摘要
目的 分析全程细节护理管理用于腹腔镜胆囊切除术的作用。方法 随机均分2023年6月-2025年5月本院接诊腹腔镜胆囊切除术病人(N=82)。试验组采取全程细节护理管理,对照组行常规护理管理。对比胃肠道恢复时间等指标。结果 关于住院和胃肠道恢复时间:试验组(4.97±0.83)d、(15.24±3.14)h,对照组(5.98±0.94)d、(19.41±4.05)h,差异显著(P<0.05)。并发症数据:试验组2.44%,对照组14.63%,P<0.05。VAS评分:干预后,试验组(1.51±0.31)分,对照组(2.14±0.52)分,差异显著(P<0.05)。满意度:试验组95.12%,对照组78.05%,P<0.05。结论 腹腔镜胆囊切除术病人用全程细节护理管理,病情康复更快,疼痛缓解与满意度提高及并发症预防效果均更好。
关键词: 全程细节护理管理;住院时间;腹腔镜胆囊切除术;VAS评分
Abstract
Objective To analyze the effects of comprehensive detailed nursing management on laparoscopic cholecystectomy. Methods A total of 82 patients who underwent laparoscopic cholecystectomy at our hospital from June 2023 to May 2025 were randomly divided into two groups. The experimental group received comprehensive detailed nursing management, while the control group received routine nursing management. The recovery time of the gastrointestinal tract and other indicators were compared. Results Regarding hospitalization and gastrointestinal recovery time, the experimental group (4.97±0.83) days, (15.24±3.14) hours, and the control group (5.98±0.94) days, (19.41±4.05) hours, showed significant differences (P<0.05). In terms of complications, the experimental group had 2.44%, and the control group had 14.63%, with a P<0.05. For VAS scores, the experimental group scored 1.51±0.31, and the control group scored 2.14±0.52, with a significant difference (P<0.05). Satisfaction levels were 95.12% for the experimental group and 78.05% for the control group, with a P<0.05. Conclusion Comprehensive detailed nursing management for laparoscopic cholecystectomy patients leads to faster recovery, better pain relief, higher satisfaction, and better prevention of complications.
Key words: Whole-process detailed nursing management; Hospital stay; Laparoscopic cholecystectomy; VAS score
参考文献 References
[1] 段谷雨,陈红. 基于适应性领导理论的护理管理模式对老年腹腔镜胆囊切除手术患者的效果观察[J]. 医学理论与实践,2024,37(1):125-127.
[2] 王丹. 疼痛综合护理管理对腹腔镜胆囊切除术的效果[J]. 中国保健食品,2022,19(8):112-114.
[3] 邓娟. 腹腔镜胆囊切除术护理中全程细节护理管理的应用效果观察[J]. 世界最新医学信息文摘,2023,21(64): 341-342.
[4] ABDULLAH YOUSEF ALDALATI, AYHAM MOHAMMAD HUSSEIN, DANG NGUYEN, et al. Ultrasound-guided vs. laparoscopic-guided transversus abdominis plane block for postoperative pain following laparoscopic cholecystectomy: a systematic review and meta-analysis[J]. Irish Journal of Medical Science(1971-), 2025,194(1):323-331.
[5] 姜潇霞. 5E模式下的个案护理管理在腹腔镜胆囊切除术患者中的应用[J]. 基层医学论坛,2023,27(30):47-49, 52.
[6] 邱淑春. 临床护理路径干预模式结合疼痛综合护理管理对腹腔镜胆囊切除术后患者康复效果的影响[J]. 山西医药杂志,2023,52(19):1513-1517.
[7] 杨红艳. 腹腔镜胆囊切除术围术期应用全程细节护理管理的作用[J]. 系统医学,2023,4(5):178-180.
[8] 马海婧,刘利利. 腹腔镜胆囊切除术围术期应用全程细节护理管理的作用[J]. 临床医学研究与实践,2022, 3(18): 173-174.
[9] 郭春花. 精细化护理管理在腹腔镜胆囊切除术围手术期中的护理效果[J]. 中外医药研究,2023,1(5):99-101.
[10] 刘建波,张伟,朱虹颖,等. 围手术期疼痛管理在加速康复外科腹腔镜胆囊切除术中的应用效果分析[J]. 医药前沿,2023,12(8):10-12.
[11] 吴文丹. 分组护理管理对腹腔镜胆囊切除术患者护理质量及恢复进程的影响[J]. 养生保健指南,2023, 14(27): 186.
[12] 陈莉,古金燕,刘志群. 赋权理论指导下护理管理对腹腔镜胆囊切除术患者疾病知识掌握度、依从性的影响[J]. 医学食疗与健康,2023,21(2):94-96,100.