姜向荣

【摘要】 目的：探究多維危机控制护理对胆囊结石患者双镜联合保胆手术后恢复情况的影响。方法：选取2017年1月-2018年10月于笔者所在医院接受治疗的92例胆囊结石患者为研究对象，按照入院顺序将其随机分为研究组与对照组，各46例。对照组予以常规护理，研究组在其基础上接受多维危机控制护理。比较两组患者术后康复情况、并发症发生情况、心理状态及生活质量。结果：研究组术后各项康复指标均优于对照组，差异有统计学意义（P<0.05）。两组排尿困难、肺部感染、肠梗阻发生率比较差异无统计学意义（P>0.05）。研究组下肢静脉血栓发生率低于对照组，差异有统计学意义（P<0.05）。两组出院时SAS、SDS评分均低于入院时，且研究组明显低于对照组，差异有统计学意义（P<0.05）。两组出院时SF-36评分均高于入院时，且研究组明显高于对照组，差异有统计学意义（P<0.05）。结论：多维危机控制护理能够有效改善胆囊结石患者双镜联合保胆术后的恢复情况，改善患者心理状态，提高其生活质量。

【关键词】 危机控制 护理 胆囊结石 双镜联合

doi：10.14033/j.cnki.cfmr.2019.30.038 文献标识码 B 文章编号 1674-6805（2019）30-00-03

[Abstract] Objective： To explore the influence of multi-dimensional crisis control nursing on postoperative recovery of patients with gallstones after gallbladder preserving surgery of hysteroscopy combined with laparoscopy. Method： A total of 92 patients with gallstones who were treated in our hospital from January 2017 to October 2018 were selected as the subjects. They were randomly divided into the study group and the control group according to the order of admission， with 46 cases in each group. The control group was given routine nursing， and study group was given multi-dimensional crisis control nursing on this basis. The postoperative rehabilitation， complications psychological status and quality of life were compared between the two groups. Result： All the postoperative rehabilitation indexes in the study group were better than those in the control group， and the differences were statistically significant （P<0.05）. There were no significant differences in the incidence of dysuria， pulmonary infection and intestinal obstruction between the two groups （P>0.05）. The incidence of lower limb venous thrombosis in the study group was lower than that in the control group， and the difference was statistically significant （P<0.05）. The scores of SAS and SDS in the two groups at discharge were lower than those at admission， and the study group was significantly lower than the control group， and the differences were statistically significant （P<0.05）. The SF-36 scores of both groups were higher at discharge than at admission， and the study group was significantly higher than the control group， and the differences were statistically significant （P<0.05）. Conclusion： Multi-dimensional crisis control nursing can effectively improve the postoperative recovery of patients with gallstones after gallbladder preserving surgery of hysteroscopy combined with laparoscopy， improve the psychological state of patients and improve their quality of life.

[Key words] Crisis control Nursing Gallstones Hysteroscopy combined with laparoscopy

First-authors address： The Second Peoples Hospital of Macheng City， Macheng 438300， China

膽囊结石是肝胆外科常见病，双镜联合保胆手术现已成为治疗胆囊结石的首选方法，与传统外科手术相比，具有简便、安全性高、创伤小的优点[1]。但其优点并不能改变手术对患者产生的应激反应，患者仍有很大几率出现术后康复危机、并发症危机及心理危机[2]。研究表明，不同护理方法能够对患者起到不同的作用，而积极有效的护理能够正向促进患者术后恢复，降低患者围术期风险[3]。因此本研究采用多维危机控制护理，探究其对胆囊结石患者行双镜联合保胆手术后恢复产生的影响，现报道如下。

1 资料与方法

1.1 一般资料

选取2017年1月-2018年10月于笔者所在医院接受治疗的92例胆囊结石患者为研究对象，纳入标准：（1）经过B超、CT或MRI及MRCP检查确诊为胆囊结石者[4];（2）均在笔者所在医院行腹腔镜、胆道镜联合保胆手术治疗的患者。……