循证护理联合多维度健康教育对胆囊结石择期手术患者负性情绪及术后康复的影响

Effects of evidence⁃based nursing combined with multi⁃dimensional health education on negative emotions and postoperative rehabilitation of patients undergoing elective surgery for choleystolithiasis

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摘要目的探讨循证护理联合多维度健康教育对胆囊结石择期手术患者负性情绪及术后康复的影响。方法选择2023年9月至2024年8月宜兴市中医医院收治的胆囊结石择期手术患者100例,通过PEMS3.1 for Window“s完全随机(2组及多组)设计程序”产生随机数字并分为对照组和观察组,各组50例。2组患者均接受常规治疗,对照组予以常规护理,观察组在对照组基础上加用循证护理联合多维度健康教育,2组干预时长均为7 d。比较2组的疼痛视觉模拟评分法(VAS)评分、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]、术后并发症发生情况、术后康复状态。结果2组术后24、72 h的疼痛VAS评分较术后6 h下降,且观察组术后疼痛评分优于对照组(P<0.05)。2组干预后的SAS、SDS评分较干预前下降,且观察组干预后的负性情绪评分低于对照组(P<0.05)。观察组患者胃肠道不适、胆瘘、伤口感染/出血总发生率为4.00%,对照组为18.00%,观察组低于对照组(P<0.05)。观察组下床活动、肛门排气、恢复正常饮食及住院时间短于对照组(P<0.05)。结论在胆囊结石择期手术围手术期中采取循证护理联合多维度健康教育,能降低术后疼痛感,提高治疗积极心态,减少并发症发生率,促进病情恢复,干预效果显著。 Objective To explore the effects of evidence⁃based nursing combined with multi⁃dimensional health education on negative emotions and postoperative rehabilitation of patients undergoing elective surgery for cholecystolithiasis.Methods A total of 100 patients with cholecystolithiasis who underwent elective surgery in Yixing Traditional Chinese Hospital Medicine from September 2023 to August 2024 were selected.The patients were assigned to control group and observation group by PEMS3.1 for Windows completely random(two groups and multiple groups)program,with 50 cases in each group.The control group received routine nursing,and the observation group received evidence⁃based nursing combined with multidimensional health education on the basis of routine nursing.The intervention duration of the two groups was 7 days.Visual analogue scale(VAS)scores,negative emotions(self⁃rating anxiety scale[SAS]and self⁃rating depression scale[SDS]),postoperative complications,and postoperative rehabilitation were compared between the two groups.Results The VAS scores at 24 h and 72 h after surgery were lower than those at 6 h after surgery in both groups,especially in the observation group(P<0.05).The scores of SAS and SDS in both groups after intervention were significantly decreased compared with those before intervention,and the scores of negative emotions in the observation group after intervention were significantly lower than those in the control group(P<0.05).The total incidence of gastrointestinal discomfort,biliary fistula and wound infection/bleeding in the observation group was significantly lower than that in the control group(4.00%vs.18.00%,P<0.05).The time of getting out of bed,the time of anal exhaust,the time of resuming normal diet and the time of hospitalization in the observation group were significantly lower than those in the control group(P<0.05).Conclusion The combination of evidence⁃based nursing and multi⁃dimensional health education during perioperative period of cholecystolithiasis surgery can reduce postoperative pain,improve the positive attitude of treatment,reduce complications,and promote the recovery of the disease.

作者俞婷吴真高文静何叶周志刚 Yu Ting;Wu Zhen;Gao Wenjing;He Ye;Zhou Zhigang(Department of General Surgery,Yixing Traditional Chinese Medicine Hospital,Yixing 214200,China)

机构地区江苏省宜兴市中医医院普外科

出处《海军医学杂志》 2025年第10期1052-1057,共6页 Journal of Navy Medicine

基金 2023年度宜兴市科技创新专项资金“陶都之光”科技攻关计划(社会发展类)指导性计划项目(宜科字〔20242号〕)。

关键词胆囊结石手术循证护理多维度健康教育负性情绪康复效果 Choleystolithiasis Surgery Evidence⁃based nursing Multi⁃dimensional health education Negative emotions Rehabilitation effect

分类号 R657.4 [医药卫生—外科学]