胆囊结石腹腔镜手术患者应用循证护理的价值评析.docVIP

胆囊结石腹腔镜手术患者应用循证护理的价值评析 　　[摘要]目的 探讨胆囊结石腹腔镜手术患者应用循证护理的临床价值。方法 选取2013年11月～2015年11月来我院治疗的64例胆囊结石腹腔镜手术患者作为研究对象，将其实施信封随机分组。对照组32例患者实施一般护理，实验组32例患者实施循证护理，分析比较两组胆囊结石腹腔镜手术患者的疼痛持续时间、疼痛评分、满意度评分及并发症发生率。结果 两组术后第1天和第2天的疼痛评分比较，差异无统计学意义（P0.05）；但组间术后第3、4、5天的疼痛评分、疼痛持续时间、满意度评分存在显著差异（P0.01）；对照组32例患者的并发症发生率为37.50%，显著高于实验组的9.38%，差异有统计学意义（P0.01）。结论 对胆囊结石腹腔镜手术患者实施循证护理，可有效减轻患者疼痛，减少并发症的发生，提高患者的满意度。 　　[关键词]胆囊结石；腹腔镜手术；循证护理；价值 　　[中图分类号] R575.6 [文献标识码] A [文章编号] 1674-4721（2016）09（b）-0186-03 　　[Abstract]Objective To explore the clinical value of evidence-based nursing in patients with gallbladder stones.Methods 64 cases of laparoscopic cholecystectomy in our hospital from November 2013 to November 2015 were selected as the target of this study，and were randomly assigned by the envelope.The control group of 32 patients were received general nursing，the experimental group of 32 patients with the implementation of evidence based nursing.Two groups of patients with gallstone patients undergoing laparoscopic surgery pain lasting time，pain scores，satisfaction score and complications incidence were analyzed and compared.Results Two groups postoperative of pain score on the 1st and 2nd day without significant difference （P0.05）；but between groups after the 3rd，4th and 5th days of pain score，pain last time，satisfaction scores were significantly different（P0.01）.In the control group of 32 patients with the complication rate was 37.50%，which was significantly higher than that of experimental group （9.38%）（P0.01）.Conclusion Evidence based nursing care can effectively reduce the pain of patients， reduce the incidence of complications and improve the patient′s satisfaction. 　　[Key words]Gallbladder stone；Laparoscopic surgery；Evidence based nursing；Value 　　胆囊结石属于常见的胆道系统疾病之一，该病的发病原因较复杂，若不及时对患者进行有效治疗，易使其出现其他的并发症，严重影响患者的生活质量[1-2]。目前，临床治疗该病的方法较多，主要包括药物治疗、手术治疗以及物理治疗，近些年，随着医疗技术的不断进步和发展，腹腔镜技术亦取得了较大的进步，相比于传统手术，该手术具有创伤小、出血量少、恢复速度快、痛苦小等优势，目前，已被广泛用于临床中，但有研究显示，手术结束后，患者均会存在不同程度的疼痛，严重影响患者预后，为减轻患者痛苦，降低并发症的发生率，对其实施相应的