程媛

[摘要]目的 探讨整体护理在腹腔镜胆囊切除术（LC）患者中的应用效果。方法 选取2018年2月～2019年2月我院收治的70例LC胆结石患者为研究对象，按照随机数字表法分为对照组（n=35）与观察组（n=35）。对照组开展传统护理，观察组实施术后整体护理，比较两组护理效果、负面心理及护理总满意度。结果 观察组的排便时间、肛门排气时间及住院时间短于对照组，差异均有统计学意义（P<0.05）。观察组汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）评分低于对照组，差异有统计学意义（P<0.05）。观察组护理总满意度（94.29%）高于对照组（68.57%），差异有统计学意义（P<0.05）。结论 对LC胆结石患者，术后通过开展整体护理干预，能加速康复进程，改善负面情绪，提高护理满意度，临床应用价值显著。

[关键词]胆结石;腹腔镜胆囊切除术;整体护理;满意度

[中图分类号] R473.6          [文献标识码] A          [文章编号] 1674-4721（2020）8（a）-0239-03

Application of holistic nursing in elderly patients undergoing laparoscopic radical resection of colorectal cancer

CHENG Yuan

Department of Emergency， the Third People′s Hospital of Dalian City， Liaoning Province， Dalian   116033，  China

[Abstract] Objective To explore the application effect of holistic nursing in elderly patients undergoing laparoscopic radical resection of colorectal cancer. Methods Altogether 64 elderly patients who underwent laparoscopic radical resection of colorectal cancer from May 2017 to May 2018 were selected and divided into observation group and control group according to the random number table method， 32 cases in each group. The observation group was given holistic nursing after operation and the control group adopted routine nursing. The nursing effect， negative psychology and total nursing satisfaction were compared between the two groups. Results Defecation time， anal exhaust time and hospitalization time of observation group were shorter than those in the control group， the differences were statistically significant （P<0.05）. Hamilton anxiety scale （HAMA）， Hamilton depression scale （HAMD） scores of observation group were lower than those of the control group， the differences were statistically significant （P<0.05）. The total nursing satisfaction of the observation group （94.29%） was higher than that of the control group （68.57%）， the difference was statistically significant （P<0.05）. Conclusion Holistic nursing shows significant effectiveness in elderly patients who undergo laparoscopic radical resection of colorectal cancer， which can accelerate the recovery， reduce psychological pressure， improve nursing satisfaction. The clinical application value is remarkable.

[Key words] Gallstone; Laparoscopic cholecystectomy; Holistic nursing; Degree of satisfaction

膽结石对胆囊黏膜形成强烈刺激，轻者可引发慢性炎症、感染，重者可诱发胆囊癌，有研究[1]指出，由胆结石诱发胆囊癌概率为1%～2%。当前，胆结石患者手术治疗。伴随腹腔镜技术持续完善，其在多科室、多类型手术中得到广泛应用，由于手术切口小，出血少，患者术后恢复快，但要指出的是，胆结石患者长时间遭受疾病摧残与折磨，心理易出现各种负面情绪，如抑郁、焦虑、恐惧等，因而要做好心理引导工作[2]。在术后通过给患者悉心、全面看护与治疗，不仅使其尽快恢复，且还能提高护理满意度。本研究对所收治腹腔镜胆囊切除术（LC）的胆结石患者，开展术后整体护理干预，现报道如下。

1资料与方法

1.1一般资料

选取2018年2月～2019年2月我院收治的70例LC胆结石患者为研究对象，按照随机数字表法分为对照组（n=35）与观察组（n=35）。对照组中，男21例，女14例;年龄30～65岁，平均（54.1±6.9）岁;病程3个月～5年，平均（2.7±0.6）年。观察组中，男20例，女15例;年龄30～65岁，平均（54.6±6.7）岁;病程3个月～5年，平均（2.5±0.5）年。……