[1]曹园香.特定危机强化干预在高龄胆囊结石患者腹腔镜胆囊切除术中的应用效果[J].医学信息,2023,36(12):172-175.[doi:10.3969/j.issn.1006-1959.2023.12.036]
　CAO Yuan-xiang.Application Effect of Crisis-specific Intensive Intervention in Laparoscopic Cholecystectomy for Elderly Patients with Cholecystolithiasis[J].Journal of Medical Information,2023,36(12):172-175.[doi:10.3969/j.issn.1006-1959.2023.12.036]
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特定危机强化干预在高龄胆囊结石患者腹腔镜胆囊切除术中的应用效果()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年12期
页码:
172-175
栏目:
护理研究
出版日期:
2023-06-15

文章信息/Info

Title:
Application Effect of Crisis-specific Intensive Intervention in Laparoscopic Cholecystectomy for Elderly Patients with Cholecystolithiasis
文章编号:
1006-1959（2023）12-0172-04
作者:
曹园香
（都昌县人民医院普外科，江西 都昌 332699）
Author(s):
CAO Yuan-xiang
(Department of General Surgery,People’s Hospital of Duchang County,Duchang 332699,Jiangxi,China)
关键词:
特定危机强化干预; 胆囊结石; 腹腔镜胆囊切除术
Keywords:
Crisis-specific intensive intervention; Cholecystolithiasis; Laparoscopy cholecystectomy
分类号:
R473.6
DOI:
10.3969/j.issn.1006-1959.2023.12.036
文献标志码:
A
摘要:
目的 研究特定危机强化干预在高龄胆囊结石患者腹腔镜胆囊切除术中的应用效果。方法 选取2021年1月-2022年8月在我院行腹腔镜胆囊切除术的64例高龄胆囊结石患者为研究对象，采用随机数字表法分为对照组和观察组，各组32例。对照组采用常规护理，观察组在对照组基础上给予特定危机强化干预，比较两组临床手术指标、并发症发生率、疼痛评分、护理不安全事件发生率及护理满意度。结果 观察组下床活动、肛门排气以及住院时间均短于对照组（P＜0.05）；观察组并发症发生率（6.25%）低于对照组（21.88%）（P＜0.05）；两组干预后疼痛评分均低于干预前，且观察组低于对照组（P＜0.05）；观察组护理不安全事件发生率（3.13%）低于对照组（15.63%）（P＜0.05）；观察组护理内容、护理技术、沟通能力、工作细心度、护理态度各维度评分均高于对照组（P＜0.05）。结论 特定危机强化干预在高龄胆囊结石患者腹腔镜胆囊切除术中具有确切的效果，可预防并发症，促进患者术后恢复，降低护理不安全事件发生率，提高护理满意度，减轻患者疼痛，值得临床应用。
Abstract:
Objective To study the effect of crisis-specific intensive intervention on laparoscopic cholecystectomy in elderly patients with cholecystolithiasis.Methods A total of 64 elderly patients with cholecystolithiasis who underwent laparoscopic cholecystectomy in our hospital from January 2021 to August 2022 were selected as the research objects. They were divided into control group and observation group by random number table method, with 32 patients in each group. The control group was given routine nursing, and the observation group was given crisis-specific intensive intervention on the basis of the control group. The clinical operation indexes, complication rate, pain score, incidence of nursing unsafe events and nursing satisfaction were compared between the two groups.Results The time of getting out of bed, anal exhaust and hospitalization in the observation group were shorter than those in the control group (P<0.05). The incidence of complications in the observation group (6.25%) was lower than that in the control group (21.88%) (P<0.05). The pain score of the two groups after intervention was lower than that before intervention, and that in the observation group was lower than that in the control group (P<0.05). The incidence of nursing unsafe events in the observation group (3.13%) was lower than that in the control group (15.63%) (P<0.05). The scores of nursing content, nursing technology, communication ability, work care and nursing attitude in the observation group were higher than those in the control group (P<0.05).Conclusion Crisis-specific intensive intervention has a definite effect in laparoscopic cholecystectomy for elderly patients with gallstones, which can prevent complications, promote postoperative recovery, reduce the incidence of unsafe nursing events, improve nursing satisfaction, and reduce patient pain. It is worthy of clinical application.

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更新日期/Last Update: 1900-01-01