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综合优质护理对胆结石患者围手术期术后并发症、疼痛程度及护理满意度的影响

Effect of comprehensive high-quality nursing care on postoperative complications, degree of pain, and nursing satisfaction in gallstone patients during perioperative period.

作者信息

Wei Liuyuan, Hong Qiao, Lin Xiaomei, Chen Yuyan, Yang Fan, Li Fen, Chen Yulin

机构信息

Department of Blood Purification, The Second Affiliated Hospital of Hainan Medical University Haikou 570311, Hainan Province, China.

Department of Emergency, The Second Affiliated Hospital of Hainan Medical University Haikou 570311, Hainan Province, China.

出版信息

Am J Transl Res. 2021 Apr 15;13(4):2678-2685. eCollection 2021.

PMID:34017428
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8129269/
Abstract

OBJECTIVE

To investigate the influence of comprehensive high-quality nursing care on postoperative complications, degree of pain, and nursing satisfaction in gallstone patients during the perioperative period.

METHODS

A total of 77 gallstone patients admitted to our hospital were selected as the study subjects, and divided into a control group (n=38) and an experimental group (n=39) in accordance with the random number table method. During the perioperative period, the control group received conventional nursing, while the experimental group received comprehensive high-quality nursing and conventional nursing. The visual analogue scale (VAS) was adopted to score degree of pain in both groups at 6 h, 24 h, and 48 h after surgery. Nursing satisfaction questionnaires were used to evaluate the satisfaction of the two groups of patients. The changes of postoperative complications, pain degrees, and nursing satisfaction were observed in the two groups after nursing interventions during the perioperative period.

RESULTS

After comprehensive high-quality nursing intervention, the time to first flatus, time to first defecation, time to first off-bed activity and hospital stay in the experimental group were significantly shorter than those in the control group after surgery ( < 0.05). The number of postoperative complications in the experimental group was remarkably lower than that in the control group ( < 0.05). After intervention, degree of pain scores in the experimental group were lower than those of the control group ( < 0.05). After intervention, the scores of nursing satisfaction in the experimental group were higher than those of the control group ( < 0.05).

CONCLUSION

Comprehensive high-quality nursing can improve the incidence of postoperative complications, degree of pain, nursing satisfaction, and the quality of life of gallstone patients during the perioperative period.

摘要

目的

探讨综合优质护理对胆结石患者围手术期术后并发症、疼痛程度及护理满意度的影响。

方法

选取我院收治的77例胆结石患者作为研究对象,按照随机数字表法分为对照组(n = 38)和实验组(n = 39)。围手术期,对照组接受常规护理,实验组接受综合优质护理及常规护理。采用视觉模拟评分法(VAS)对两组患者术后6 h、24 h和48 h的疼痛程度进行评分。采用护理满意度调查问卷评估两组患者的满意度。观察两组患者围手术期护理干预后术后并发症、疼痛程度及护理满意度的变化。

结果

综合优质护理干预后,实验组术后首次排气时间、首次排便时间、首次下床活动时间及住院时间均明显短于对照组(<0.05)。实验组术后并发症发生率明显低于对照组(<0.05)。干预后,实验组疼痛评分低于对照组(<0.05)。干预后,实验组护理满意度评分高于对照组(<0.05)。

结论

综合优质护理可提高胆结石患者围手术期术后并发症发生率、疼痛程度、护理满意度及生活质量。

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