康复护理干预对阑尾炎患者治疗及康复效果的影响
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摘要
目的探讨康复护理对阑尾炎患者治疗及康复效果产生的影响。方法选择78例2017年2月至2018年2月入院接受治疗的阑尾炎患者,分为2组,常规组患者常规护理,研究组再加施康复护理干预,观察2组患者治疗及康复效果。结果研究组患者术后首次肛门排气、下床活动以及住院时间均短于常规组,平均住院费用少于常规组(P<0.05);研究组干预后抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均显著低于常规组(P<0.05),治疗总有效率为95%,显著高于常规组的77%,并发症总发生率为8%,显著低于常规组的31%(P<0.05)。结论阑尾炎手术治疗患者围术期加强康复护理干预,可有效提高总体治疗效果,减少并发症,缩短患者术后康复时间,减少其住院费用。
Objective To evaluate the effect of rehabilitation nursing on the treatment and rehabilitation of patients with appendicitis. Methods Seventy-eight patients with appendicitis admitted to hospital in February 2017-February 2018 were divided into 2 groups, 39 cases in each group. The patients in the routine group were given rou-tine nursing, while the study group was given rehabilitation nursing intervention. The treatment and rehabilitation ef-fects of the 2 groups were observed. Results Postoperative anal exhaust, ambulation and hospitalization time in the study group were significantly shorter than those in the conventional group,average cost of hospitalization was signifi-cantly less than that of the routine group(P<0.05); The scores of SDS and SAS in the study group were significantly lower than those in the conventional group(P<0.05), the total effective rate was 95%, which was significantly higher than 77% in the conventional group,the total incidence of complications was 8%, significantly lower than 31% of the conventional group(P<0.05). Conclusion Perioperative rehabilitation nursing intervention for patients with appendicitis surgery can effectively improve the overall treatment effect, reduce complications, shorten postoperative recovery time and reduce hospitalization expenses.
Objective To evaluate the effect of rehabilitation nursing on the treatment and rehabilitation of patients with appendicitis. Methods Seventy-eight patients with appendicitis admitted to hospital in February 2017-February 2018 were divided into 2 groups, 39 cases in each group. The patients in the routine group were given rou-tine nursing, while the study group was given rehabilitation nursing intervention. The treatment and rehabilitation ef-fects of the 2 groups were observed. Results Postoperative anal exhaust, ambulation and hospitalization time in the study group were significantly shorter than those in the conventional group,average cost of hospitalization was signifi-cantly less than that of the routine group(P<0.05); The scores of SDS and SAS in the study group were significantly lower than those in the conventional group(P<0.05), the total effective rate was 95%, which was significantly higher than 77% in the conventional group,the total incidence of complications was 8%, significantly lower than 31% of the conventional group(P<0.05). Conclusion Perioperative rehabilitation nursing intervention for patients with appendicitis surgery can effectively improve the overall treatment effect, reduce complications, shorten postoperative recovery time and reduce hospitalization expenses.
引文
[1]厉英超,米琛,李伟之,等.内镜下逆行阑尾炎治疗术治疗急性非复杂性阑尾炎的疗效观察及安全性评估[J].中国内镜杂志,2016,22(3):11-17.
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[8]段春胜,周丽霞,王军辉,等.腹腔镜治疗对急性化脓性阑尾炎患儿血清slCAM-1与IL-8和TNF-α水平及免疫功能的影响[J].中华医院感染学杂志,2017,27(14):3323-3326.
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[10]祝孟川,曾永娟,刘登瑞,等.阑尾切除术与抗生素比较治疗急性单纯性阑尾炎疗效和安全性的Meta分析[J].中国循证医学杂志,2017,17(2):188-194.
[11]王天野,赵海鹰,孙文郁,等.手术时机对急性阑尾炎预后影响研究[J].中国实用外科杂志,2017,37(2):179-181.
[12]姜笑明,黄文海,俞建平.腹腔镜阑尾切除术与开腹阑尾切除术的对比研究[J].复旦学报(医学版),2018,45(2):221-226.
[13]杨钰,姜春玉,郑广.老年急性阑尾炎患者术后血清炎性因子、应激反应和胃肠功能的变化[J].中国老年学杂志,2018,38(11):2650-2652.
[2]虞晓玲.成人急性复杂性阑尾炎的流行病学分析及护理启示[J].解放军护理杂志,2016,33(10):58-59.
[3]王小伟,姚根新,钱俊,等.超声检查在急性阑尾炎诊断中的应用价值研究[J].中华医院感染学杂志,2017,27(2):385-388.
[4] Rangel SJ. Time to appendectomy and risk of complicated appendicitis and adverse outcomes in children-reply[J]. JAMA Pediatr,2018,2(13):845-846.
[5]项海,项秉该,林振亮,等.三孔与单孔腹腔镜切除术式治疗急性阑尾炎合并胆囊结石的疗效对比[J].中国内镜杂志,2017,23(1):65-69.
[6]华科俊,胡贤杰,张星,等.炎性指标在阑尾炎穿孔诊断中的价值研究[J].中国全科医学,2017,20(17):2139-2142.
[7]王栋华,李凡,陈红燕,等.超声在阑尾炎诊断中的应用[J/CD].中华医学超声杂志(电子版),2017,14(3):177-180.
[8]段春胜,周丽霞,王军辉,等.腹腔镜治疗对急性化脓性阑尾炎患儿血清slCAM-1与IL-8和TNF-α水平及免疫功能的影响[J].中华医院感染学杂志,2017,27(14):3323-3326.
[9]马静,王彬.老年急性阑尾炎开腹手术患者的个性化整体护理[J].解放军护理杂志,2016,33(11):42-43.
[10]祝孟川,曾永娟,刘登瑞,等.阑尾切除术与抗生素比较治疗急性单纯性阑尾炎疗效和安全性的Meta分析[J].中国循证医学杂志,2017,17(2):188-194.
[11]王天野,赵海鹰,孙文郁,等.手术时机对急性阑尾炎预后影响研究[J].中国实用外科杂志,2017,37(2):179-181.
[12]姜笑明,黄文海,俞建平.腹腔镜阑尾切除术与开腹阑尾切除术的对比研究[J].复旦学报(医学版),2018,45(2):221-226.
[13]杨钰,姜春玉,郑广.老年急性阑尾炎患者术后血清炎性因子、应激反应和胃肠功能的变化[J].中国老年学杂志,2018,38(11):2650-2652.