摘要
目的 分析全面护理在经过腹腔镜下治疗胆囊结石患者的实际效果。方法 选取2020年3月～2023年3月在我院治疗的胆囊结石患者，患者均经过腹腔镜胆囊结石手术，人数共计68例，随机分为观察组和对照组，人数比是1：1。对照组进行常规护理，观察组进行全面护理。对比两组患者手术中持续的时间、手术中的出血量、手术后肛门排气的时间、一共住院的时间。统计两组患者并发症的发生情况，包括伤口感染、出血等。结果 观察组患者手术中持续的时间、手术后肛门排气的时间和一共住院的时间均比对照组短，观察组患者手术中的出血量比对照组少，组间对比，差异显著，P<0.05。观察组并发症发生率小于对照组，组间对比，差异显著，P<0.05。结论 全面护理应用于经过腹腔镜下治疗胆囊结石患者的护理中，能使患者身体尽快地恢复，避免出现不良反应，效果显著。
关键词： 全面护理；腹腔镜；胆囊结石
Abstract
Objective To analyse the actual effect of comprehensive nursing in patients who have undergone laparoscopic treatment of gallbladder stones. Methods Selected patients with gallbladder stones treated in our hospital from March 2020 to March 2023, all of whom underwent laparoscopic gallbladder stone surgery, with a total number of 68 cases, were randomly divided into the observation group and the control group, with the ratio of the number of people being 1:1. The control group was subjected to conventional nursing care, and the observation group was subjected to comprehensive nursing care. Compare the duration of the operation, the amount of bleeding during the operation, the time of anal defecation after the operation, and the total hospitalisation time of the two groups of patients. The occurrence of complications in the two groups of patients was counted, including wound infection and bleeding. Results The duration of the operation, the time of postoperative anal exsufflation and the total hospital stay of the patients in the observation group were shorter than that of the control group, and the amount of bleeding during the operation of the patients in the observation group was less than that of the control group, and the difference was significant when compared between the groups, with P<0.05. The incidence of complications in the observation group was less than that of the control group, and the difference was significant when compared between the groups, with P<0.05. Conclusion Comprehensive nursing care was applied to the care of the patients who underwent laparoscopic treatment of gallbladder stones. Comprehensive nursing care applied to the care of patients after laparoscopic treatment of gallbladder stones can make the patient's body recover as soon as possible, avoid adverse reactions, and the effect is remarkable.
Key words： Comprehensive nursing; Laparoscopy; Gallstone
参考文献 References
[1] 张哲瑜,陈玉芳.以Orem自护理论为基础的综合护理干预对压疮高危患者压疮发生的影响[J].齐齐哈尔医学院学报,2019,40(1):126-127.
[2] 江海娇,王教婷,吴良风,等.综合护理干预在预防ICU医疗器械性压疮中的应用效果[J].中国保健营养,2020, 30(15):33-34.
[3] 陈丽娟,孙林利,刘丽红,等.2019版《压疮/压力性损伤的预防和治疗:临床实践指南》解读[J].护理学杂志,2020, 35(13):41-43+51.
[4] 贺诺.以Orem自护理论为基础的护理干预在压疮高危患者中的应用效果分析[J].皮肤病与性病,2020,42(2): 299-301.
[5] 贾会明.综合护理干预对压疮高危病人压疮发生情况及其照顾者的影响[J].保健文汇,2021,22(11):111-112.
[6] 包娓娓,杨丽芬.综合护理对老年卧床褥疮高危患者的干预效果观察[J].特别健康,2021(24):185.
[7] 谢敏琴.护理干预在重症医学科高危压疮患者中的应用效果分析[J].智慧健康,2022,8(24):87-90.
[8] 黄明霞.综合护理对老年卧床褥疮高危患者的干预效果分析[J].医药前沿,2019,9(30):178-179.
[9] 郑丽云,马贵芳,杨晓琼,等.综合护理干预对高危压疮患者压疮发生率的影响[J].中国城乡企业卫生,2020,35(12): 177-179.
[10] 程小艳.综合护理对老年卧床压疮高危患者的干预效果观察[J].中国医药指南,2023,21(09):43-46.