论文部分内容阅读
目的总结手术护理路径在内镜微创保胆取石术护理配合中的应用效果。方法将2012年6月—2015年6月在本院行内镜微创保胆取石术的160例胆囊结石患者作为研究对象,随机分为两组(各80例),对照组按照常规模式进行手术护理配合,研究组采用手术护理路径模式进行手术护理配合,比较两组患者的术前准备时间、手术时间、手术效果等。计量资料采用t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果研究组患者的术前准备时间为(14.8±5.2)min、手术时间为(35.0±10.4)min,均短于对照组的(22.8±4.9)、(46.2±11.3)min,对比差异均有统计学意义(均P<0.05)。研究组术后并发症发生率为20.00%,显著低于对照组的31.25%,对比差异有统计学意义(P<0.05)。研究组术中的护理不良事件发生率为5.00%,低于对照组(26.25%),对比差异有统计学意义(P<0.05)。手术医生对研究组患者的手术护理工作的满意度为98.75%,显著高于对照组(88.75%),研究组患者的护理满意度为98.75%,显著高于对照组的87.50%,对比差异均有统计学意义(均P<0.05)。结论在内镜微创保胆取石术中采用手术护理路径进行护理配合,能有效缩短手术时间、减少手术并发症及护理不良事件的发生、提高患者及医生的满意度,具有重要的临床价值,值得推广。
Objective To summarize the application effect of surgical nursing path in the endoscopic minimally invasive preservation gallstone surgery. Methods 160 patients with cholecystolithiasis who underwent endoscopic minimally invasive gallbladder surgery in our hospital from June 2012 to June 2015 were randomly divided into two groups (n = 80 each). The control group was performed according to the conventional mode Surgical care and cooperation, the study group using surgical nursing path mode for surgical care and cooperation, compared the two groups of patients preoperative preparation time, operation time, surgical results. Measurement data using t test, count data using χ2 test, P <0.05 for the difference was statistically significant. Results The preoperative preparation time was (14.8 ± 5.2) min in the study group and (35.0 ± 10.4) min in the study group, both of which were shorter than that of the control group (22.8 ± 4.9) and (46.2 ± 11.3) min, respectively Statistical significance (all P <0.05). The incidence of postoperative complications in the study group was 20.00%, which was significantly lower than that in the control group (31.25%), the difference was statistically significant (P <0.05). The incidence of nursing adverse events in the study group was 5.00%, which was lower than that in the control group (26.25%), the difference was statistically significant (P <0.05). The satisfaction degree of the surgeon in the study group was 98.75%, significantly higher than that in the control group (88.75%). The satisfaction rate of the study group was 98.75%, significantly higher than 87.50% of the control group There was statistical significance (all P <0.05). Conclusion In the endoscopic minimally invasive preservation of gallbladder surgery with nursing path for nursing cooperation, can effectively shorten the operation time and reduce the incidence of complications and nursing care to improve the patient satisfaction with the doctor has important clinical value, Worth promoting.