循证护理在结石性胆囊炎患者围术期的应用效果(1)
[摘要]目的 探讨循证护理在结石性胆囊炎患者围术期的应用效果。方法 选择本院2016年5月～2017年5月收治的120例结石性胆囊炎患者，随机分为观察组和对照组。给予观察组循证护理，对照组只进行普通的临床护理，比较两组患者的并发症发生率，患者的心理状况和患者及其家人的满意度。结果 观察组的总并发症发生率低于对照组(P<0.05)；观察组患者护理后的SAS、SDS评分明显低于对照组(P<0.05)；观察组术前、术中、术后对医护人员的满意度高于对照组(P<0.05)。结论 循证护理应用于结石性胆囊炎患者围术期可有效降低并发症发生率，使患者保持良好的心态，提高其满意度，值得临床推广。
[关键词]循证护理；结石性胆囊炎；胆囊切除术；效果
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721(2017)09(a)-0177-03
Application effect of evidence-based nursing in patients with calculous cholecystitis during perioperative period
ZHENG Ai-hua
Department of General Surgery，Central Hospital of Zibo Mining Refco Group Ltd. in Shandong Province，Zibo 255120，China
[Abstract]Objective To investigate the application effect of evidence-based nursing in patients with calculous cholecystitis during perioperative period.Methods 120 patients with calculous cholecystitis treated in our hospital from May 2016 to May 2017 were selected and randomly divided into observation group and control group.Observation group was given evidence-based nursing，while control group only received general clinical nursing.The incidence of complications，patients′ psychological status and patients′ and their families′satisfaction degree were compared between the two groups.Results The total incidence of complications of observation group was lower than that of control group (P<0.05).The post-nursing SAS and SDS score of observation group were significantly lower than those of control group (P<0.05).The patients′ satisfaction degree with medical staff of observation group pre-，intra-and post-operation were higher than those of control group (P<0.05).Conclusion Evidence-based nursing applied in patients with calculous cholecystitis during the perioperative period can effectively reduce the incidence of complications，make the patients maintain a good state of mind and improve their satisfaction，which is worthy of clinical promotion.
[Key words]Evidence-based nursing；Calculous cholecystitis；Cholecystectomy；Effect
结石性胆囊炎是目前世界上最常见的肝胆疾病之一[1]，由于结石大小、位置等的不同有不同的临床表现[2]。其中最主要的临床表现为右上腹痛、发热、寒战、黄疸等[3]。因为患者经常右上腹痛难忍，患者就容易产生焦虑、暴躁等不良情绪，导致患者的術后恢复效果变差，因此，要对患者进行有效的身体及精神护理。循证护理是根据多年的临床实践经验，综合考虑然后制定出适合患者的术后恢复方案，用以帮助患者的术后恢复[4]。本研究探讨循证护理用于结石性胆囊炎围术期的效果，现报道如下。
1资料与方法
1.1一般资料
选择2016年5月～2017年5月进行过胆囊切除术的胆囊结石患者120例，男性70例，女性50例，年龄在35～57岁，平均(47.8±5.3)岁。将患者分为观察组、对照组，每组60例。两组患者的一般资料差异无统计学意义(P>0.05)，具有可比性。本实验已经过医学理论委员会的批准。
1.2方法
观察组采用循证护理的方法，具体内容包括以下几方面。
1.2.1确立问题 针对患者的并发症问题，展开相关的循证查找和护理[5]。, http://www.100md.com(郑爱华)
[关键词]循证护理；结石性胆囊炎；胆囊切除术；效果
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721(2017)09(a)-0177-03
Application effect of evidence-based nursing in patients with calculous cholecystitis during perioperative period
ZHENG Ai-hua
Department of General Surgery，Central Hospital of Zibo Mining Refco Group Ltd. in Shandong Province，Zibo 255120，China
[Abstract]Objective To investigate the application effect of evidence-based nursing in patients with calculous cholecystitis during perioperative period.Methods 120 patients with calculous cholecystitis treated in our hospital from May 2016 to May 2017 were selected and randomly divided into observation group and control group.Observation group was given evidence-based nursing，while control group only received general clinical nursing.The incidence of complications，patients′ psychological status and patients′ and their families′satisfaction degree were compared between the two groups.Results The total incidence of complications of observation group was lower than that of control group (P<0.05).The post-nursing SAS and SDS score of observation group were significantly lower than those of control group (P<0.05).The patients′ satisfaction degree with medical staff of observation group pre-，intra-and post-operation were higher than those of control group (P<0.05).Conclusion Evidence-based nursing applied in patients with calculous cholecystitis during the perioperative period can effectively reduce the incidence of complications，make the patients maintain a good state of mind and improve their satisfaction，which is worthy of clinical promotion.
[Key words]Evidence-based nursing；Calculous cholecystitis；Cholecystectomy；Effect
结石性胆囊炎是目前世界上最常见的肝胆疾病之一[1]，由于结石大小、位置等的不同有不同的临床表现[2]。其中最主要的临床表现为右上腹痛、发热、寒战、黄疸等[3]。因为患者经常右上腹痛难忍，患者就容易产生焦虑、暴躁等不良情绪，导致患者的術后恢复效果变差，因此，要对患者进行有效的身体及精神护理。循证护理是根据多年的临床实践经验，综合考虑然后制定出适合患者的术后恢复方案，用以帮助患者的术后恢复[4]。本研究探讨循证护理用于结石性胆囊炎围术期的效果，现报道如下。
1资料与方法
1.1一般资料
选择2016年5月～2017年5月进行过胆囊切除术的胆囊结石患者120例，男性70例，女性50例，年龄在35～57岁，平均(47.8±5.3)岁。将患者分为观察组、对照组，每组60例。两组患者的一般资料差异无统计学意义(P>0.05)，具有可比性。本实验已经过医学理论委员会的批准。
1.2方法
观察组采用循证护理的方法，具体内容包括以下几方面。
1.2.1确立问题 针对患者的并发症问题，展开相关的循证查找和护理[5]。, http://www.100md.com(郑爱华)