[1]吕雪飞.预见性护理在肝胆管结石手术患者护理中的应用效果[J].医学信息,2021,34(09):185-187.[doi:10.3969/j.issn.1006-1959.2021.09.051]
　LYU Xue-fei.Application Effect of Predictive Nursing in the Nursing of Patients Undergoing Hepatolithiasis Surgery[J].Medical Information,2021,34(09):185-187.[doi:10.3969/j.issn.1006-1959.2021.09.051]
点击复制

预见性护理在肝胆管结石手术患者护理中的应用效果()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年09期
页码:
185-187
栏目:
护理研究
出版日期:
2021-05-01

文章信息/Info

Title:
Application Effect of Predictive Nursing in the Nursing of Patients Undergoing Hepatolithiasis Surgery
文章编号:
1006-1959（2021）09-0185-03
作者:
吕雪飞
（天津市蓟州区人民医院肝胆外科，天津 301900）
Author(s):
LYU Xue-fei
(Department of Hepatobiliary Surgery,the People’s Hospital of Jizhou District,Tianjin,Tianjin 301900,China)
关键词:
预见性护理; 肝胆管结石; 护理满意度
Keywords:
redictive nursing; Hepatolithiasis; Nursing satisfaction
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2021.09.051
文献标志码:
A
摘要:
目的 观察预见性护理在肝胆管结石手术患者护理中的应用效果。方法 选取2019年11月~2020年11月我院行肝胆管结石手术的72例患者为研究对象，采用随机数字表法分为对照组和观察组，各36例。对照组采用常规护理，观察组采用预见性护理干预，比较两组手术指标、结石残留率、并发症发生率、护理满意度以及疼痛（VAS）评分。结果 观察组手术时间、术中出血量、下床活动时间、住院时间均小于对照组，差异有统计学意义（P＜0.05）；观察组结石残留率为5.56%，低于对照组的13.89%，差异有统计学意义（P＜0.05）；观察组并发症发生率为8.33%，低于对照组的16.67%，差异有统计学意义（P＜0.05）；观察组护理满意度为97.22%，高于对照组的83.33%，差异有统计学意义（P＜0.05）；观察组术后VAS评分为（3.56±0.26）分，低于对照组的（6.02±1.04）分，差异有统计学意义（P＜0.05）。结论 在肝胆管结石手术患者中应用预见性护理干预，可促进手术顺利进行，缩短手术时间，减少术中出血量，促进术后恢复，缩短住院时间，降低结石残留率和并发症发生率，提高护理满意度。
Abstract:
Objective To observe the effect of predictive nursing in the nursing of patients undergoing hepatolithiasis surgery.Methods A total of 72 patients who underwent hepatolithiasis surgery in our hospital from November 2019 to November 2020 were selected as the research objects. They were divided into control group and observation group by random number table method, with 36 cases in each group.The control group used routine nursing care, and the observation group used predictive nursing intervention to compare the two groups’ surgical indicators, stone residual rate, complication rate, nursing satisfaction, and pain (VAS) scores.Results The operation time, intraoperative blood loss, time to get out of bed, and hospital stay in the observation group were less than those in the control group,the difference was statistically significant (P<0.05);The residual rate of stones in the observation group was 5.56%, which was lower than 13.89% in the control group,the difference was statistically significant (P＜0.05);The complication rate in the observation group was 8.33%, which was lower than the 16.67% in the control group,the difference was statistically significant (P＜0.05);The nursing satisfaction of the observation group was 97.22%, which was higher than 83.33% of the control group,the difference was statistically significant (P<0.05);The postoperative VAS score of the observation group was (3.56±0.26) points, which was lower than the (6.02±1.04) points of the control group,the difference was statistically significant(P<0.05).Conclusion The use of predictive nursing intervention in patients undergoing hepatolithiasis surgery,it can promote the smooth operation of the operation, shorten the operation time, reduce the amount of bleeding during the operation, promote postoperative recovery, shorten the hospital stay, reduce the rate of residual stones and the incidence of complications, and improve nursing satisfaction.

