针对性护理在肝胆外科围术期中的应用效果

目的 探讨针对性护理在肝胆外科围术期中的应用效果.方法 选取该院2015年4月~2016年6月收治的行肝胆外科手术患者108例,采用随机数字表法分为对照组和观察组各54例.对照组患者接受围术期常规护理,观察组患者在此基础上给予针对性护理干预.比较两组患者护理前后的负面情绪改善效果,同时比较术后预后情况、护理满意度以及并发症发生率.结果 护理后,观察组的SAS和SDS评分均明显低于对照组(均P<0.01);观察组住院时间、术后排气时间、进食时间及下床活动时间均短于对照组(均P<0.01),并发症发生率明显低于对照组(P<0.01),护理满意度明显高于对照组(P<0.01).结论 针对性护理可有效提高肝胆外科手术患者围术期心理健康,加快术后康复,并能降低术后并发症,患者满意度较高,值得临床推广应用.

Study on the application effect of the targeted nursing in the perioperative period of department of hepatobiliary surgery

Objective To study the application effect of the targeted nursing in the perioperative period of de-partment of hepatobiliary surgery.Methods A total of 108 patients who underwent hepatobiliary surgery in our hospital from April 2015 to June 2016 were selected and were randomly divided into control group and observation group,with 54 cases in each group. The control group were treated with routine nursing intervention during perioperative period, while the observation group were given the targeted nursing intervention on the basis of the control group. The improvement of negative mood of the two groups before and after nursing was compared, and the prognosis and postoperative incidence of complications and satisfaction for nursing of the two groups were compared.Results After nursing, the SAS and SDS score of the observation group were significantly lower than those of the control group (P<0.01). The hospitalization time, postoperative exhaust time, eating time and ambulation time of the observation group were significantly lower than those of the control group (P<0.01). The incidence of complications of the observation group was significantly lower than that of the control group (P<0.01). The satisfaction for nursing of the observation group was significantly higher than that of the control group (P<0.01).Conclusion Targeted nursing can effectively improve the psychological health of patients in department of hepatobiliary surgery, speed up the postoperative rehabilitation, and can reduce postoperative complications, promote the patients'satisfaction, it is worth clinical promotion.