Observation on the application effect of evidence-based nursing based surgical nursing pathwayin patients undergoing laparoscopic cholecystectomy
循证护理为基础的手术护理路径在腹腔镜胆囊切除术患者中的应用效果观察

摘要

目的 本文主要对循证护理为基础的手术护理路径在腹腔镜胆囊切除术患者中的应用效果展开观察，并针对研究结果进行简要分析与探讨。方法 本文将选取2022年8月-2023年8月入我院进行治疗的80例通过腹腔镜完成胆囊切除术的患者作为本次探讨的主要对象，通过患者所选择的不同护理方式进行分组，其中40例常规护理患者定为对照组，40例以循证护理为基础的手术护理路径患者定为观察组，通过研究对比两组患者手术前后疼痛情况、术后恢复指标情况以及患者术后心理状态变化结果，完成循证护理为基础的手术护理路径在腹腔镜胆囊切除术患者中的应用效果探讨。结果 手术前，两组患者疼痛感知均为中度疼痛，且数据无明显差异（P>0.05），手术后，观察组患者护理治疗后疼痛感知明显较轻，VAS评分远远低于对照组患者，两组数据差异具有统计学意义（p＜0.05）；观察组患者术后通气时间、手术时间及总住院时间均明显短于对照组患者，两组数据差异较为明显，具有统计学意义（p＜0.05）；观察组患者术后心理状态明显优于对照组患者，观察组患者负面情绪消除评分明显低于对照组患者，两组数据差异较为明显，具有统计学意义（p＜0.05）。结论 综上所述，循证护理为基础的手术护理路径应用在腹腔镜胆囊切除术患者中，可以同时缩短手术时间、术后通气时间及住院时间，在保障治疗有效率的前提条件下，降低患者术后疼痛感知，消除患者负面情绪，应用价值极高。

Abstract

Objective This article mainly observes the application effect of evidence-based nursing as the surgical nursing pathway in patients undergoing laparoscopic cholecystectomy, and briefly analyzes and discusses the research results.
Methods This article will select 80 patients who underwent laparoscopic cholecystectomy and were admitted to our hospital for treatment from August 2022 to August 2023 as the main objects of this study. They will be divided into groups based on different nursing methods chosen by the patients. Among them, 40 patients with routine nursing will be designated as the control group, and 40 patients with evidence-based surgical nursing path will be designated as the observation group. By studying and comparing the pain situation before and after surgery, postoperative recovery indicators, and postoperative psychological changes of the two groups of patients, the application effect of evidence-based surgical nursing path in laparoscopic cholecystectomy patients will be explored.
Results Before surgery, the pain perception of both groups of patients was moderate pain, and there was no significant difference in data (P>0.05). After surgery, the pain perception of the observation group patients was significantly lighter after nursing treatment, and the VAS score was much lower than that of the control group patients. The difference in data between the two groups was statistically significant (p<0.05); The postoperative ventilation time, surgical time, and total hospitalization time of the observation group patients were significantly shorter than those of the control group patients. The difference in data between the two groups was significant and statistically significant (p<0.05); The postoperative psychological state of the observation group patients was significantly better than that of the control group patients, and the negative emotion elimination score of the observation group patients was significantly lower than that of the control group patients. The difference in data between the two groups was significant and statistically significant (p<0.05).
Conclusion   In summary, the application of evidence-based nursing as a surgical nursing pathway in patients undergoing laparoscopic cholecystectomy can simultaneously shorten surgical time, postoperative ventilation time, and hospital stay. While ensuring treatment efficiency, it can reduce postoperative pain perception, eliminate negative emotions, and has extremely high application value.