Analysis of the influence of strengthening perioperative nursing on ERCP complications
加强围手术期护理对ERCP并发症影响的分析

摘要

目的 研究加强围手术期护理在ERCP术护理中的应用效果以及对并发症的影响。方法 本次对照实验中于我院选取70例患者作为实验研究对象，均被确诊为胆总管结石，需实施ERCP术治疗，且为提高围术期护理质量，达成实验目的，采取随机数字法将70例患者分配为对照组和观察组，每组35例，给予对照组常规护理，观察组则采用强化护理干预，对比两组患者的并发症发生率和HAMA评分。结果 观察组中2例患者出现并发症情况，对照组出现7例，并发症发生率分别为5.71%、20%，观察组并发症发生率更低，（P＜0.05）。其次，在护理干预前两组患者HAMD评分无统计学意义，（P＞0.05），而在护理后，观察组、对照组HAMD评分分别为（8.18±2.14）分、（11.09±2.89）分，对照组明显更高，（P＜0.05）。结论 在ERCP术围手术期内采取针对性的护理干预措施可显著提高护理质量，降低并发症发生率。

Abstract

Objective: To study the application effect of strengthening perioperative nursing in ERCP operation nursing and its influence on complications.
Methods: In this controlled experiment, 70 patients in our hospital were selected as the experimental research objects. All of them were diagnosed with choledocholithiasis and required ERCP treatment. In order to improve the quality of perioperative care and achieve the experimental purpose, a random number method was adopted. Seventy patients were assigned to the control group and the observation group, each with 35 cases. The control group was given regular nursing care, and the observation group was treated with intensive nursing intervention. The complication rate and HAMA score of the two groups were compared.
Results: Complications occurred in 2 patients in the observation group and 7 in the control group. The complication rates were 5.71% and 20%, respectively. The complication rate in the observation group was lower (P<0.05). Secondly, the HAMD scores of the two groups of patients before nursing intervention were not statistically significant (P>0.05). After nursing, the HAMD scores of the observation group and the control group were (8.18±2.14) points and (11.09±2.89) points, respectively. The control group was significantly higher, (P<0.05).
Conclusion  : Taking targeted nursing intervention measures during the perioperative period of ERCP can significantly improve the quality of care and reduce the incidence of complications.