高龄胆结石患者围手术期护理措施及效果评价.docVIP

高龄胆结石患者围手术期护理措施及效果评价 　　【摘要】 目的 针对高龄胆结石患者围手术期的护理方案详细探讨， 并进行效果评价。方法 78例高龄胆结石患者， 随机分为对照组与实验组， 每组39例。所有患者均接受择期手术治疗， 对照组采取常规护理方案， 实验组采取围手术期针对性护理方案。对两组的临床效果进行对比评价。结果 实验组并发症发生率5.13%低于对照组的23.08%， 差异具有统计学意义（Plt;0.05）。实验组护理满意度评分（92.37±2.55）分高于对照组的（75.48±3.24）分， 差异具有统计学意义（Plt;0.05）。实验组术后下床活动时间为（1.8±1.3）d、住院时间为（5.2±0.9）d， 均短于对照组的（3.5±0.8）、（8.7±1.6）d， 差异均具有统计学意义（Plt;0.05）。结论 针对高龄胆结石患者采取围手术期针对性护理临床效果明显， 利于提高临床护理 　　质量。 　　【关键词】 胆结石;围手术期;护理措施;高龄 　　DOI：10.14163/j.cnki.11-5547/r.2018.07.085 　　【Abstract】 Objective To discuss the perioperative nursing measures of senile cholelithiasis patients and evaluate its effect. Methods A total of 78 senile cholelithiasis patients were randomly divided into control group and experimental group， with 39 cases in each group. All patients received selected surgery， and the control group received conventional nursing regimen. The experimental group received targeted nursing regimen during perioperative period. The clinical effect in two groups was compared and evaluated. Results The experimental group had lower incidence of complications as 5.13% than 23.08% in the control group， and the difference was statistically significant （Plt;0.05）. The experimental group had higher nursing satisfaction score as （92.37± 　　2.55） points than （75.48±3.24） points in the control group， and the difference was statistically significant （Plt;0.05）. The experimental group had postoperative off-bed activity time as （1.8±1.3） d and hospitalization time as （5.2±0.9） d， which were all shorter than （3.5±0.8） and （8.7±1.6） d in the control group， and their difference was statistically significant （Plt;0.05）. Conclusion Application of perioperative targeted nursing shows obvious clinical effect for senile cholelithiasis patients， and it is beneficial to improve the quality of clinical nursing. 　　【Key words】 Cholelithiasis; Perioperative period; Nursing measures; Senile 　　高?g胆结石目前常规采用手术治疗予以根治， 但术后的恢复效果以及并发症成为影响手术效果的主要原因[1]。为此， 本文针对高龄胆结石患者围手术期的护理措施进行详细探讨， 并对护理效果进行有效评价，