摘要
目的:探讨临床护理路径(CNP)模式对腹腔镜胆囊结石切除术患者术后恢复及心理状态的影响。方法:选取2021年10月—2023年10月汶上县人民医院收治的100例行腹腔镜胆囊结石切除术患者为研究对象,按随机数字表法将其分为对照组及观察组,每组50例。对照组采用常规护理,观察组采用CNP模式护理。比较两组术后恢复情况、心理状态、疼痛程度、生活质量及并发症发生情况。结果:观察组的住院、肠鸣音恢复、术后首次排气、术后首次下床运动时间均短于对照组,差异均有统计学意义(P<0.05)。干预7d后,观察组的汉密尔顿焦虑量表评分、汉密尔顿抑郁量表评分、疼痛视觉模拟评分法评分均低于对照组,差异均有统计学意义(P<0.05)。干预7 d后,观察组的健康调查简表中躯体疼痛、社会功能、生理机能、精神健康、生理职能、活力、总体健康、情感职能评分均高于对照组,差异均有统计学意义(P<0.05)。观察组的并发症发生率为6.00%,低于对照组的20.00%,差异有统计学意义(P<0.05)。结论:采用CNP干预腹腔镜胆囊结石切除术患者的效果明显,可减轻其疼痛及心理负担,加快术后恢复,改善其生活质量并减少并发症发生。
Objective:To investigate the effect of clinical nursing pathway(CNP)mode on postoperative recovery and psychological state of patients undergoing laparoscopic cholecystectomy.Methods:A total of 100 patients undergoing laparoscopic cholecystectomy admithed to Wenshang County People's Hospital from October 2021 to October 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 50 cases in each group.The control group was treated with routine nursing,while the observation group was treated with CNP mode.The postoperative recovery,psychological state,pain degree,quality of life and the occurrence of complications were compared between the two groups.Results:The time of hospitalization,bowel sound recovery,the first postoperative exhaust and the first postoperative getting out of bed in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).Seven days after the intervention,the scores of Hamilton Anxiety Scale,Hamilton Depression Scale and Pain Visual Analogue Scale in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Seven days after the intervention,the scores of physical pain,social function,physiological function,mental health,physiological function,energy,over all health and emotional function in the MOS Item Short from health survey of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 6.00%,which was lower than 20.00%in the control group,the difference was statistically significant(P<0.05).Conclusion:CNP mode can relieve pain and psychological burden,accelerate postoperative recovery,improve quality of life and reduce complications in patients undergoing laparoscopic cholecystectomy.
作者
郭玉贞
GUO Yuzhen(Department of General Surgery No.1 Zone,Wenshang County People's Hospital,Jining 272000,China)
出处
《中国伤残医学》
2025年第1期115-119,共5页
Chinese Journal of Trauma and Disability Medicine
