向柳 葉麗芹

[摘要]目的 研究舒適護(hù)理干預(yù)在闌尾炎手術(shù)患者護(hù)理中的應(yīng)用效果。方法 選取2018年1～12月我院收治的129例闌尾炎手術(shù)患者作為研究對(duì)象，按照隨機(jī)數(shù)字表法分為為對(duì)照組（n=65）和實(shí)驗(yàn)組（n=64）。對(duì)照組患者實(shí)施常規(guī)護(hù)理，實(shí)驗(yàn)組患者進(jìn)行常規(guī)護(hù)理聯(lián)合舒適護(hù)理，比較兩組患者的并發(fā)癥發(fā)生情況、手術(shù)相關(guān)指標(biāo)及護(hù)理總滿意度。結(jié)果 實(shí)驗(yàn)組患者的并發(fā)癥總發(fā)生率低于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）;實(shí)驗(yàn)組患者的護(hù)理總滿意度高于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）;實(shí)驗(yàn)組的手術(shù)時(shí)間、住院時(shí)間短于對(duì)照組，術(shù)中出血量少于對(duì)照組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 針對(duì)闌尾炎手術(shù)患者實(shí)施舒適護(hù)理干預(yù)能夠?qū)颊叩暮罄m(xù)并發(fā)癥發(fā)生情況進(jìn)行一定程度的控制，同時(shí)能夠明顯提高患者的護(hù)理滿意度，值得在臨床上推廣應(yīng)用。

[關(guān)鍵詞]闌尾炎手術(shù);舒適護(hù)理;護(hù)理效果

[中圖分類號(hào)] R656.8? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] A? ? ? ? ? [文章編號(hào)] 1674-4721（2019）6（b）-0223-03

[Abstract] Objective To study the application effect of comfortable nursing intervention in the nursing of patients with appendicitis surgery. Methods A total of 129 patients with appendicitis who were admitted to our hospital from January to December 2018 were selected as the subjects， and randomly divided into the control group （n=65） and the experimental group （n=64）. Patients in the control group underwent conventional nursing. The patients in the experimental group underwent conventional nursing combined with comfort nursing. The complications， surgical data and nursing satisfaction of the two groups were compared. Results The total incidence of complications in the experimental group was lower than that of the control group， and the difference was statistically significant （P<0.05）. The total satisfaction of nursing was higher than that of the control group， and the difference was statistically significant （P<0.05）. The operation time and hospitalization time of the experimental group were shorter than those of the control group， and the intraoperative blood loss was less than that of the control group， and the differences were statistically significant （P<0.05）. Conclusion The implementation of comfortable nursing intervention for patients with appendicitis surgery can control the patients′ subsequent complications to a certain extent， and can significantly improve the patients′ satisfaction with the nursing. It is worthy of promotion and application in subsequent clinical practice.

[Key words] Appendicitis surgery; Comfort nursing; Nursing effect

闌尾炎在臨床數(shù)據(jù)統(tǒng)計(jì)中具有較高的臨床發(fā)病率，是一種外科急腹癥[1-2]。通常情況下，絕大多數(shù)患者均為急性闌尾炎，若無(wú)法進(jìn)行及時(shí)有效的臨床治療，可能導(dǎo)致患者出現(xiàn)闌尾穿孔，給后續(xù)的治療造成嚴(yán)重影響。由于闌尾炎發(fā)病速度快，通常情況下均為急性，且在患病過(guò)程中患者的病情變化較為復(fù)雜，因此需要對(duì)闌尾炎患者的各個(gè)方面都要做好護(hù)理工作，并且減輕患者的心理壓力[3]。本研究選取我院進(jìn)行闌尾炎手術(shù)治療的129例患者作為研究對(duì)象，旨在探討舒適護(hù)理干預(yù)在闌尾炎手術(shù)患者護(hù)理中的應(yīng)用效果，現(xiàn)報(bào)道如下。

1資料與方法

1.1一般資料

選取2018年1～12月我院收治的129例闌尾炎手術(shù)患者作為研究對(duì)象，按照隨機(jī)數(shù)字表法分為對(duì)照組（n=65）和實(shí)驗(yàn)組（n=64）。所有患者均符合相關(guān)闌尾炎診斷標(biāo)準(zhǔn)，且本研究已經(jīng)我院醫(yī)學(xué)倫理委員會(huì)批準(zhǔn)。對(duì)照組中，男性34例，女31例;年齡20～49歲，平均（38.2±2.7）歲;其中慢性闌尾炎患者9例，急性闌尾炎患者56例。實(shí)驗(yàn)組中，男30例，女34例;年齡19～48歲，平均（37.6±3.4）歲;其中慢性闌尾炎患者11例，急性闌尾炎患者53例。兩組患者的一般資料比較，差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05），具有可比性。