【摘要】 目的 探讨围手术期综合性护理干预在胆总管结石患者中的实施效果。方法 选取2020年6月至2022年6月丰城市人民医院收治的78例胆总管结石患者作为研究对象，采用随机数字表法将其分为对照组（39例）和观察组（39例）。对照组采取常规护理，观察组采取围手术期综合性护理，持续护理7 d。比较分析两组患者的心理应激、并发症、术后康复情况以及护理满意度。结果 两组护理前焦虑自评量表（SAS）和抑郁自评量表（SDS）评分的比较，差异无统计学意义（P>0.05）。观察组护理后SAS、SDS评分低于对照组，差异有统计学意义（P<0.05）。观察组并发症总发生率（5.13%）低于对照组（23.08%），差异有统计学意义（P<0.05）。观察组术后下床活动、胃肠功能恢复和住院时间均短于对照组，差异有统计学意义（P<0.05）。观察组护理满意度（94.87%）高于对照组（79.49%），差异有统计学意义（P<0.05）。结论 围手术期综合性护理能够减轻胆总管结石患者心理应激，降低并发症率，促进患者术后康复，患者满意度更高。更多还原

【Abstract】 Objective To explore the effect of perioperative comprehensive nursing intervention in patients with choledocholithiasis. Methods A total of 78 patients with choledocholithiasis admitted to Fengcheng People’s Hospital from June 2020 to June 2022 were selected as the study subjects, and they were divided into the control group(39 cases) and the observation group(39 cases) acoording to random number table method. The control group received routine nursing, while the observation group received comprehensive perioperative nursing for 7 days. The psychological stress, complications,postoperative rehabilitation and nursing satisfaction of the two groups were compared and analyzed. Results There were no significant differences in the scores of self-rating anxiety scale(SAS) and self-rating depression scale(SDS) between the two groups(P>0.05). The SAS and SDS scores in the observation group after nursing were lower than those in the control group,with statistically significant differences(P<0.05). The total complication rate of the observation group(5.13%) was lower than that of the control group(23.08%), the difference was statistically significant(P<0.05). The time of getting out of bed,gastrointestinal function recovery and hospitalization in the observation group were shorter than those in the control group,with statistically significant differences(P<0.05). Nursing satisfaction in the observation group(94.87%) was higher than that in the control group(79.49%), with a statistically significant difference(P <0.05). Conclusion Perioperative comprehensive nursing can reduce the psychological stress of patients with choledocholithiasis, reduce the rate of complications, promote postoperative rehabilitation, and improve patient satisfaction.更多还原