细节优质护理与预见性护理整合模式对阑尾炎患者围手术期心理状态及生活质量的影响
|
刘霞
|
盐山县人民医院，河北沧州，061300
|
摘要：目的 研究分析阑尾炎患者采用细节优质护理与预见性护理整合模式的临床效果。方法 本研究纳入的170 例阑尾炎患者均于2023 年1 月-2024 年1 月期间就诊于我院，在分组时以数字奇偶数为基本依据，对照组和观察组各85 例，其中对照组实施细节优质护理，而观察组在此基础上，再联合运用预见性护理整合模式，对两组的各项指标进行比较分析。结果 干预前，两组的SAS和SDS评分对比无区别（P>0.05）；观察组干预后的SDS 和SAS 评分均比对照组低（P<0.05）；比较对照组，观察组具有较少的术中出血量、住院、术后下床活动、肛门排气以及手术时间（P<0.05）；观察组的护理满意度高于对照组（P<0.05）；两组干预前的IBDQ 评分对比无区别（P>0.05）；观察组的IBDQ 评分在干预后比对照组高（P<0.05）；与对照组相比，观察组具有较低的并发症发生率，差异有统计意义（P<0.05）；同时，两组术后不同时间段的VAS评分比较有统计意义（P<0.05）。结论 在阑尾炎患者的围手术期，通过采取细节优质护理与预见性护理整合模式，不仅可以减轻患者的不良情绪，还能预防并发症，改善患者生活质量，从而提高护理满意度。
关健词：阑尾炎；预见性护理；细节优质护理；心理状态；生活质量
|
The influence of the integrated model of detailed high-quality care and predictive care on the perioperative psychological state and quality of life of patients with appendicitis
|
Xia Liu
Yanshan County People's Hospital, Cangzhou, Hebei 061300, China
|
Abstract：Objective To study and analyze the clinical effect of the integrated model of detailed high-quality nursing and pre-dictive nursing for patients with appendicitis.Methods All 170 patients with appendicitis included in this study visited our hos-pital from January 2023 to January 2024. The grouping was based on odd and even numbers, with 85 cases in the control group and 85 cases in the observation group. The control group received detailed and high-quality care, while the observation group, on this basis, further combined the application of the predictive nursing integration model. Conduct a comparative analysis of the various indicators of the two groups.Results Before the intervention, there was no difference in the SAS and SDS scores between the two groups (P>0.05); The SDS and SAS scores of the observation group after intervention were both lower than those of the control group (P<0.05). Compared with the control group, the observation group had less intraoperative blood loss, hospital stay, postoperative ambulation, anal exhaust and operation time (P<0.05). The nursing satisfaction of the observation group was higher than that of the control group (P<0.05). There was no difference in the IBDQ scores between the two groups before the intervention (P>0.05). The IBDQ score of the observation group was higher than that of the control group after theintervention (P<0.05). Compared with the control group, the observation group had a lower incidence of complications, and thedifference was statistically significant (P<0.05). Meanwhile, the VAS scores of the two groups at different time periods afterthe operation were statistically significant (P<0.05).Conclusion During the perioperative period of patients with appendicitis,by adopting an integrated model of detailed high-quality nursing and predictive nursing, not only can the negative emotions ofpatients be alleviated, but also complications can be prevented, the quality of life of patients can be improved, and thereby thesatisfaction of nursing can be enhanced.
Keywords : appendicitis; predictive nursing; detailed high-quality nursing; psychological status; quality of life
参考文献
[1] ARRUZZA E, MILANESE S, LI L S K, et al.Diagnostic accuracy of computed tomography and ultrasound for the diagnosis of acute appendicitis: a systematic review and meta-analysis[J].Radiography (Lond)，2022，28 （4）：1127-1141.
[2] ELVIRA LóPEZ J，SALES MALLAFRé R，PA?DILLA ZEGARRA E，et al.Outpatient management of acute uncomplicated appendicitis after laparoscopic appendectomy: a randomized controlled trial[J].World J Emerg Surg，2022，17（1）：59.
[3] 王艳静. 优质护理在阑尾炎患者围手术期的应用价值观察[J]. 医药卫生,2024(8):0131-0134.
[4] SHEN Z，SUN P，JIANG M，et al.Endoscopic retro?grade appendicitis therapy versus laparoscopic appen?dectomy versus open appendectomy for acute appendi?citis: a pilot study[J].BMC Gastroenterol，2022，22 （1）：63.
[5] 徐生艳. 优质护理服务对急性阑尾炎手术患者术后康复及生活质量的影响[J]. 医药卫生,2024(8):0167- 0170.
[6] 邱荣荣. 优质护理对阑尾炎患者围手术期的应用效果观察[J]. 医药卫生,2024(9):0154-0157.
[7] 赵敏, 周顺理. 全程优质护理对阑尾炎手术患者治疗效果与护理满意度的影响[J]. 医药卫生,2024(1): 179-182.
[8] 瞿朦, 李娟. 预见性护理模式在急性阑尾炎腹腔镜阑尾切除术患者中的应用[ J ] . 临床研究,2024,32(11):157-160.
[9] 高红英. 预见性护理对成人急性阑尾炎切除术后并发症及生活质量的影响[J]. 医药卫生,2024(12):166-169.
[10] 白灵, 王淑娟. 细节护理管理模式在急性阑尾炎腹腔镜阑尾切除术围手术期中的应用效果[J]. 医药卫生,2022(7):110-112.
[11] 何婷婷.ABC 情绪护理联合细节干预在阑尾炎术后患者中的应用效果[J]. 医药前沿,2024,14(35):95- 97+101.
[12] 焦晓丽. 急性阑尾炎手术患者围术期开展细节护理服务模式的干预效果[J]. 医药卫生,2024(5):0096-0099.
[13] 王丽雅. 细节护理在进行内镜下急性阑尾炎手术患者中的应用效果分析[J]. 医药,2024(5):0134-0137.
[14] 陈晓薇, 李中丽. 急性阑尾炎手术患者采用围手术期细节护理干预的效果分析[J]. 医药前沿,2022,12(1): 7-9.
[15] 张慧丽, 陈晨. 预见性护理对急性阑尾炎术后患者的效果观察及价值体会[ J ] . 黑龙江中医药,2022,51(2):286-288.
|
|
|
论文收录证明 / 文献检索报告
Document Retrieval Certificate / Proof of Publication Indexing
作者贡献声明 / 贡献确认书
Author Contribution Statement / Certificate of Authorship Contribution
同行评审报告 / 评审意见
Peer Review Report / Peer Review Comments
利益冲突
Conflict of Interest
作者声明不存在任何利益冲突。
The author declares no conflict of interest.
|
|
