| 快速康复外科护理技术在行ERCP的老年患者中的应用效果 |
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| 引用本文： | 程尚美,骆艳玲,霍蕊. 快速康复外科护理技术在行ERCP的老年患者中的应用效果[J]. 中华全科医学, 2022, 20(3): 531-534. DOI: 10.16766/j.cnki.issn.1674-4152.002394 |
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| 作者姓名： | 程尚美 骆艳玲 霍蕊 |
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| 作者单位： | 1.马鞍山市人民医院护理部，安徽 马鞍山 243000 |
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| 基金项目： | 安徽高校人文社会科学研究项目SK2020A0365 |
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| 摘 要： | 目的 探讨对于行经内镜逆行性胰胆管造影术(endoscopic retrograde cholangiopancreatography, ERCP)的老年患者应用快速康复外科护理的效果。方法 选取2018年1月—2020年12月马鞍山市人民医院收治的110例老年胆总管结石患者(年龄≥60岁),全部接受内镜下逆行胰胆管造影取石术。按照随机抽样分组，分为对照组和实验组，对照组55例接受常规性护理，实验组55例接受快速康复外科护理。比较2组手术成功率、手术时间、住院时间、手术并发症发生率、术后疼痛评分、临床护理服务满意率等指标的差异。结果 实验组平均手术时间[(34.5±8.2)min]低于对照组[(39.5±10.5)min],平均住院时间[(8.5±2.0)d]低于对照组[(9.9±2.5)d],术后疼痛评分[(2.02±0.76)分]低于对照组[(2.56±0.78)分],差异有统计学意义(均P<0.05)。实验组手术成功率为96.4%,高于对照组(90.9%),手术并发症发生率为7.3%,低于对照组(16.4%),但两者差异均无统计学意义(均P>0.05);实验组患者的临...
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| 关 键 词： | 快速康复外科护理 胆总管结石 经内镜逆行性胰胆管造影术 |
| 收稿时间： | 2021-02-10 |
Clinical application effect of rapid rehabilitation surgical nursing technology in elderly patients undergoing ERCP |
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| Affiliation: | Department of Nursing, Maanshan People's Hospital, Maanshan, Anhui 243000, China |
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| Abstract: | Objective To investigate the effect of rapid rehabilitation surgical nursing on elderly patients undergoing endoscopic retrograde cholangiopancreatography (ERCP). Methods A total of 110 elderly patients (aged ≥ 60 years) with common bile duct stones who were admitted and underwent ERCP at Maanshan People's Hospital from January 2018 to December 2020 were included in this study. The patients were randomly divided into the control and experimental groups. A total of 55 cases in the control group received routine nursing, and 55 cases in the experimental group received rapid rehabilitation surgical nursing. The differences of clinical indicators such as operation success rate, operation time, hospital stay, incidence of operation complications, postoperative pain score and satisfaction rate of clinical nursing service in both groups were compared. Results The operation time[(34.5±8.2) min], hospitalisation time[(8.5±2.0) days] and postoperative pain score [(2.02±0.76) points] in the experiment group were significantly shorter than those in the control group[(39.5±10.5) min, (9.9±2.5) days and (2.56±0.78) points, respectively, all P < 0.05]. The experiment group had higher surgical success rate and lower operative complications than the control group (96.4% vs. 90.9%, 7.3% vs. 16.4%, respectively, all P > 0.05). The satisfaction rate of clinical nursing service in the experimental group (94.5%) was higher than that in the control group (80.0%), and the difference was statistically significant (P < 0.05). Conclusion Rapid rehabilitation surgical nursing can ensure the success rate of ERCP in elderly patients, reduce postoperative pain score, shorten operation time and hospital stay, and comprehensively improve the satisfaction rate of clinical nursing service and the quality of nursing management. |
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