杨建香

[摘要] 目的 分析综合性护理干预对胆囊切除术手术患者临床效果。方法 整群抽选2012年1月—2015年4月，该院接收行胆囊切除术患者343例，按入院编号分成两组（常规组、干预组），常规组患者实施临床基础性护理，干预组患者实施临床综合性护理干预，比对两组患者临床结果。 结果 干预组患者临床并发症总率（1.2%）、护理满意率（98.3%）和常规组（6.5%、94.1%）相比，差异有统计学意义（P<0.05）；且干预组患者临床住院时间（4.20±0.42）、下床时间等指标和常规组（7.40±1.22）相比，差异有统计学意义（P<0.05）。 结论 临床行胆囊切除术期间实施综合性护理干预，效果突出，可降低患者疼痛度，缩短住院时间，意义重大，值得使用。

[关键词] 胆囊切除术；综合护理干预；临床结果

[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-0742（2015）10（a）-0179-03

Observation of the Effect of Comprehensive Nursing Intervention on Cholecystectomy Patients

YANG Jian-xiang

Emergency Department， Haimen No. 2 People's Hospital， Haimen， Jiangsu Province， 226121 China

[Abstract] Objective To analyze the clinical results of comprehensive nursing intervention for patients with cholecystectomy. Methods 343 cases underwent cholecystectomy in our hospital from January 2012 to April 2015 were divided into two groups， the conventional group and the intervention group in accordance with the admission number. Patients in the conventional group were treated by the clinical basic nursing， and those in the intervention group were treated by the clinical comprehensive nursing intervention. And the clinical results of the two groups were compared. Results The overall incidence of clinical complications was 1.2% in the intervention group， and 6.5% in the conventional group， with statistically significant difference between the two groups（P<0.05）. The nursing satisfaction was 98.3% in the intervention group， and 94.1% in the conventional group， with statistically significant difference between the two groups（P<0.05）. The length of stay was （4.20±0.42）d in the intervention group， and （7.40±1.22）d in the conventional group， the difference between the groups was statistically significant（P<0.05）. The difference in the time of first getting out of the bed and other indexes between the two groups was statistically significant（P<0.05）. Conclusion For patients undergoing cholecystectomy clinically， comprehensive nursing intervention is of great significance， which can reduce the degree of pain and shorten the length of stay with significant effect， so it is worthy of application.

[Key words] Cholecystectomy； Comprehensive nursing intervention； Clinical results

近年来，伴随着腹腔镜技术的完善和发展，腹腔镜胆囊切除术已成为临床常见性胆囊疾病治疗手段，和传统手术相比具有创伤小、恢复快等临床特点，被广大患者所接受。然由于手术期间诸多因素的存在，致使临床并发症出现，影响临床结果[1]。因此，治疗期间护理措施的实施尤为重要。该研究整群选取该院2012年1月—2015年4月，该院接收行胆囊切除术患者343例作为对象进行研究，分别实施不同护理措施，旨在探讨综合性护理干预结果，现报道如下。

1 资料与方法

1.1 一般资料

整群抽选2012年1月—2015年4月，该院接收行胆囊切除术患者343例，按入院编号分成两组（常规组、干预组），常规组患者170例，包括：男性患者100例，女性患者70例，年龄位于35～70岁时段内，平均（40.3±2.3）岁；临床疾病：胆囊结石，患者30例；胆囊炎，患者90例；胆囊息肉，患者50例；该组170例患者中，大学学历及以上患者40例，高中学历患者70例，初中学历患者50例，小学学历患者10例；干预组患者173例，包括：男性患者120例，女性患者53例，年龄位于38～72岁时段内，平均（41.6±2.6）岁；……