腹腔镜胆囊切除术后应用延续性护理服务模式效果评价.docVIP

腹腔镜胆囊切除术后应用延续性护理服务模式效果评价 　　【摘要】 目的 探讨腹腔镜胆囊切除术后应用延续性护理服务模式的临床效果。方法 50例行腹腔镜胆囊切除手术的患者， 随机分为对照组和观察组， 各25例。对照组使用传统护理方法， 观察组在对照组基础上采用延续性护理服务模式。比较两组患者手术后护理满意度和术后指标。结果 两组患者治疗费用比较差异无统计学意义（P0.05）；观察组患者住院时间（6.69±0.97）d、胃肠功能恢复时间（19.44±3.26）h及下床活动时间（3.75±0.85）d均明显短于对照组（8.64±1.27）d、（25.82±2.31）h、（4.68±1.46）d， 差异有统计学意义（P0.05）。观察组护理满意度明显高于对照组， 差异有统计学意义（P0.05）。结论 腹腔镜胆囊切除术后患者应用延续性护理服务模式进行护理， 患者恢复时间快， 满意度高， 其可在基层医院中广泛应用。 　　【关键词】 腹腔镜胆囊切除；普外科常规护理；术后延续性护理 　　DOI：10.14163/j.cnki.11-5547/r.2017.34.075 　　Effect evaluation of continuous nursing service model after laparoscopic cholecystectomy GUO Qing-jun， CHEN Xi， YE Chun-li. Shenzhen Longgang District Fourth People’s Hospital， Shenzhen 518114， China 　　【Abstract】 Objective To discuss the clinical effect of continuous nursing service model after laparoscopic cholecystectomy. Methods A total of 50 patients with laparoscopic cholecystectomy were randomly divided into control group and observation group， with 25 cases in each group. The control group received traditional nursing， and the observation group received continuous nursing service model on the basis of the control group. Comparison were made on postoperative nursing satisfaction and postoperative indicators between two groups. Results Both groups had no statistically significant difference in treatment costs （P0.05）. The observation group had obviously shorter hospitalization time as （6.69±0.97） d， gastrointestinal function recovery time as （19.44±3.26） h and off-bed activity time as （3.75±0.85） d than （8.64±1.27） d， （25.82±2.31） h and （4.68±1.46） d in the control group， and their difference was statistically significant （P0.05）. The observation group had higher nursing satisfaction than the control group， and the difference was statistically significant （P0.05）. Conclusion Application of continuous nursing service model after laparoscopic cholecystectomy for nursing provides fast recovery and high satisfaction， and can be can be widely used in primary hospitals. 　　【Key words】 L