急性胆囊炎的围术期护理观察

目的 对围术期急性胆囊炎患者的护理效果进行观察和分析.方法 随机选取2015年12月1日~2016年12月1日期间该院收治的行急性胆囊炎切除术患者96例作为研究对象,将其随机分为观察组和对照组各48例.对照组患者在围术期行常规护理,观察组患者在围术期行优质护理.比较两组患者的护理效果、患者首次下床活动时间、首次进食时间和住院时间,比较两组患者的并发症发生率和护理满意度.结果 从护理效果来看,观察组患者的护理效果(93.75%)显著优于对照组(79.16%),差异有统计学意义(P<0.05);从两组患者的首次下床活动时间、首次进食时间来看,观察组患者显著早于对照组,且观察组患者的住院时间明显短于对照组,差异有统计学意义(P<0.05);从两组患者的并发症发生率来看,观察组患者的并发症发生率(16.67%)显著低于对照组(35.42%),差异有统计学意义(P<0.05);从两组患者的护理满意度来看,观察组患者的护理满意度(95.83%)显著优于对照组(81.25%),差异有统计学意义(P<0.05).结论 对急性胆囊炎手术患者在围术期采用优质护理干预方式能够显著缩短患者首次下床活动时间、首次进食时间,缩短患者住院时间,降低患者的并发症发生率,提高患者的护理满意度,提高护理效果,促进患者的痊愈,具有临床推广价值.

Observation on the effect of perioperative nursing on patients with acute cholecysti-tis

Objective To observe and analyze the effect of perioperative nursing on patients with acute chole-cystitis.Methods A total of 96 patients with acute cholecystitis treated in our hospital from 1 December 2015 to 1 De-cember 2016 were randomly selected as the study subjects and were divided into observation group and control group, 48 cases in each group. The patients of the control group were given the routine nursing during perioperative period, while the patients of the observation group were treated with high-quality nursing during perioperative period. The nurs-ing effect, time of the first time of bed activity, first feeding time and the hospitalization time of two groups were com-pared, and the occurance rate of complication and satisfaction for nursing of the two groups were compared.Results From the aspect of nursing effect, the nursing effect of the observation group (93.75%) was significantly better than that of the control group (79.16%), and the difference was statistically significant (P<0.05). The time of the first bed activity and first feeding of the observation group was significantly earlier than that of the control group, and the time of hospitalization of the observation group was significantly shorter than that of the control group, and the difference was statistically significant (P<0.05). The complication rate of the observation group (16.67%) was significantly lower than that of the control group (35.42%), and the difference was statistically significant (P<0.05). The satis-faction for nursing care of the observation group (95.83%) was significantly better than that of the control group (81.25%), and the difference was statistically significant (P<0.05).Conclusions The application of high-quality nursing intervention during perioperative period for patients with acute cholecystitis can significantly shorten the time of the first time of bed activity, the first time of eating, and shorten the time of hospitalization, reduce the patients'hospi-tal time, reduce the complication rate, improve the patients' satisfaction for nursing, improve the nursing effect and promote the patients'recovery, which has clinical promotion value.