高龄胆结石患者围手术期的护理措施及效果评价(1)
【摘要】 目的 针对高龄胆结石患者围手术期的护理方案详细探讨， 并进行效果评价。方法 78例高龄胆结石患者， 随机分为对照组与实验组， 每组39例。所有患者均接受择期手术治疗， 对照组采取常规护理方案， 实验组采取围手术期针对性护理方案。对两组的临床效果进行对比评价。结果 实验组并发症发生率5.13%低于对照组的23.08%， 差异具有统计学意义(P<0.05)。实验组护理满意度评分(92.37±2.55)分高于对照组的(75.48±3.24)分， 差异具有统计学意义(P<0.05)。实验组术后下床活动时间为(1.8±1.3)d、住院时间为(5.2±0.9)d， 均短于对照组的(3.5±0.8)、(8.7±1.6)d， 差异均具有统计学意义(P<0.05)。结论 针对高龄胆结石患者采取围手术期针对性护理临床效果明显， 利于提高临床护理
质量。
【关键词】 胆结石;围手术期;护理措施;高龄
DOI：10.14163/j.cnki.11-5547/r.2018.07.085
【Abstract】 Objective To discuss the perioperative nursing measures of senile cholelithiasis patients and evaluate its effect. Methods A total of 78 senile cholelithiasis patients were randomly divided into control group and experimental group， with 39 cases in each group. All patients received selected surgery， and the control group received conventional nursing regimen. The experimental group received targeted nursing regimen during perioperative period. The clinical effect in two groups was compared and evaluated. Results The experimental group had lower incidence of complications as 5.13% than 23.08% in the control group， and the difference was statistically significant (P<0.05). The experimental group had higher nursing satisfaction score as (92.37±
2.55) points than (75.48±3.24) points in the control group， and the difference was statistically significant (P<0.05). The experimental group had postoperative off-bed activity time as (1.8±1.3) d and hospitalization time as (5.2±0.9) d， which were all shorter than (3.5±0.8) and (8.7±1.6) d in the control group， and their difference was statistically significant (P<0.05). Conclusion Application of perioperative targeted nursing shows obvious clinical effect for senile cholelithiasis patients， and it is beneficial to improve the quality of clinical nursing.
【Key words】 Cholelithiasis; Perioperative period; Nursing measures; Senile
高齡胆结石目前常规采用手术治疗予以根治， 但术后的恢复效果以及并发症成为影响手术效果的主要原因[1]。为此， 本文针对高龄胆结石患者围手术期的护理措施进行详细探讨， 并对护理效果进行有效评价， 具体报告如下。
1 资料与方法
1. 1 一般资料 选取2016年2月～2017年6月本院收治的高龄胆结石患者78例进行研究， 所有患者均接受择期手术治疗。将患者随机分为对照组与实验组， 每组39例。对照组中男19例， 女20例;平均年龄(81.3±2.8)岁。实验组中男18例， 女21例;平均年龄(81.5±3.2)岁。两组患者一般资料比较差异无统计学意义(P>0.05)， 具有可比性。
1. 2 方法 对照组患者实施常规护理方案， 调节术前患者身体健康情况， 积极做好术前准备;手术中完善基础护理工作， 密切配合手术医生;术后帮助患者谨遵医嘱[2]。实验组患者采取围手术期针对性护理方案， 具体方法如下。
1. 2. 1 术前护理 由于患者均为高龄， 问题应对能力较弱并且对疾病及手术了解甚少， 护理工作人员应针对患者心理问题予以疏导， 并将临床知识予以普及， 使患者消除紧张， 正确对待手术治疗过程， 增加对医护人员的信任[3]。同时对患者既往病史进行认真分析， 改善原有基础疾病， 使患者各项检验指标达到手术标准， 并严格实施术前禁食禁饮。, http://www.100md.com(于虹)
质量。
【关键词】 胆结石;围手术期;护理措施;高龄
DOI：10.14163/j.cnki.11-5547/r.2018.07.085
【Abstract】 Objective To discuss the perioperative nursing measures of senile cholelithiasis patients and evaluate its effect. Methods A total of 78 senile cholelithiasis patients were randomly divided into control group and experimental group， with 39 cases in each group. All patients received selected surgery， and the control group received conventional nursing regimen. The experimental group received targeted nursing regimen during perioperative period. The clinical effect in two groups was compared and evaluated. Results The experimental group had lower incidence of complications as 5.13% than 23.08% in the control group， and the difference was statistically significant (P<0.05). The experimental group had higher nursing satisfaction score as (92.37±
2.55) points than (75.48±3.24) points in the control group， and the difference was statistically significant (P<0.05). The experimental group had postoperative off-bed activity time as (1.8±1.3) d and hospitalization time as (5.2±0.9) d， which were all shorter than (3.5±0.8) and (8.7±1.6) d in the control group， and their difference was statistically significant (P<0.05). Conclusion Application of perioperative targeted nursing shows obvious clinical effect for senile cholelithiasis patients， and it is beneficial to improve the quality of clinical nursing.
【Key words】 Cholelithiasis; Perioperative period; Nursing measures; Senile
高齡胆结石目前常规采用手术治疗予以根治， 但术后的恢复效果以及并发症成为影响手术效果的主要原因[1]。为此， 本文针对高龄胆结石患者围手术期的护理措施进行详细探讨， 并对护理效果进行有效评价， 具体报告如下。
1 资料与方法
1. 1 一般资料 选取2016年2月～2017年6月本院收治的高龄胆结石患者78例进行研究， 所有患者均接受择期手术治疗。将患者随机分为对照组与实验组， 每组39例。对照组中男19例， 女20例;平均年龄(81.3±2.8)岁。实验组中男18例， 女21例;平均年龄(81.5±3.2)岁。两组患者一般资料比较差异无统计学意义(P>0.05)， 具有可比性。
1. 2 方法 对照组患者实施常规护理方案， 调节术前患者身体健康情况， 积极做好术前准备;手术中完善基础护理工作， 密切配合手术医生;术后帮助患者谨遵医嘱[2]。实验组患者采取围手术期针对性护理方案， 具体方法如下。
1. 2. 1 术前护理 由于患者均为高龄， 问题应对能力较弱并且对疾病及手术了解甚少， 护理工作人员应针对患者心理问题予以疏导， 并将临床知识予以普及， 使患者消除紧张， 正确对待手术治疗过程， 增加对医护人员的信任[3]。同时对患者既往病史进行认真分析， 改善原有基础疾病， 使患者各项检验指标达到手术标准， 并严格实施术前禁食禁饮。, http://www.100md.com(于虹)