特殊干预措施对急性胆囊炎手术感染的效果.docxVIP

?

?

特殊干预措施对急性胆囊炎手术感染的效果

?

?

【摘要】：目的观察分析特殊护理干预措施对急性胆囊炎患者行腹腔镜胆囊切除术后切口感染及护理满意度的影响。方法选取我院2016年9月至2018年12月收治的行腹腔镜胆囊切除术治疗的急性胆囊炎患者108例为研究对象，随机分为对照组（54例）和研究组（54例）。对照组患者采用常规护理干预，研究组在常规护理基础上予以特殊护理干预，比较两组患者术后并发症发生情况及患者家属护理满意度。结果研究组患者术后切口感染、腹腔感染、肠漏等并发症发生率为7.41%，明显低于对照组的22.22%，差异有统计学意义（P0.05）。研究组患者的护理满意度为98.15%，明显高于对照组的81.48%，差异有统计学意义（P0.05）。结论特殊护理干预措施可以显著降低行腹腔镜胆囊切除术治疗的急性胆囊炎患者的术后并发症发生率，提高患者的护理满意度，具有较高的临床应用价值。

【关键词】：特殊护理干预；急性胆囊炎；腹腔镜；感染；护理满意度

Effectsofspecialinterventionsonsurgicalinfectioninacutecholecystitis

[abstract]objectivetoobserveandanalyzetheeffectofspecialnursinginterventiononincisioninfectionandnursingsatisfactionafterlaparoscopiccholecystectomyinpatientswithacutecholecystitis.Methods108casesofacutecholecystitispatientstreatedwithlaparoscopiccholecystectomyinourhospitalfromSeptember2016toDecember2018wereselectedasresearchobjectsandrandomlypidedintocontrolgroup(54cases)andresearchgroup(54cases).Patientsinthecontrolgroupweregivenroutinenursingintervention,andtheresearchgroupweregivenspecialnursinginterventiononthebasisofroutinenursing.Thepostoperativecomplicationsandnursingsatisfactionofpatientsfamilieswerecomparedbetweenthetwogroups.Resultsthecomplicationrateofincisioninfection,abdominalinfectionandintestinalleakageinthestudygroupwas7.41%,whichwassignificantlylowerthanthatofthecontrolgroup(22.22%,P0.05).Thenursingsatisfactionofthestudygroupwas98.15%,significantlyhigherthanthatofthecontrolgroup(81.48%),andthedifferencewasstatisticallysignificant(P0.05).Conclusionspecialnursinginterventionmeasurescansignificantlyreducetheincidenceofpostoperativecomplicationsinpatientswithacutecholecystitistreatedwithlaparoscopiccholecystectomy,improvethenursingsatisfactionofpatients,hasahighclinicalvalue.

【keywords】:specialnursingintervention;Acutecholecystitis;Laparoscope;Infection;Nursingsatisfaction

随着腹腔镜技术不断发展及完善，腹腔镜胆囊切除术已成为临床治疗急性胆囊炎的首选方案，该术式优点为创伤小、并发症少、术后恢复快，备受患者及其家属青睐[1]。该术式术中需建立气腹，易诱发应激反应，可对机体多系统造成不良影响，故于围手术期给予合理护理干预非常关键。本文观察分析了特殊护理干预措施对急性胆囊炎患者行腹腔镜胆囊切除术后切口感染及护理满意度的影响，现报告如下。

1资料与