循证护理干预对腹腔镜胆囊切除患者术后疼痛及并发症的影响.pdfVIP

循证护理干预对腹腔镜胆囊切除患者术后疼痛及并发症的影响 侯玉环 （商丘市第一人民医院耳鼻喉腹腔镜外科 河南商丘 476100） [摘要] 目的 分析循证护理 （EBN）干预对腹腔镜胆囊切除术 （LC）患者术后疼痛及并发症 的影响。方法 选择2015年4月至2016年8月在商丘市第一人民医院进行的LC患者 100 例，按护理方式不同将患者分为50例对照组 （给予常规护理）、50例观察组 （给予循证护 理）。比较两组的术后疼痛、并发症发生情况。结果 护理后观察组并发症发生率4.00%， 低于对照组的16.00%，差异有统计学意义 （P＜0.05）；护理后观察组疼痛程度优于对照组， 差异有统计学意义 （P＜0.05）。结论 LC患者采用EBN干预可有效缓解术后疼痛，并抑制 并发症发生。 [关键词] 循证护理干预；腹腔镜胆囊切除术；术后疼痛；并发症 Effect of evidence - based nursing intervention on postoperative pain and complications in patients undergoing laparoscopic cholecystectomy Hou Yuhuan (Shangqiu FirstPeoplesHospitalENT laparoscopic surgery in Shangqiu, Henan Province 476100) [Abstract] Objective To analyze the effect of evidence-based nursing (EBN) intervention on postoperative pain and complications in patients undergoing laparoscopic cholecystectomy (LC). Methods 100 cases of LC patientswere selected in Shangqiu First Peoples Hospital from April 2015 to August 2016. The patients were divided into 50 cases of control group (given routine care) and 50 cases of observation group Card care). The postoperative pain and complications of the two groups were compared. Results After treatment, the incidence of complications in the observation group was 4.00%, which was lower than that in the control group (16.00%),thedifferencewasstatisticallysignificant (P0.05).Thedegreeofpain in the observation group after nursing was better than that in the control group (P 0.05). Conclusion EBN intervention in LC patients can effectively relieve postoperative pain and inhibit the occurrence of complications. [Key words] evidence-based nursing intervention; laparoscopic cholecystectomy; postoperative pain; complications EBN是一种在证据的基础上进行的护理方式，是护理人员在实施护理干预的过程中将已 有的结论、临床经验和护理人员的专业技能以及患者的个体化需求相结合，通过提出问题寻 [1] 找证据，依据实证对患者给予优质的护理手段，以提高护理的科学性和有效性 。LC带来的 创伤性、疼痛感、住院时间及术后恢复等情况均优于传统的剖腹胆囊切除术 （OC），但由于 术后二氧化碳的聚集，可引起肩部、腰骶等的疼痛、腹胀和恶心，易诱发腹腔感染、腹腔出 血及呼吸道感染等