Observation on the effect of perioperative nursing intervention on patients undergoing laparoscopic acute appendicitis resection
围手术期护理干预对腹腔镜下急性阑尾炎切除术患者的效果观察

摘要

目的 总结围手术期护理干预的经验，将其落实于急性阑尾炎腹腔镜手术护理实践中，对实践效果与作用进行综合评估与分析。观察围手术期护理干预对腹腔镜下急性阑尾炎切除术患者的效果。方法 采用大样本随机观察法，选定我院2024年6月-2025年1月以来收治的60例腹腔镜下急性阑尾炎切除术患者，全部患者均应用围手术期优质护理干预，就护理后对患者的相关评分及其护理质量的影响。结果 患者在优质护理后的术前准备合格率评分、术中配合度评分、术后改良Alvarado评分结果显著优于护理前，差异存在统计学意义（P＜0.05）。 围手术期优质护理干预后的优质品率为96.67%（58/60）显著高于护理前的优质品率83.33%（50/60），差异存在统计学意义（P＜0.05）。结论 急性阑尾炎腹腔镜手术围术期，辅之以优质护理干预效果显著，突出表现在改善患者术前、术中、术后护理质量上，值得临床大力推广实施。

Abstract

Objective To summarize the experience of perioperative nursing intervention, implement it in the nursing practice of laparoscopic surgery for acute appendicitis, and conduct a comprehensive evaluation and analysis of the practical effect and role. To observe the effect of perioperative nursing intervention on patients undergoing laparoscopic resection of acute appendicitis.
Methods A large-sample random observation method was adopted. Sixty patients who underwent laparoscopic acute appendicitis resection in our hospital from June 2024 to January 2025 were selected. All patients received high-quality perioperative nursing intervention. The impact on the relevant scores of the patients after nursing and the quality of nursing was evaluated.
Results The preoperative preparation qualification rate score, intraoperative cooperation score and postoperative modified Alvarado score of the patients after high-quality nursing were significantly better than those before nursing, and the difference was statistically significant (P < 0.05). The rate of high-quality products after perioperative high-quality nursing intervention was 96.67% (58/60), significantly higher than that before nursing, which was 83.33% (50/60), and the difference was statistically significant (P < 0.05).
Conclusion   During the perioperative period of laparoscopic surgery for acute appendicitis, supplemented by high-quality nursing intervention, the effect is significant, prominently manifested in improving the quality of preoperative, intraoperative and postoperative care for patients. It is worthy of vigorous clinical promotion and implementation.