[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]
点击复制

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()
分享到：

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.

参考文献/References:

[1]蔡雅冰.快速康复外科护理对老年腹腔镜胆囊切除术患者术后康复的护理效果探究[J].中国医药科学,2020,10(17):159-161.[2]陈玉星.舒适护理用于老年腹腔镜胆囊切除术效果分析[J].河南外科学杂志,2020,26(3):184-185.[3]丁阿玲.集束化护理对老年腹腔镜胆囊切除术患者胃肠功能及术后并发症的影响[J].河南医学研究,2020,29(30):5733-5734.[4]李候艳,康娜.不同护理方法在老年腹腔镜胆囊切除术中的应用效果[J].检验医学与临床,2019,16(5):696-698.[5]麻丽芳.腹腔镜胆囊切除术患者麻醉复苏室个体化护理研究[J].基层医学论坛,2020,24(33):4755-4757.[6]黄小兰,赖芳.特定危机强化干预在腹腔镜胆囊切除术高龄胆囊结石患者中的应用研究[J].黑龙江医学,2020,44(10):1443-1445.[7]中国医师协会外科医师分会胆道外科医师委员会.胆道手术加速康复外科专家共识（2017版）[J].中华消化外科杂志,2017,16(1):6-13.[8]扈艳,郭婷,布赫.手术室细节护理在腹腔镜胆囊切除术患者中的应用效果[J].中华现代护理杂志,2020,26(29):4082-4085.[9]张宁,赵小英.循证支持下个性化护理在腹腔镜胆囊切除术患者围术期护理中的作用[J].贵州医药,2020,44(9):1494-1495.[10]林艳.围术期综合护理干预在高龄患者腹腔镜胆囊切除术中的应用研究[J].微创医学,2020,15(4):547-549.[11]詹国红,黄俊,陆春,等.老年腹腔镜胆囊切除术患者低二氧化碳气腹压联合腹壁悬吊的护理[J].护士进修杂志,2020,35(15):1413-1416.[12]于伟,杨勇飞,夏群.糖尿病患者腹腔镜胆囊切除术后肠屏障功能的变化研究[J].重庆医学,2019,48(13):2266-2269,2278. [13]李燕.高龄患者腹腔镜胆囊切除术的围术期护理[J].国际护理学杂志,2015,34(10):1305-1307.[14]孙超男,李娜,刘承汾,等.基于循证护理的手术护理路径在腹腔镜胆囊切除术患者中的应用[J].齐鲁护理杂志,2019,25(12):17-19.[15]钟奕,张军花,卜文君,等.手术室护理路径在腹腔镜胆囊切除术患者手术室护理中的应用[J].中华现代护理杂志,2018,24(20):2423-2426.[16]Kehlet H.Enhanced Recovery After Surgery(ERAS):good for now,but what about the future[J].Can J Anaesth,2017,62(2):99-104.[17]刘红.胆结石患者腹腔镜胆囊切除术围手术期护理体会[J].中外医学研究,2016,14(12):85-86.[18]史磊,于艳敏.手术室护理路径在临床腹腔镜胆囊切除术护理安全中的应用[J].医学信息,2022,35(1):81-83.[19]李文娟.综合护理干预在腹腔镜胆囊切除术中对患者康复效果的影响[J].黑龙江科学,2022,30(7):45-48.[20]张英琴,刘慧,何艳,等.临床护理路径结合目标管理在腹腔镜胆囊切除术病人中的应用[J].全科护理,2020,20(6):92-94.

相似文献/References:

