医护一体化护理干预在腹腔镜胆囊切除术患者中的应用效果

目的探讨医护一体化护理干预在腹腔镜胆囊切除术(LC)患者中的应用效果。方法将2017年2月至2019年6月我院收治的68例LC患者按照随机数表法分为对照组(34例)与观察组(34例)。对照组患者采用常规护理干预,观察组患者在常规护理干预的基础上采用医护一体化护理干预。比较两组患者的护理效果。结果观察组的手术时间、排气时间、下床活动时间及住院时间均明显短于对照组,术中出血量少于对照组,差异具有统计学意义(P<0.05)。观察组的并发症总发生率为5.88%,明显低于对照组的23.53%,差异具有统计学意义(P<0.05)。入院后、LC术前及LC术后,两组的HAMA及HAMD评分均较入院时明显降低,且观察组低于对照组(P<0.05)。护理后,两组的WHOQOL-100各项评分均较护理前明显升高,且观察组明显高于对照组(P<0.05)。结论医护一体化护理在LC患者中的应用效果显著,其可优化患者的相关手术指标,降低患者的并发症发生率,减轻焦虑、抑郁情绪,改善患者的生活质量。

Application effect of all-in-one nursing intervention in patients undergoing laparoscopic cholecystectomy

Objective To explore the application effect of all-in-one nursing intervention in patients undergoing laparoscopic cholecystectomy(LC). Methods Sixty-eight LC patients admitted in our hospital from February 2017 to June2019 were divided into control group(34 cases) and observation group(34 cases) according to the random number table method. The patients in the control group received routine nursing intervention, while the patients in the observation group received all-in-one nursing intervention based on routine nursing intervention. The nursing effect of the two groups were compared. Results The operation time, exhaust time, active time of leaving bed and hospitalization time of the observation group were significantly shorter than those of the control group, and the intraoperative bleeding volume was less than that of the control group, and the differences were statistically significant(P<0.05). The total incidence of complications in the observation group was 5.88%, which was significantly lower than 23.53% in the control group, and the difference was statistically significant(P<0.05). After admission, before and after LC operation, the HAMA and HAMD scores of the two groups were significantly lower than those on admission, and those of the observation group were significantly lower than the control group(P<0.05). After nursing, the scores of WHOQOL-100 in the two groups were significantly higher than those before nursing, and those of the observation group were significantly higher than the control group(P <0.05).Conclusion All-in-one nursing intervention applied to patients undergoing laparoscopic cholecystectomy can get significant effect, it can optimize the relevant surgical indicators, reduce the incidence of complications, alleviate anxiety and depression, and improve the quality of life of patients.