣院前100％（195／195）的患者希望知道齣院後的複查時間及隨訪指徵，99．0％（193／195）、90．8％（177／195）的患者希望瞭解齣院後飲食註意事項、鍛煉的方法與時間等。結論護士應把握好老年LC患者不同階段的護理需求，有針對性進行護理，以減少併髮癥的髮生，爭取患者早日康複。
목적：탐토노년복강경담낭절제술（ laparoscopic cholecystectomy ，LC）환자위술기대호리급상관지식적수구。방법채용자행설계문권，대195례노년LC환자입원당일、술전、술후、출원전적호리수구진행조사。결과입원당일100％적환자희망지도주도의사，97．9％（191／195）적환자희망료해질병원인급예방，96．9％（189／195）적환자희망료해수술비용，63．6％（124／195）적환자희망기출질병대수술적영향등；술전98．5％（194／195）적환자희망료해수술적안전성급수술소수시간，95．9％（187／195）적환자희망료해수주적술전준비，69．2％（135／195）적환자희망료해술전긴장여하처리등；술후100％（195／195）적환자희망지도수술적과정급결과，94．9％（185／195）적환자희망호사능제공필요적방조，88．2％（172／195）、75．9％（148／195）、74．9％（146／195）적환자희망료해술후동통적처리판법、술후기출질병용약정황、술후여하음식급활동；출원전100％（195／195）적환자희망지도출원후적복사시간급수방지정，99．0％（193／195）、90．8％（177／195）적환자희망료해출원후음식주의사항、단련적방법여시간등。결론호사응파악호노년LC환자불동계단적호리수구，유침대성진행호리，이감소병발증적발생，쟁취환자조일강복。
Objective To investigate the perioperative nursing demands of elderly patients receiving laparoscopic cholecystectomy ( LC) . Methods A total of 195 elderly patients receiving LC were interviewed .The nursing care demands at admission, preoperation, postoperation, and discharge were collected respectively . Results On the day of admission, all the 195 patients (100%) wished to be aware of their surgeons , 191 patients ( 97.9%) wished to understand causes of disease and its prevention, 189 patients (96.9%) were willing to know the operation costs , and 124 patients (63.6%) wanted to know the influences of basic diseases on operation.During preoperative periods, 194 patients (98.5%) expected to understand the safety and time of operation, 187 patients (95.9%) were interested in the preparedness before operation , and 135 patients (69.2%) wanted to know about the strategy for treating operation stress .During postoperative periods , 195 patients ( 100%) wanted to know the operation process and outcomes , 185 patients ( 94.9%) wanted necessary cares from nurses , 172 patients ( 88.2%) wanted to know the management for postoperative pain , 148 patients ( 75.9%) expected to understand the drug prescription after operation , and 146 patients (74.9%) were interested in diets and physical activities .At the time of discharge, 195 patients (100%) wanted to be aware of reexamination time and follow-up context, 193 patients (99.0%) wanted to know dietary recommendation , and 177 patients (90.8%) were willing to know the exercise options and time . Conclusion Nurses should be aware of the perioperative care demands in elderly patients receiving LC and provide specific care services to reduce complications and improve rehabilitation .
