Shan Ya-Juan, Yu Ding-Feng, Xu Wei-Ying, Tu Su-Qin, Ge Yue-Ping
Department of Hepatobiliary Surgery, Affiliated Hospital of Shaoxing University, Shaoxing 312000, Zhejiang Province, China.
Department of Outpatient, Affiliated Hospital of Shaoxing University, Shaoxing 312000, Zhejiang Province, China.
World J Gastrointest Surg. 2025 Aug 27;17(8):105306. doi: 10.4240/wjgs.v17.i8.105306.
Enhancing postoperative recovery is a critical goal in clinical practice and the application of innovative nursing models can significantly contribute to this objective.
To investigate the effects of motivational and early warning nursing interventions on wound healing and sociopsychological adaptability in patients undergoing hepatobiliary surgery.
A total of 160 patients who underwent surgical treatment in the hepatobiliary department of our hospital from January 2022 to June 2024 were selected and randomly divided into a control group and an observation group, with 80 patients in each group. The control group received routine nursing care, while the observation group received a combination of motivational and early warning nursing interventions. The wound healing status (class A, B, and C wound healing and healing time), social psychological adaptability, complications, postoperative recovery, and quality of life were compared between the two groups.
The wound healing rate in the observation group was higher than that in the control group, while the wound healing time was shorter ( < 0.05). The social adaptability scores in the observation group were higher than those in the control group ( < 0.05). The incidence of complications was lower in the observation group than in the control group ( < 0.05). Postoperative recovery and quality of life were better in the observation group than in the control group ( < 0.05).
Motivational and early warning nursing interventions are beneficial for promoting wound healing in patients undergoing hepatobiliary surgery, reducing the incidence of complications and improving socio-psychological adaptability and postoperative quality of life. These interventions should be promoted in clinical nursing practice.
促进术后康复是临床实践中的一个关键目标，创新护理模式的应用可显著有助于实现这一目标。
探讨激励与预警护理干预对肝胆外科手术患者伤口愈合及社会心理适应性的影响。
选取2022年1月至2024年6月在我院肝胆外科接受手术治疗的160例患者，随机分为对照组和观察组，每组80例。对照组接受常规护理，观察组接受激励与预警护理干预相结合的护理。比较两组患者的伤口愈合情况（甲级、乙级和丙级伤口愈合及愈合时间）、社会心理适应性、并发症、术后恢复情况及生活质量。
观察组伤口愈合率高于对照组，伤口愈合时间短于对照组（P<0.05）。观察组社会适应能力得分高于对照组（P<0.05）。观察组并发症发生率低于对照组（P<0.05）。观察组术后恢复情况及生活质量优于对照组（P<0.05）。
激励与预警护理干预有利于促进肝胆外科手术患者伤口愈合，降低并发症发生率，提高社会心理适应性及术后生活质量。这些干预措施应在临床护理实践中推广。