[1]任海滨.微创手术治疗胆囊结石合并胆总管结石的临床疗效分析[J].医学信息,2018,31(02):107.[doi:10.3969/j.issn.1006-1959.2018.02.038]
　REN Hai-bin.Clinical Analysis of Minimally Invasive Surgery for Cholecystolithiasis Complicated by Choledocholithiasis[J].Journal of Medical Information,2018,31(12):107.[doi:10.3969/j.issn.1006-1959.2018.02.038]
[2]何 迎.Bulldog夹在三孔法腹腔镜保胆取石术中的应用分析[J].医学信息,2018,31(06):174.[doi:10.3969/j.issn.1006-1959.2018.06.063]
　HE Ying.Application of Bulldog Clip in Three-hole Laparoscopic Cholelithiasis Extraction[J].Journal of Medical Information,2018,31(12):174.[doi:10.3969/j.issn.1006-1959.2018.06.063]
[3]杨文娟,罗豆豆,石益萌,等.胆囊结石与2型糖尿病的共病机制[J].医学信息,2018,31(20):27.[doi:10.3969/j.issn.1006-1959.2018.20.009]
　YANG Wen-juan,LUO Dou-dou,SHI Yi-meng,et al.The Comorbid Mechanism of Gallstones and Type 2 Diabetes Mellitus[J].Journal of Medical Information,2018,31(12):27.[doi:10.3969/j.issn.1006-1959.2018.20.009]
[4]向红铭,易尚辉,吕 媛,等.铁路系统职工胆囊结石患病情况及其危险因素分析[J].医学信息,2020,33(05):126.[doi:10.3969/j.issn.1006-1959.2020.05.040]
　XIANG Hong-ming,YI Shang-hui,Lyu Yuan,et al.Prevalence of Cholecystolithiasis and Its Risk Factors in Railway System Workers[J].Journal of Medical Information,2020,33(12):126.[doi:10.3969/j.issn.1006-1959.2020.05.040]
[5]黄冬琴,吴 蔓.腹腔镜联合十二指肠镜及胆道镜在胆囊结石合并胆总管结石治疗中的应用[J].医学信息,2020,33(07):113.[doi:10.3969/j.issn.1006-1959.2020.07.034]
　HUANG Dong-qin,WU Man.Application of Laparoscopy Combined with Duodenoscope and Choledochoscope in the Treatment of Gallstones and Common Bile Duct Stones[J].Journal of Medical Information,2020,33(12):113.[doi:10.3969/j.issn.1006-1959.2020.07.034]
[6]邸 亮,赵晓飞,丁 兢.腹腔镜联合术中胆道镜治疗胆囊结石合并肝外胆管结石的疗效[J].医学信息,2021,34(11):118.[doi:10.3969/j.issn.1006-1959.2021.11.032]
　DI Liang,ZHAO Xiao-fei,DING Jing.Treatment of Cholecystolithiasis with Extrahepatic Bile Duct Stones by Laparoscopy Combined with Intraoperative Choledochoscope[J].Journal of Medical Information,2021,34(12):118.[doi:10.3969/j.issn.1006-1959.2021.11.032]
[7]彭献景,陆学安.腹腔镜逆行胆囊次全切除术对慢性胆囊炎伴胆囊结石患者体液免疫功能的影响[J].医学信息,2022,35(03):118.[doi:10.3969/j.issn.1006-1959.2022.03.029]
　PENG Xian-jing,LU Xue-an.Effect of Laparoscopic Retrograde Subtotal Cholecystectomy on Humoral Immune Functionin Patients with Chronic Cholecystitis and Gallstones[J].Journal of Medical Information,2022,35(12):118.[doi:10.3969/j.issn.1006-1959.2022.03.029]
[8]姚 康,童朝刚.LC联合LCBDE+T管引流术后胆总管结石复发的相关危险因素分析[J].医学信息,2022,35(05):98.[doi:10.3969/j.issn.1006-1959.2022.05.024]
　YAO Kang,TONG Chao-gang.Analysis of Risk Factors for Recurrence of Common Bile Duct Stones After LC Combined with LCBDE+T Tube Drainage[J].Journal of Medical Information,2022,35(12):98.[doi:10.3969/j.issn.1006-1959.2022.05.024]
[9]俞卫铿.腹腔镜胆囊切除术治疗胆囊结石伴慢性胆囊炎患者临床疗效[J].医学信息,2022,35(17):110.[doi:10.3969/j.issn.1006-1959.2022.17.029]
　YU Wei-keng.Clinical Effect of Laparoscopic Cholecystectomy in Treatment of Patients with Gallstone and Chronic Cholecystitiss[J].Journal of Medical Information,2022,35(12):110.[doi:10.3969/j.issn.1006-1959.2022.17.029]
[10]陈晓东,乔阳波,周 伟.腹腔镜胆总管切开取石术对胆总管结石伴胆囊结石患者胃肠道功能的影响[J].医学信息,2023,36(10):158.[doi:10.3969/j.issn.1006-1959.2023.10.035]
　CHEN Xiao-dong,QIAO Yang-bo,ZHOU Wei.Effect of Laparoscopic Choledocholithotomy on Gastrointestinal Function in Patients with Choledocholithiasis and Cholecystolithiasis[J].Journal of Medical Information,2023,36(12):158.[doi:10.3969/j.issn.1006-1959.2023.10.035]

更新日期/Last Update: 1900-01-01