李宝微

【摘 要】目的：探讨全面护理模式对膽结石患者的护理效果。方法：选择我院收治的胆结石患者500例作为研究对象（入院时间：2019年1月至2020年12月），双盲法分为研究组和对照组（250例/组），前者实施全面护理模式，后者实施常规护理模式，比较两组患者的护理结果。结果：研究组患者的手术时间（38.93±2.46）min和术后住院时间（6.19±0.53）d明显短于对照组（45.28±1.75）min，（8.31±0.78）d，且术中出血量（31.14±1.62）mL明显低于对照组（37.59±2.07）mL，护理满意度评分（91.25±1.37）分明显高于对照组（86.94±2.62）分，数据之间存在显著性差异（P<0.05）。结论：在胆结石患者的护理过程中实施全面护理模式，临床效果显著，能够缩短患者手术时间，减少术中出血量，提高患者满意度，并加快患者恢复进程，值得推广应用。

【关键词】胆结石患者；全面护理模式；临床效果

Evaluation of the clinical effect of implementing the comprehensive nursing model in the nursing of patients with gallstones

LI Baowei

Xi’an Huyi District Hospital of Traditional Chinese Medicine， Shaanxi Xi’an 710300，China

【Abstract】Objective：To explore the effect of comprehensive nursing care on patients with gallstones.Methods：500 cases of gallstone patients treated in our hospital from 2019.1-2020.12， were selected as the research objects and divided into research group and control group（250 cases/group）. The former implements the comprehensive care model and the latter implements the conventional nursing model， compares the nursing outcomes of the two groups of patients.Results：The operation time （38.93±2.46）min and postoperative hospital stay （6.19±0.53）d of the study group were significantly shorter than those of the control group （45.28±1.75）min，（8.31±0.78）d， and the intraoperative blood loss was （31.14±1.62） mL was significantly lower than the control group （37.59±2.07mL）， and the nursing satisfaction score （91.25±1.37）points was significantly higher than that of the control group （86.94±2.62）points.There were significant differences between the data（P<0.05）.Conclusion：Implementing a comprehensive care model in the nursing process of patients with gallstones has significant clinical effects. It can shorten the operation time of patients， reduce intraoperative blood loss， improve patient satisfaction， and accelerate the recovery process of patients. It is worthy of popularization and application.

【Key？Words】patients with gallstones， comprehensive care model， clinical effects

胆结石是一种常见的胆道系统疾病，其主要指包括胆囊和胆道内发生结石的疾病，在我国的发病率为0.9%～10.1%，且女性的发病率明显高于男性[1]。大部分胆结石患者无任何症状，少部分患者会出现胃痛、腹部右上方或放射到右上背部、肩胛骨区域的疼痛，或出现恶心、呕吐和黄疸等症状。若患者腹部突发疼痛或剧烈疼痛，必须及时进行就医治疗，否则可能危及生命[2]。目前，临床上治疗胆结石主要采取手术治疗方式，而围术期对患者实施有效的护理模式是确保手术效果的基础。本文选择我院收治的胆结石患者500例作为研究对象（入院时间：2019年1月至2020年12月），双盲法分为研究组和对照组（250例/组），前者实施全面护理模式，后者实施常规护理模式，旨在分析全面护理模式对胆结石患者的护理效果，现进行如下报告。……