邓冬琴

[摘要]目的 探讨快速康复护理对胆囊切除术患者术前不良情绪与术后康复的影响。方法 选取我院2014年6月～2016年6月收治的胆囊切除术患者120例，随机分为对照组和观察组，每组各60例。对照组采用传统护理模式，观察组采用快速康复护理，观察两组SAS评分、SDS评分、肠鸣音恢复时间、肛门排气时间、输液时间、住院时间及并发症发生率等指标，分析快速康复护理对胆囊切除术患者术前不良情绪与术后康复的影响。结果 护理后，两组手术时间比较，差异无统计学意义（P>0.05）；研究组术后下床活动时间、肛门排气时间、住院时间均短于对照组，差异有统计学意义（P<0.05）；研究组SDS评分、SAS评分均低于对照组，差异有统计学意义（P<0.05）；研究组并发症总发生率（6.67%）低于对照组（26.67%），差异有统计学意义（P<0.05）。结论 快速康复外科护理对术后患者的恢复提供了良好的帮助，且减少患者术后并发症发生率。

[关键词]快速康复护理；胆囊切除术；术前不良情绪；术后康复

[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721（2018）9（a）-0180-04

[Abstract] Objective To investigate the effect of rapid rehabilitation nursing on preoperative bad emotions and postoperative recovery in patients undergoing cholecystectomy. Methods 120 patients undergoing cholecystectomy from June 2014 to June 2016 in our hospital were selected. They randomly were divided into control group and observation group， 60 cases in each group. In the control group， traditional nursing model was used， while in the observation group， rapid rehabilitation nursing was adopted. By observing self-rating anxiety scale （SAS） score， self-rating depression （SDS） score， borygmus recovery time， anal exhaust time， infusion time， hospital stay and incidence of complications and other related indicators， we analyzed the rapid rehabilitation care on the preoperative bad emotions and postoperative rehabilitation in patients with cholecystectomy. Results After nursing， there was no significant difference in the operation time between the two groups （P>0.05）. The postoperative off-bed activity time， anal exhaust time， and hospital stay were all shorter in the study group than in the control group with statistical significance （P<0.05）. In the study group， the SDS score and SAS score were both lower than those in the control group with great differences （P<0.05）. In the study group， the total incidence of complications was 6.67%， lower than that in the control group accounting for 26.67%，with a significant difference （P<0.05）. Conclusion The rapid rehabilitation surgical nursing provides good help for the recovery of postoperative patients and reduces the incidence of postoperative complications.

[Key words] Rapid rehabilitation nursing； Cholecystectomy； Preoperative bad mood； Postoperative rehabilitation

隨着近些年人们生活水平的提高，其对医疗护理工作水平和质量的要求也在逐年提升。胆囊切除术作为现阶段医院外科较为常见的一种临床治疗手段，其对于治疗地点等条件的要求较低。有关研究表明，胆囊切除术在普通门诊就可以实施，当患者麻醉药效过后，已经恢复清醒，便可出院自行恢复。但因为我国医疗水平和技术同发达国家相比还存在较大的差距，如果患者出院自行恢复，则很容易出现术后并发症等问题，对患者生命健康产生不良影响[3]。本研究选取我院收治的胆囊切除术患者患为研究对象，采用快速康复护理进行研究，分析快速康复护理对胆囊切除术患者术前不良情绪与术后康复的影响，为胆囊切除术患者的有效护理提供经验与方法，现报道如下。