基于加速康复外科理念的护理干预应用于腹腔镜肝切除患者的效果分析.docxVIP

基于加速康复外科理念的护理干预应用于腹腔镜肝切除患者的效果分析 　　【摘要】目的：研究基于加速康復外科理念的护理干预运用于腹腔镜肝切除患者的效果。方法：选取2017年2月-2019年7月于南华大学附属第一医院肝胆外科行腹腔镜下肝切除术的肝脏肿瘤患者82例，按简单随机化法将其分为常规组和观察组，每组41例。常规组行常规护理，观察组在此基础上行基于加速康复外科理念的护理。比较两组围手术期相关指标、应激相关指标及护理满意度。结果：观察组围手术期相关指标均优于常规组，差异有统计学意义（p0.05）。观察组术后白细胞介素-6（il-6）、c反应蛋白（crp）水平均低于常规组，差异有统计学意义（p0.05），但两组白细胞（wbc）水平比较差异无统计学意义（p0.05）。观察组满意度优于常规组，差异有统计学意义（p0.05）。结论：基于加速康复外科理念的护理干预运用于腹腔镜肝切除患者后能有效促进患者恢复，改善患者术后应激反应，患者满意度高。 　　【关键词】加速康复外科理念腹腔镜肝切除应激反应满意度 　　doi：10.14033/j.cnki.cfmr.2020.03.045文献标识码b文章编号1674-6805（2020）03-0-03 　　[abstract]objective：tostudytheeffectofnursinginterventionbasedontheconceptofenhancedrecoveryaftersurgeryinpatientsundergoinglaparoscopicliverresection.method：atotalof82patientswithlivertumorwhounderwentlaparoscopicliverresectioninthedepartmentofhepatobiliarysurgeryinthefirstaffiliatedhospitalofuniversityofsouthchinafromfebruary2017tojuly2019wereselected.accordingtothesimplerandomizationmethod，theyweredividedintotheroutinegroupandtheobservationgroup，with41casesineachgroup.theroutinegroupreceivedroutinenursing，andtheobservationgroupreceivednursinginterventionbasedontheconceptofenhancedrecoveryaftersurgeryonthisbasis.theperioperativeindicators，stress-relatedindicatorsandsatisfactionwerecomparedbetweenthetwogroups.result：theperioperativeindicatorsintheobservationgroupwerebetterthanthoseintheroutinegroup，thedifferencewerestatisticallysignificant（p0.05）.thelevelsofinterleukin-6（il-6）andc-reactiveprotein（crp）aftersurgeryintheobservationgroupwerelowerthanthoseintheroutinegroup，thedifferencewerestatisticallysignificant（p0.05），buttherewasnosignificantdifferenceinwhitebloodcell（wbc）levelsbetweenthetwogroups（p0.05）.thesatisfactionoftheobservationgroupwasbetterthanthatoftheroutinegroup，andthedifferencewasstatisticallysignificant（p0.05）.conclusion：thenursinginterventionbasedontheconceptofenhancedrecoveryaftersurgerycaneffectivelypromotetherecoveryofpatientsafterlaparoscopicliverresection，improvethepostoperativestressresponseofpatients，andpatientsatisfa