中国护理管理
中國護理管理
중국호리관리
Chinese Nursing Management
2015年
9期
1127-1129
,共3页
王玲%刘肖%宋竹清%胡金定
王玲%劉肖%宋竹清%鬍金定
왕령%류초%송죽청%호금정
术后早期活动计划%早期活动%患者满意度
術後早期活動計劃%早期活動%患者滿意度
술후조기활동계화%조기활동%환자만의도
early postoperative activity plan%early ambulation%satisfaction
目的：探讨术后早期活动计划在腹腔镜胆总管术后的应用效果。方法：选取肝胆外科腹腔镜胆总管术后患者185例，按照护理方法的不同，分为观察组93例和对照组92例。对照组采用常规护理，观察组严格按照术后早期活动计划进行护理，观察两组患者的术后首次下床活动时间、术后排气时间、住院天数、深静脉血栓（DVT)及肺部感染发生率，评价患者满意度。结果：观察组术后首次下床活动时间短于对照组（P<0.05），患者术后排气时间、住院天数、DVT及肺部感染发生率、满意度明显优于对照组（P<0.05）。观察组伤口疼痛、担心伤口裂开、管道脱出及心理方面情况要少于对照组(P<0.05)。结论：术后早期活动计划能够促进腹腔镜胆总管患者术后早期下床活动，从而提早患者术后排气时间，减少住院天数，预防术后并发症的发生，提高患者的满意度。
目的：探討術後早期活動計劃在腹腔鏡膽總管術後的應用效果。方法：選取肝膽外科腹腔鏡膽總管術後患者185例，按照護理方法的不同，分為觀察組93例和對照組92例。對照組採用常規護理，觀察組嚴格按照術後早期活動計劃進行護理，觀察兩組患者的術後首次下床活動時間、術後排氣時間、住院天數、深靜脈血栓（DVT)及肺部感染髮生率，評價患者滿意度。結果：觀察組術後首次下床活動時間短于對照組（P<0.05），患者術後排氣時間、住院天數、DVT及肺部感染髮生率、滿意度明顯優于對照組（P<0.05）。觀察組傷口疼痛、擔心傷口裂開、管道脫齣及心理方麵情況要少于對照組(P<0.05)。結論：術後早期活動計劃能夠促進腹腔鏡膽總管患者術後早期下床活動，從而提早患者術後排氣時間，減少住院天數，預防術後併髮癥的髮生，提高患者的滿意度。
목적：탐토술후조기활동계화재복강경담총관술후적응용효과。방법：선취간담외과복강경담총관술후환자185례，안조호리방법적불동，분위관찰조93례화대조조92례。대조조채용상규호리，관찰조엄격안조술후조기활동계화진행호리，관찰량조환자적술후수차하상활동시간、술후배기시간、주원천수、심정맥혈전（DVT)급폐부감염발생솔，평개환자만의도。결과：관찰조술후수차하상활동시간단우대조조（P<0.05），환자술후배기시간、주원천수、DVT급폐부감염발생솔、만의도명현우우대조조（P<0.05）。관찰조상구동통、담심상구렬개、관도탈출급심리방면정황요소우대조조(P<0.05)。결론：술후조기활동계화능구촉진복강경담총관환자술후조기하상활동，종이제조환자술후배기시간，감소주원천수，예방술후병발증적발생，제고환자적만의도。
Objective: To explore the effects of early postoperative activity plan in early postoperative ambulation of patients with endoscopic common bile duct surgery. Methods: Totally 185 cases of patients after laparoscopic common bile duct operation were selected in this study. They were divided into two groups, the observational group (93 cases) and the control group (92 cases). Patients in the control group received usual care, while patients in observational group got strictly planned care based on the early postoperative activity plan. Time for the ifrst ambulation, postoperative exhausts time, hospitalization days, incidence of DVT and pulmonary infection, and patients' satisfaction were collected and analyzed. Results: Time for the ifrst ambulation in the study group was shorter than that in the control group (P<0.05). Postoperative exhausts time, hospitalization days, incidence of DVT and pulmonary infection, and patients' satisfaction were better in the study group than those in the control group (P<0.05). The rates of pain complaints, worry about wound dehiscence, unexpected extubation, and mental problems were less than control group (P<0.05). Conclusion: Early postoperative activity plan can encourage early postoperative ambulation in patients with endoscopic CBD surgery, and then promote postoperative exhaust, shorten hospital stay, reduce postoperative complications, and improve patients' satisfaction.
