王萍　唐静玉　王蕊

[摘要]目的 探讨优质护理模式对胆结石手术患者不良情绪的影响。方法 选取2017年5月～2018年6月在宜春市第七人民医院收入的72例胆结石手术患者，采用随机数字表法将其分为治疗组和参照组，每组各36例。参照组采用常规护理，治疗组在参照组的基础上采用优质护理。比较两组患者的护理总满意度和护理前后的抑郁自评量表（SDS）和焦虑自评量表（SAS）评分。结果 治疗组患者的护理总满意度为97.2%，高于参照组的75.0%，差异有统计学意义（P<0.05）。治疗组患者护理后的SDS、SAS评分均显著低于参照组，差异有统计学意义（P<0.05）。结论 优质护理模式应用于胆结石手术对患者不良情绪的影响效果显著，可以有效调节患者的心理情绪，缓解其不良情绪，促进手术顺利进行，建议临床进一步推广。

[关键词]优质护理;胆结石手术;不良情绪;影响

[中图分类号] R575.6+2     [文献标识码] A     [文章编号] 1674-4721（2019）9（b）-0241-03

Influence of high quality nursing mode on adverse emotion of patients with gallstone surgery

WANG Ping1   TANG Jing-yu1   WANG Rui2

1. Department of Nursing， the Seventh People′s Hospital of Yichun City， Jiangxi Province， Yichun   336000， China; 2. Department of Obstetrics and Gynecology， Zhejiang-Jiangxi Friendship Hospital， Jiangxi Province， Yichun   336000， China

[Abstract] Objective To explore the influence of high quality nursing mode on adverse emotion of patients with cholelithiasis surgery. Methods From May 2017 to June 2018， 72 patients with gallstone surgery treated in the Seventh People′s Hospital of Yichun City were selected and they were divided into the treatment group and reference group， and there were 36 cases in each group. Conventional nursing was used in the reference group， while high quality nursing was used in the treatment group on the basis of the reference group. The total nursing satisfaction and the scores of self-rating depression scale （SDS） and self-rating anxiety scale （SAS） before and after nursing were compared in patients between the two groups. Results The total nursing satisfaction of the patients in the treatment group was 97.2%， which was higher than that of the reference group （75.0%） （P<0.05）. The scores of SDS and SAS in the treatment group were significantly lower than those in the reference group （P<0.05）. Conclusion The application of high-quality nursing model in gallstone surgery has a significant effect on patients′ bad mood. It can effectively regulate patients′ psychological mood， alleviate their bad mood， and promote the smooth operation. It is suggested that high quality nursing model be further promoted in clinic.

[Key words] High quality nursing; Gallstone surgery; Bad mood; Influence

膽囊结石的病因有很多，患者胆固醇与胆汁酸浓度比例改变，会影响胆汁的正常运输，导致胆汁淤滞，造成胆结石形成[1]。雌激素、过度肥胖、妊娠反应、长期高脂肪饮食、高脂血症等疾病因素均可以引起胆囊结石的发生[2]。胆囊结石手术是治疗胆囊结石最有效的方法，可以快速有效地帮助患者排出结石，促进疾病恢复，恢复健康[3]。胆囊结石最常见的临床表现是胆绞痛，在饱餐、进食油腻食物后、睡眠时的体位改变不合理时，胆囊收缩、结石移位刺激迷走神经处于兴奋状态，导致结石在胆囊内进行嵌顿，引起胆囊运行受阻，造成患者胆囊内压力升高，胆囊的收缩加强，引发患者发生胆绞痛[4]。本研究探究优质护理模式应用于胆结石手术对患者不良情绪的影响，现报道如下。

1资料与方法

1.1一般资料

选取2017年5月～2018年6月在宜春市第七人民医院进行胆结石手术的患者72例，采用随机数字表法将其分为治疗组和参照组，每组各36例。……