Department of Hepatobiliary Surgery, Huizhou Municipal Central Hospital, Huizhou, 516001 Guangdong, China.
Dis Markers. 2022 May 14;2022:5086350. doi: 10.1155/2022/5086350. eCollection 2022.
This study is aimed at analyzing the effects of individualized nursing based on the zero-defect theory on perioperative patients undergoing laparoscopic cholecystectomy.
174 patients who underwent laparoscopic cholecystectomy from 1st November 2019 to 30th November 2020 were enrolled as the research subjects and randomly divided into control and observation groups. The patients in the control group received conventional perioperative nursing care, and the patients in the observation group were treated with individualized nursing based on the zero-defect theory.
The heart rate, diastolic blood pressure, and systolic blood pressure level of patients in two groups after nursing decreased significantly, and the reduction in the observation group was more significant than that in the control group. The depression and anxiety scores of the two groups after nursing were decreased, and the decrease in the observation group was significantly greater than that in the control group. The time to first postoperative exhaust, return to normal intake, out-of-bed activity, and hospital stay in the observation group was less than that in the control group. The incidence of postoperative complications in the observation group was substantially lower than that in the control group. The satisfaction degree of nursing care in the observation group was significantly higher than that in the control group.
Individualized nursing care based on zero-defect theory can effectively reduce the perioperative psychological stress response of patients with laparoscopic cholecystectomy. It helps to improve the negative emotions of depression and anxiety, promotes the recovery of disease, reduces postoperative complications, and improves nursing satisfaction, which is worthy of clinical promotion.
本研究旨在分析基于零缺陷理论的个体化护理对腹腔镜胆囊切除术围手术期患者的影响。
选取 2019 年 11 月 1 日至 2020 年 11 月 30 日期间接受腹腔镜胆囊切除术的 174 例患者作为研究对象，并随机分为对照组和观察组。对照组患者接受常规围手术期护理，观察组患者接受基于零缺陷理论的个体化护理。
两组患者护理后的心率、舒张压和收缩压水平均明显下降，观察组下降幅度明显大于对照组。两组患者护理后的抑郁和焦虑评分均降低，观察组下降幅度明显大于对照组。观察组患者首次术后排气、恢复正常进食、下床活动和住院时间均少于对照组。观察组患者术后并发症发生率明显低于对照组。观察组患者对护理的满意度明显高于对照组。
基于零缺陷理论的个体化护理可有效减轻腹腔镜胆囊切除术围手术期患者的心理应激反应，有助于改善抑郁和焦虑等负性情绪，促进疾病康复，减少术后并发症，提高护理满意度，值得临床推广。
