高龄急性胆囊炎患者腹腔镜胆囊手术的护理方案分析

吴敏

[摘要] 目的 分析高齡急性胆囊炎患者接受腹腔镜胆囊手术治疗期间的护理方案。 方法 简单随机抽取2018年9月—2019年9月在该院接受腹腔镜胆囊手术治疗的高龄急性胆囊炎患者118例，按照等差数列，首项为1，公差为7的方式将118例患者平均分为两组，即实验组和对照组，每组59例。对照组和实验组患者均采取不同的护理方案，对照组患者采取常规护理，实验组患者实施全面优质护理，以3个月为调查周期，总结不同护理模式对高龄急性胆囊炎患者恢复情况的影响。结果 对照组患者治疗总有效率为81.35%，实验组患者治疗总有效率为96.61%，差异有统计学意义（χ2=5.998，P<0.05）。对照组患者并发症发生率为15.25%，实验组患者并发症发生率为3.33%，差异有统计学意义（χ2=4.969，P<0.05）。对照组患者满意度为86.44%，实验组患者满意度为98.31%，差异有统计学意义（χ2=7.335，P<0.05）。结论 全面优质护理在高龄急性胆囊炎患者腹腔镜胆囊手术的护理中效果显著，患者治疗总有效率提高，而且患者并发症发生率降低，患者的满意度也大大提高，有利于缩短患者的恢复周期。

[关键词] 高龄急性胆囊炎患者;腹腔镜胆囊手术;护理方案

[Abstract] Objective To analyze the nursing plan of elderly patients with acute cholecystitis during laparoscopic gallbladder surgery. Methods A total of 118 elderly patients with acute cholecystitis who underwent laparoscopic gallbladder surgery in the hospital from September 2018 to September 2019 were simple random selected. The 118 patients were averagely scored according to the equal series， the first term was 1， and the tolerance was 7. There are two groups， namely the experimental group and the control group， with 59 cases in each group. The patients in the control group and the experimental group all adopted different nursing schemes. The patients in the control group were given routine nursing care. The patients in the experimental group were given comprehensive high-quality care. The three-month investigation period was used to summarize the effects of different nursing modes on the recovery of elderly patients with acute cholecystitis. Results The total effective rate of treatment in the control group was 81.35%， and the total effective rate of treatment in the experimental group was 96.61%. The difference was statistically significant （χ2=5.998， P<0.05）. The complication rate of patients in the control group was 15.25%， and the complication rate of patients in the experimental group was 3.33%. The difference was statistically significant （χ2=4.969， P<0.05）. Patient satisfaction in the control group was 86.44%， and patient satisfaction in the experimental group was 98.31%. The difference was statistically significant（χ2=7.335， P<0.05）.Conclusion Comprehensive and high-quality care is effective in the treatment of elderly patients with acute cholecystitis during laparoscopic gallbladder surgery. The total treatment efficiency of patients is improved， and the incidence of complications is reduced. The satisfaction of patients is also greatly improved， which is beneficial to shorten the recovery period of patients.

综上所述，高龄急性胆囊炎患者腹腔镜胆囊手术的护理中，全面优质护理相比于常规护理方法，护理效果更加显著。经全面优质护理后，患者的治疗总有效率大大提高，患各类并发症的风险也大大降低，显著缩短了患者的恢复周期，提高了患者的恢复信心，提高了患者的满意度。

[参考文献]

[1]  尹丹凤.腹腔镜胆囊手术治疗高龄胆囊炎患者的护理措施[J].中国医药指南，2016，14（6）：238-239.

[2]  李霞.腹腔镜胆囊手术治疗高龄急性胆囊炎的护理体会[J].基层医学论坛，2016，20（36）：5185-5186.

[3]  荆玉玲.急性胆囊炎患者腹腔镜胆囊手术整体护理干预[J].基层医学论坛，2016，29（15）：2166-2167.

[4]  梁岩，张显胜，于守福.老年急性胆囊炎行腹腔镜手术后并发症的护理研究[J].世界最新医学信息文摘，2016，16（57）：22-23.

[5]  李瑞枝，韩晓霞.老年急性胆囊炎腹腔镜胆囊切除术的手术护理配合[J].河南醫学研究，2017，26（5）：955-956.

[6]  魏英，郑晓，殷琪.老年急性胆囊炎行腹腔镜手术后并发症的护理[J].医学信息，2016，29（12）：176-177.

[7]  孙玉娟.探讨腹腔镜胆囊手术护理干预措施及应用效果[J].中国保健营养，2016，26（23）：275.

[8]  白丽.急性胆囊炎腹腔镜胆囊切除术后护理分析[J].中国卫生标准管理，2016，7（17）：197-198.

[9]  曹杰.老年急性胆囊炎腹腔镜胆囊切除术的手术护理配合[J].临床医药文献电子杂志，2016，3（20）：4025.

[10]  张杰. 老年急性胆囊炎行腹腔镜胆囊切除术围术期的护理配合体会[J].中医临床研究，2016，3（3）：78.

[11]  郭孝蓉. 急性胆囊炎患者腹腔镜胆囊手术整体护理干预体会[J].中外医学研究，2016，14（14）：101-102.

[12]  马晓华. 急性胆囊炎患者腹腔镜胆囊手术整体护理干预体会[J].中国农村卫生，2016（3）：57-58.

（收稿日期：2020-02-20）