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舒适护理对腹腔镜手术患者术后生活质量、负面情绪及护理满意度的影响

Effect of comfort nursing on postoperative quality of life, negative emotions and nursing satisfaction in patients undergoing laparoscopic surgery.

作者信息

Gao Yuan, Huang Jing, Zheng Yan, Han Jiacen

机构信息

Department of Gastroenterology, Shengjing Hospital of China Medical University Shenyang 110004, Liaoning Province, China.

Department of Operation Room, Cancer Hospital of China Medical University Shenyang 110042, Liaoning Province, China.

出版信息

Am J Transl Res. 2021 Dec 15;13(12):13825-13834. eCollection 2021.

Abstract

OBJECTIVE

This study aimed to explore the impacts of comfort nursing on postoperative quality of life, negative emotions and nursing satisfaction of patients undergoing laparoscopic surgery.

METHODS

Eighty-four patients who underwent laparoscopic cholecystectomy (LC) in Shengjing Hospital of China Medical University from September 2018 to November 2019 were analyzed retrospectively. Among them, 37 patients with routine nursing were assigned to the control group, while 47 patients receiving comfort nursing were assigned to the research group. The postoperative rehabilitation indexes, complication rate, pain degree at 12 h after surgery, postoperative quality of life, negative emotions and nursing satisfaction were compared between the two groups.

RESULTS

After nursing, compared with the control group, the research group experienced notably earlier first time of food intake, first defecation time, first time for ambulation, first anal exhaust time, and recovery time of gurgling sound, shorter length of stay, considerably lower incidence of postoperative complications and Visual Analogue Scale score at 12 h after surgery, and evidently higher scores of quality of life and nursing satisfaction. Moreover, Self-rating Depression Scale and Self-rating Anxiety Scale scores of the research group were significantly lower than those of the control group.

CONCLUSION

For patients undergoing laparoscopic surgery, comfort nursing can relieve their negative emotions, improve their quality of life and nursing satisfaction, reduce postoperative pain, and thus promote postoperative rehabilitation. Hence, it is worthy of clinical promotion.

摘要

目的

本研究旨在探讨舒适护理对腹腔镜手术患者术后生活质量、负性情绪及护理满意度的影响。

方法

回顾性分析2018年9月至2019年11月在中国医科大学盛京医院接受腹腔镜胆囊切除术(LC)的84例患者。其中,37例接受常规护理的患者被分配到对照组,47例接受舒适护理的患者被分配到研究组。比较两组患者术后康复指标、并发症发生率、术后12小时疼痛程度、术后生活质量、负性情绪及护理满意度。

结果

护理后,与对照组相比,研究组首次进食时间、首次排便时间、首次下床活动时间、首次肛门排气时间及肠鸣音恢复时间明显更早,住院时间更短,术后并发症发生率及术后12小时视觉模拟评分明显更低,生活质量及护理满意度评分明显更高。此外,研究组的自评抑郁量表和自评焦虑量表评分明显低于对照组。

结论

对于接受腹腔镜手术的患者,舒适护理可缓解其负性情绪,提高其生活质量及护理满意度,减轻术后疼痛,从而促进术后康复。因此,值得临床推广。

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