参考文献/References:

[1]李伟丽,程瑞莲.预见性护理模式在肝胆管结石手术患者护理中的临床效果分析[J].中国继续医学教育,2016,8(26):242-243. [2]郭志群.预见性护理模式在肝胆管结石手术患者中的应用效果[J].中国当代医药,2019,26(8):229-231. [3]朱海玥,尹大龙,孙丹,等.快速康复护理在肝胆管结石合并门脉高压患者手术中的临床应用[J].中国医药导报,2017,14(14):147-150. [4]柴西英,孙秋芳.肝胆管结石手术患者中采用预见性护理的效果分析[J].首都食品与医药,2017,24(18):113-114. [5]蒋桂荣.预见性护理在肝胆管结石手术患者护理中的应用效果观察[J].基层医学论坛,2017,21(12):1458-1459. [6]郭鹏,别平.《胆道镜在肝胆管结石病诊断与治疗中的应用专家共识(2019版)》解读[J].临床肝胆病杂志,2020,36(1):57-58. [7]曹常玲,董秀,陈鋆.预见性护理在肝胆管结石合并胆管癌术后康复中的应用价值评价[J].中国卫生标准管理,2019,10(10):167-168. [8]王娟.优质综合护理模式对肝胆管结石肝切除术后患者双套管冲洗引流的影响[J].国际护理学杂志,2018,37(3):346-348. [9]Wen XD,Wang T,Huang Z,et al.Step-by-step strategy in the management of residual hepatolithiasis using post-operative cholangioscopy[J].Therap Adv Gastroenterol,2017,10(11):853-864. [10]Yao D,Wu S.Application of Laparoscopic Technique in the Treatment of Hepatolithiasis[J].Surg Laparosc Endosc Percutan Tech,2020,31(2):247-253. [11]Pu Q,Zhang C,Huang Z,et al.Reoperation for recurrent hepatolithiasis: laparotomy versus laparoscopy[J].Surg Endosc, 2017,31(8):3098-3105. [12]杨青,付园,王小云,等.腹腔镜左半肝切除治疗肝胆管结石围手术期的护理体会[J].微创医学,2015,10(2):244-245,228. [13]赵秀华,王超.经皮肝穿刺硬质胆道镜治疗复杂性肝胆管结石52例护理配合[J].齐鲁护理杂志,2018,24(16):47-49. [14]何丽.预见性护理在肝胆管结石手术患者护理中的应用效果[J].国际护理学杂志,2019,38(22):3795-3797. [15]韩冰.预见性护理在肝胆管结石患者围手术期的应用价值[J].河南医学研究,2019,28(6):1121-1122. [16]杨春雨,孙丹,尹大龙,等.预见性护理对肝胆管结石合并胆管癌手术患者围术期负性情绪及术后生活质量的影响[J].中国医药导报,2018,15(7):154-157. [17]甘家兵,朱少波,杨斌,等.高龄肝胆管结石患者手术治疗方式的选择探讨[J].基层医学论坛,2017,21(32):4467-4468. [18]习改凤.肝内胆管结石手术患者的临床护理分析[J].河南医学研究,2014,23(4):135-136.

相似文献/References:

