手术室护理干预对腹腔镜胆囊切除术患者术后躁动及疼痛的效果分析

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英文篇名：Effect of Nursing Intervention in Operating Room on Postoperative Restlessness and Pain in Patients Undergoing Laparoscopic Cholecystectomy 作者：顾雪萍 英文作者：GU Xue-ping;Nantong Tongzhou District Hospital,Operating Room; 关键词：手术室护理干预 ; 腹腔镜胆囊切除术 ; 术后躁动 ; 疼痛 ; 效果 ; 临床应用价值 英文关键词：Nursing intervention in operating room;;Laparoscopic cholecystectomy;;Postoperative agitation;;Pain;;Effect;;Clinical application value 中文刊名：HZZZ 英文刊名：China & Foreign Medical Treatment 机构：江苏省南通市通州区中医院手术室; 出版日期：2019-04-21 出版单位：中外医疗 年：2019 期：v.38 语种：中文; 页：HZZZ201912043 页数：3 CN：12 ISSN：11-5625/R 分类号：137-139

摘要

目的探讨手术室护理干预对腹腔镜胆囊切除术患者术后躁动及疼痛的影响情况。方法方便选取2015年2月—2018年8月期间在该院行腹腔镜胆囊切除术的90例患者,随机分为对照组和观察组各45例。两组患者均行腹腔镜胆囊切除术,术中对照组按常规手术室护理,观察组则采用个体化手术室护理,对比两组患者术后疼痛、躁动情况、手术及术后恢复相关指标。结果观察组术后Riker镇静-躁动评分为(3.56±1.79)分,对照组为(5.26±1.42)分,差异有统计学意义(t=12.369,P=0.022)。观察组术后躁动发生率为4.44%(2/45),对照组为17.78%(8/45),差异有统计学意义(χ~2=4.189,P=0.019)。疼痛评分观察组术后12 h(5.03±1.02)分、术后24 h(4.65±1.36)分和术后48 h(4.01±1.29)分,均显著低于对照组[(6.69±1.34)分、(5.48±1.24)分、(4.37±1.33)分],差异有统计学意义(t=12.031,P=0.021;t=11.034,P=0.025;t=14.135,P=0.019)。结论腹腔镜胆囊切除术患者根据个体情况给予针对性手术室护理,可有效降低术后躁动风险,减轻患者术后疼痛,临床应用价值较高。
        Objective To explore the effect of nursing intervention in operating room on restlessness and pain in the patients after laparoscopic cholecystectomy. Methods Ninety patients who underwent laparoscopic cholecystectomy in our hospital from February 2015 to August 2018 were convenient randomly divided into control group and observation group, 45 cases in each group. Two groups of patients underwent laparoscopic cholecystectomy. The control group received routine operation room nursing, while the observation group received individualized operation room nursing. The pain, restlessness,operation and recovery indexes of the two groups were compared. Result Riker's Sedation-Agitation score after operation in the observation group was(3.56±1.79)points and that in the control group was(5.26±1.42)points. The difference was statistically significant(t=12.369,P=0.022). The incidence of restlessness was 4.44%(2/45) in the observation group and 17.78%(8/45) in the control group. The difference was statistically significant(χ~2=4.189,P=0.019). The pain scores of 12 hours(5.03±1.02)points, 24 hours(4.65±1.36)points and 48 hours(4.01±1.29)points in the observation group were significantly lower than those in the control group [(6.69 ±1.34)poins,(5.48±1.24)poins,(4.37±1.33)poins], with significant difference(t=12.031,P=0.021; t=11.034, P=0.025; t=14.135, P=0.019). Conclusion Giving targeted operating room nursing to the laparoscopic cholecystectomy patients, according to their individual conditions, can effectively reduce the risk of postoperative agitation,and postoperative pain. It has high clinical application value.

引文

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