腹腔镜下胃穿孔修补术患者的全身心护理干预效果

Effect of whole body and psychology nursing intervention for patients with laparoscopic gastric perforation repair

  • 摘要: 目的 探讨腹腔镜下胃穿孔修补术患者的护理效果。 方法 将本院80例腹腔镜下行胃穿孔修补术患者随机分为常规基础护理干预组以及全身心护理干预组,每组各40例。比较2组术前访视、术前心理疏导、护理态度、护理操作、无菌操作等方面满意率; 记录胃穿孔疾病知识的认知程度评分、胃穿孔修补术注意事项的认知程度评分、术后镇痛药物使用时间、术后抗生素使用时间、住院时间; 观察并比较护理前后心理症状量表评分及并发症发生率。 结果 全身心护理干预组的术前访视、术前心理疏导、护理态度、护理操作、无菌操作方面满意率显著高于常规基础护理干预组(P<0.05)。护理前, 2组心理症状量表积分比较,差异无统计学意义(P>0.05); 护理后,全身心护理干预组心理症状量表积分显著优于常规基础护理干预组(P<0.05)。全身心护理干预组胃穿孔疾病知识认知程度评分、腹腔镜行胃穿孔修补术注意事项认知程度评分、镇痛药物使用时间、抗生素使用时间、住院时间显著优于常规基础护理干预组(P<0.05)。全身心护理干预组并发症发生率显著低于常规基础护理干预组(P<0.05)。 结论 对腹腔镜下胃穿孔修补术患者实施全身心护理可获得较好临床效果,可减轻患者心理症状,缩短镇痛药物和抗生素使用时间,降低并发症发生率,缩短住院时间,并提高满意度。

     

    Abstract: Objective To explore effect of whole body and psychology nursing intervention for patients with laparoscopic gastric perforation repair. Methods A total of 80 patients undergoing laparoscopic repair of gastric perforation were randomly divided into routine basic nursing intervention group(n=40)and whole body and psychology nursing intervention group(n=40). The satisfaction rates of preoperative visit, preoperative psychological counseling, nursing attitude, nursing operation and aseptic operation were compared between the two groups. The cognitive degree scores in gastric perforation knowledge as well as precautions during gastric perforation repair, the use time of postoperative analgesic drugs as well as antibiotics and hospital stay were recorded, and the scores of Psychological Symptom Scale and the incidence of complications were observed and compared before and after nursing. Results The satisfaction rates in preoperative visit, preoperative psychological counseling, nursing attitude, nursing operation and aseptic operation in the whole body and psychology nursing intervention group were significantly higher than those in the routine basic nursing intervention group(P<0.05). Before nursing, score of Psychological Symptom Scale showed no significant difference between the two groups(P>0.05), but after nursing, it was significantly better in the whole body and psychology nursing intervention group than that in the routine basic nursing intervention group(P<0.05). The scores in knowledge of gastric perforation, precautions during gastric perforation repair, the use time of postoperative analgesic drugs as well as antibiotics and hospital stay in the whole body and psychology nursing intervention group were significantly better than those in the - routine basic nursing intervention group(P<0.05). The incidences of complications in the whole body and psychology nursing intervention group were significantly lower than that in the routine basic nursing intervention group(P<0.05). Conclusion Whole body and psychology nursing intervention for patients undergoing laparoscopic repair of gastric perforation can achieve better clinical results, which can relieve psychological symptoms, shorten the time of analgesics and antibiotics use, reduce the incidence of complications, shorten the duration of hospitalization, and improve satisfaction.

     

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