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术后早期活动计划对行腹腔镜胆总管术后患者康复的影响

作者:林仲妹

所属单位:广东省江门市中心医院肝胆外科 (广东 江门 529000)

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摘要

目的 研究术后早期活动计划对行腹腔镜胆总管术患者康复效果的影响。方法 选取我院收治的80例行腹腔镜胆总 管术患者进行研究。随机分为对照组40例,采取常规护理;实验组40例,实施术后早期活动计划进行护理。比较 两组患者护理效果、满意度及并发症发生率。结果 术后对照组患者住院时间、首次下床时间、术后排气时间、变 异情况发生率及并发症发生率均高于实验组,且患者满意度80.0%,低于实验组的95.0%,差异具有统计学意义(P <0.05)。结论 腹腔镜胆总管术后早期活动计划的实施对患者早期下床活动有促进作用,且住院时间短,并发症 少,可明显提高患者满意度与生活质量。

Objective To study the effect of postoperative early activity plan on recovery in patients with laparoscopic common bile duct exploration (LCBDE). Methods 80 patients with LCBDE in our hospital were selected and randomly divided into two groups. Control group (n=40) was given routine nursing, while experimental group (n=40) was given postoperative early activity plan nursing. The nursing effects, satisfaction and incidence of complications were compared between the two groups. Results After surgery, the hospital stays, first leaving bed time, postoperative exhaust time, variation, incidence of complications in control group were higher than those in experimental group, the satisfaction of control group was 80.0%, which was lower than 95.0% of experimental group (P<0.05). Conclusion The application of postoperative early activity plan in patients with LCBDE can promote off-bed activity, have short hospital stays and less complications, increase patients’ satisfaction and living quality.

【关键词】早期活动计划;腹腔镜胆总管术;临床效果

【中图分类号】R657.4

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2018.01.017

前言

护理活动计划是指根据时间有序制定出的护理工 作流程,是一种高效护理方法,其优势在于可避免护 理人员在行护理工作中出现盲目性,减少工作缺漏 率,增强护理效果[1]。术后早期活动计划是组成快速 康复外科理念的重要部分,可预防患者在术后恢复期 出现并发症及深静脉血栓形成。同时给予患者综合围 术期护理,即术前、术中及术后护理,可减少术后 并发症及应激反应,利于患者术后康复[2]。行腹腔镜 胆总管术的患者术后护理工作较为复杂、繁琐,若将 术后早期活动制成计划,由临床护理人员实施,可促 进患者身体恢复[3]。本研究对行腹腔镜胆总管术患者 术后采用早期活动计划干预,分析其对临床效果的影 响,报道如下。