李亚妮

【摘 要】目的：分析全程优质护理在腹腔镜胆囊切除术中的应用效果。方法：将我院2020年3月至2021年3月收治的68例行腹腔镜胆囊切除术患者作为研究对象，随机分为对照组和观察组，各34例。对照组进行常规护理，观察组进行全程优质护理，比较两组患者的护理满意度、住院情况、生活质量、并发症发生情况、情绪状况。结果：观察组的护理满意度明显较对照组更高，差异具有统计学意义（P<0.05）；观察组的首次排气时间、下地时间、住院时間明显较对照组更短，差异具有统计学意义（P<0.05）；观察组的生活质量评分明显较对照组更高（P<0.05）；观察组的并发症发生率明显较对照组更低，差异具有统计学意义（P<0.05）；护理前差异无统计学意义（P>0.05），护理后观察组的情绪评分明显较对照组更低，差异具有统计学意义（P<0.05）。结论：将全程优质护理应用在腹腔镜胆囊切除术的护理中效果显著，可以有效缩短患者的住院时间，缓解患者负面情绪，改善其生活质量，降低术后并发症的发生概率，极具临床应用价值。

【关键词】全程优质护理；腹腔镜；胆囊切除术；应用效果

Application of whole course high quality nursing in Laparoscopiccholecystectomy

Li Yani

Ningxia GuyuanLongde County Peoples Hospital， Ningxia Guyuan 756000， China

【Abstract】Objective：to analyze the application effect of the whole course high quality nursing in laparoscopic cholecystectomy. Methods： A total of 68 patients with laparoscopic cholecystectomy admitted to our hospital from March 2020 to March 2020 were randomly divided into the control group and the observation group，with34patients in each group.The Control Group received routine nursing，and the observation group received whole course quality nursing.The nursing satisfaction， hospitalization，quality of life， complications and emotion status were compared between the two groups.Results：the nursing satisfaction degree of the observation group was significantly higher than that of the control group，the difference was statistically significant（P<0.05）；the first exhaust time， the time of going down to the ground and the time of hospitalization in the observation group were significantly shorter than those in the control group， the difference was statistically significant（P<0.05）；the quality of life score of the observation group was significantly higher than that of the control group（P<0.05）；and the complication rate of the observation group was significantly lower than that of the control group （P<0.05）；There was no significant difference before Nursing（P>0.05）；After nuring， the emotional score of the observation group was significantly lower than that of the control group，the difference was statistically significant（P<0.05）.Conclusion： The application of whole course high quality nursing in laparoscopic cholecystectomy nursing is effective in shortening the hospitalization time， alleviating the negative emotion， improving the quality of life， and reducing the probability of postoperative complications， it is of great value in clinical application.

【Key？Words】Whole course highquality nursing； Laparoscope； Cholecystectomy； Application effect

胆囊疾病发病和生活习惯、工作压力、生活环境等因素相关，近年来随着以上因素的改变，胆囊疾病的发病率呈上升趋势增长。目前临床上主要采用手术方式实施治疗，腹腔镜胆囊切除术有多年的临床应用经验，可以有效切除病灶[1]，现报道如下。

1 资料与方法

1.1 一般资料

將我院2020年3月至2021年3月收治的68例行腹腔镜胆囊切除术患者作为研究对象，随机分为对照组和观察组，各34例。对照组，男19例，女15例，年龄25岁～68岁，平均年龄（46.34±3.56）岁，胆结石12例，胆囊炎14例，胆囊息肉8例；观察组，男20例，女14例，年龄25岁～70岁，平均年龄（46.76±3.32）岁；胆结石11例，胆囊炎14例，胆囊息肉9例。一般资料差异无统计学意义（P>0.05）。

纳入标准：本研究经过院内伦理委员会批准同意；本人及家属均了解研究内容同意参与，签订参与协议。所有患者均行腹腔镜胆囊切除术。

排除标准：手术禁忌症者；精神障碍者；临床资料缺失者。