韩峰

[摘要]目的 分析个性化护理在肝胆外科围术期护理中的应用效果。方法 选取2018年4月～2019年9月我院收治的肝胆外科围术期92例患者为研究对象，按随机摸球法分为对照组（n=46）、观察组（n=46）。分别进行基础护理和个性化护理，比较两组的不良反应总发生率、临床指标和心理状况评分。结果 观察组的不良反应总发生率低于对照组，差异有统计学意义（P<0.05）;观察组的住院、下床、排便、排气时间短于对照组，差异均有统计学意义（P<0.05）;两组干预前心理评分比较，差异无统计学意义（P>0.05）;干预后两组的心理评分低于干预前，观察组干预后心理评分低于对照组，差异均有统计学意义（P<0.05）。结论 为肝胆外科围术期患者进行个性化护理可有效降低患者不良反应发生率、不良心理，改善临床观察指标，有临床应用价值。

[关键词]个性化护理;肝胆外科;并发症;心理状况;健康教育

[中图分类号] R473.6          [文献标识码] A          [文章编号] 1674-4721（2020）9（b）-0238-03

Application effect of individualized nursing in perioperative nursing of hepatobiliary surgery

HAN Feng

Department of Prediagnosis， Shenyang Fifth People′s Hospital， Liaoning Province， Shenyang   110023， China

[Abstract] Objective To analyze the application effect of individualized nursing in the perioperative nursing of hepatobiliary surgery. Methods A total of 92 patients in the perioperative period of hepatobiliary surgery admitted to our hospital from April 2018 to September 2019 were selected as the research objects. They were divided into the control group （n=46） and the observation group （n=46） by the ball touch method. Basic nursing and individualized nursing were carried out respectively， and the adverse reaction rate， clinical indicators and psychological status scores of two groups were compared. Results The total adverse reaction rate in the observation group was lower than that in the control group， and the difference was statistically significant （P<0.05）. The hospital stay， time to get out of bed， defecation time， and exhaust time of the observation group were shorter than those in the control group， and the differences were statistically significant （P<0.05）. There was no significant difference in psychological score before intervention between the two groups （P>0.05）; the psychological score of the two groups after intervention was lower than that before the intervention， after intervention， the psychological score of the observation group was lower than that of the control group， the differences were statistically significant （P<0.05）. Conclusion Individualized nursing can effectively reduce the adverse reaction rate， adverse psychology and improve the clinical observation index， which has clinical application value.

[Key words] Individualized nursing; Hepatobiliary surgery; Complications; Psychological status; Health education

肝胆外科手术主要包括胰腺手术、肝胆手术、脾脏手术，为外科常见手术类型。由于肝胆外科患者自身疾病復杂性、严重性，且多为老年患者，因此使患者极易出现心理障碍，影响治疗效果。分析发现由于患者差距大，不同年龄阶段和文化程度患者知识掌握度、护理依从度均有较大差异。常规性干预从患者基础性需求入手，虽有一定效果，但无法满足患者多样化需求，并发症控制效果有限。有学者提出个性化护理，此种护理方式依据患者具体特点和需求针对性进行护理，可有效提升护理效果，降低患者不良情绪和并发症[1]。为提升患者疾病控制效果，本研究选取我院92例肝胆外科围术期患者为研究对象，分析两种护理方式的效果，现报道如下。

1资料与方法

1.1 一般资料

选取2018年4月～2019年9月我院收治的92例肝胆外科围术期患者。……