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辽阳市中心医院普外科
纸质出版日期:2022,
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柴实, 孙鸿飞. 多学科协作护理模式在肝内胆管结石患者围术期护理中的应用效果[J]. 保健医学研究与实践, 2022,19(2):112-115.
Chai Shi, Sun Hongfei. Effects of multidisc iplinary collaborative care model in the perioperative care of patients with intrahepatic bile duct stones[J]. Health Medicine Research and Practice, 2022,19(2):112-115.
目的探讨多学科协作护理模式在肝内胆管结石患者围术期护理中的应用效果。方法选取2018年5月—2020年8月辽阳市某医院收治的肝内胆管结石患者87例为研究对象
采用随机数字表法将其分为观察组(46例)与对照组(41例)。对照组患者采用常规护理
观察组患者在对照组护理基础上给予多学科协助护理模式。比较2组患者的并发症发生情况
护理前后的负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分]、疼痛程度[语言评价量表(VRS)、数字评价量表(NRS)评分]
。结果护理前
2组患者HAMA及HAMD评分比较
差异无统计学意义(P
>
0.05);护理后
2组患者HAMA及HAMD评分均低于护理前
且观察组低于对照组
差异均有统计学意义(P
<
0.05)。护理前
2组患者VRS及NPS评分比较
差异无统计学意义(P
>
0.05);护理后
2组患者VRS及NPS评分均低于护理前
且观察组低于对照组
差异均有统计学意义(P
<
0.05)。观察组患者并发症发生率为4.35%
低于对照组的24.40%
差异有统计学意义(χ
2
=5.735
P=0.017)。结论多学科协作护理模式可有效改善围手术期肝内胆管结石患者的负面情绪
减轻术后疼痛
减少术后并发症
值得临床上推广应用。
Objective To explore the effect of multidisciplinary collaborative care model in the perioperative care of patients with intrahepatic bile duct stones. Methods Eighty-seven patients with intrahepatic bile duct stones admitted to a hospital in Liaoyang City from May 2018 to August 2020 were selected as study subjects
and they were divided into an observation group(46 cases) and a control group(41 cases) using the random number table method. Patients in the control group were given conventional care while patients in the observation group were given multidisciplinary collaborative care model based on the care in the control group
and both groups received care for 7 d. Complications
negative emotions [Hamilton Anxiety Rating Scale(HAMA) and Hamilton Depression Rating Scale(HAMD) scores]
pain level [Verbal Rating Scale(VRS) and Numeric Rating Scale(NRS) scores] were compared between the two groups before and after intervention. Results Before the nursing care
there was no statistically significant difference between the HAMA and HAMD scores of patients in the 2 groups(P>0.05). After nursing care
the HAMA and HAMD scores of patients in the 2 groups were lower than before nursing care
and the observation group was lower than the control group
and the differences were statistically significant(P <0.05). Before nursing care
there was no statistically significant difference between the VRS and NPS scores of patients in the two groups(P>0.05). After nursing care
the VRS and NPS scores of patients in the two groups were lower than before nursing care
and the observation group was lower than the control group
and the differences were statistically significant(P<0.05). The complication rate of patients in the observation group was 4.35%
which was lower than that of 24.40% in the control group
and the difference was statistically significant(χ~2=5.735
P=0.017). Conclusion The multidisciplinary collaborative care model can effectively improve the negative emotions of patients with intrahepatic bile duct stones in the perioperative period
reduce postoperative pain and postoperative complications
and is worthy of clinical application.
多学科协作护理模式围术期护理肝内胆管结石应用效果
Multidisciplinary collaborative care modelPerioperative CareIntrahepatic bile duct stonesApplication effect
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