[1]施香兰.预见性护理模式在胃肠镜检查风险控制中的应用[J].医学信息,2022,35(14):190.[doi:10.3969/j.issn.1006-1959.2022.14.050]
　SHI Xiang-lan.Application of Predictive Nursing Model in Risk Control of Gastrointestinal Endoscopy[J].Medical Information,2022,35(09):190.[doi:10.3969/j.issn.1006-1959.2022.14.050]
[2]王世芳.预见性护理对肾病综合征患者并发症发生率及护理满意度的影响[J].医学信息,2020,33(01):188.[doi:10.3969/j.issn.1006-1959.2020.01.063]
　WANG Shi-fang.Effect of Predictive Nursing on the Incidence of Complications and Nursing Satisfaction in Patients with Nephrotic Syndrome[J].Medical Information,2020,33(09):188.[doi:10.3969/j.issn.1006-1959.2020.01.063]
[3]吴 双,黄淑娟.Orem自理模式联合预见性护理对降低阴道分娩产后出血量及改善妊娠结局的影响[J].医学信息,2023,36(19):160.[doi:10.3969/j.issn.1006-1959.2023.19.036]
　WU Shuang,HUANG Shu-juan.Effect of Orem Self-care Mode Combined with Predictive Nursing on Reducing Postpartum Hemorrhage and Improving Pregnancy Outcome in Vaginal Delivery[J].Medical Information,2023,36(09):160.[doi:10.3969/j.issn.1006-1959.2023.19.036]
[4]张会元.基于Triangle分层管理的预见性护理对ICU重症患者护理效果及质量的影响[J].医学信息,2020,33(11):179.[doi:10.3969/j.issn.1006-1959.2020.11.059]
　ZHANG Hui-yuan.The Effect of Predictive Nursing Based on Triangle Hierarchical Management on the Nursing Effect and Quality of ICU Critical Patients[J].Medical Information,2020,33(09):179.[doi:10.3969/j.issn.1006-1959.2020.11.059]
[5]陈 庆,何 林,胡 坤,等.基于B/S架构肝胆管结石疾病远程管理系统的建立与应用[J].医学信息,2020,33(21):8.[doi:10.3969/j.issn.1006-1959.2020.21.003]
　CHEN Qin,HE Lin,HU Kun,et al.Establishment and Application of Remote Management System for Hepatolithiasis Based on B/S Architecture[J].Medical Information,2020,33(09):8.[doi:10.3969/j.issn.1006-1959.2020.21.003]
[6]丁海蛟,刘梦焦.预见性护理干预对脑出血重症监护患者相关护理结局的影响[J].医学信息,2021,34(08):183.[doi:10.3969/j.issn.1006-1959.2021.08.051]
　DING Hai-jiao,LIU Meng-jiao.The Influence of Predictive Nursing Intervention on Related Nursing Outcomes of Patients with Cerebral Hemorrhage in Intensive Care[J].Medical Information,2021,34(09):183.[doi:10.3969/j.issn.1006-1959.2021.08.051]
[7]刘 宁.围术期预见性护理对全髋关节置换术患者术后关节脱位的预防效果观察[J].医学信息,2022,35(04):190.[doi:10.3969/j.issn.1006-1959.2022.04.052]
　LIU Ning.Preventive Effect of Perioperative Predictive Nursing on Postoperative Joint Dislocationin Patients with Total Hip Arthroplasty[J].Medical Information,2022,35(09):190.[doi:10.3969/j.issn.1006-1959.2022.04.052]
[8]钟 晶.围术期预见性护理对全髋关节置换术患者术后患肢功能恢复及关节脱位的预防效果[J].医学信息,2023,36(22):167.[doi:10.3969/j.issn.1006-1959.2023.22.039]
　ZHONG Jing.Preventive Effect of Perioperative Predictive Nursing on Postoperative Limb Function Recovery and Joint Dislocation in Patients Undergoing Total Hip Arthroplasty[J].Medical Information,2023,36(09):167.[doi:10.3969/j.issn.1006-1959.2023.22.039]
[9]耿倩倩.预见性护理在不稳定型心绞痛患者中的应用效果[J].医学信息,2023,36(22):175.[doi:10.3969/j.issn.1006-1959.2023.22.041]
　GENG Qian-qian.Application Effect of Predictive Nursing in Patients with Unstable Angina Pectoris[J].Medical Information,2023,36(09):175.[doi:10.3969/j.issn.1006-1959.2023.22.041]
[10]那艳宇.以危险因素评估为指导的预见性护理对上消化道出血患者止血时间、并发症及出血次数的影响[J].医学信息,2024,37(04):160.[doi:10.3969/j.issn.1006-1959.2024.04.031]
　NA Yan-yu.Effect of Predictive Nursing Guided by Risk Factor Assessment on Hemostasis Time,Complications and Bleeding Times in Patients with Upper Gastrointestinal Bleeding[J].Medical Information,2024,37(09):160.[doi:10.3969/j.issn.1006-1959.2024.04.031]

更新日期/Last Update: 1900-01-01