基于时机理论的延续性护理在腹腔镜胆囊切除术后患者中的应用研究OA
Applied research of continuous nursing based on timing theory in patients after laparoscopic cholecystectomy
目的 探讨基于时机理论的延续性护理在腹腔镜胆囊切除术后患者中的应用效果.方法 选取 2024 年 4 月至 2025 年 3 月期间南京医科大学附属苏州医院收治的在全身麻醉下行腹腔镜胆囊切除术患者 188 例作为研究对象,采用随机数字表法分为观察组及对照组各 94 例.对照组接受常规护理,观察组在对照组的基础上接受基于时机理论的延续性护理,2 组均护理 10 d,出院后延续护理 10 d.比较 2 组患者的术后康复情况,比较 2 组患者护理前、出院前及出院 10 d 后健康行为能力自评量表(SRAHP)评分、简易生活质量量表(SF-36)评分、心理状态,比较2 组患者的护理满意度.结果 观察组首次下床活动时间、术后肠道排气功能恢复时间、术后住院时间均短于对照组(P 均<0.05);出院前、出院 10 d 后观察组的营养、心理安适、运动、健康责任评分均高于对照组(P 均<0.05);观察组的社会职能、躯体功能、生理职能、情绪功能评分均高于对照组(P 均<0.05);观察组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于对照组(P 均<0.05);观察组干预满意度高于对照组(P<0.05).结论 基于时机理论的延续性护理在腹腔镜胆囊切除术患者中效果明显,可促进患者术后康复,提高其生活质量,改善其心理状态.
Objective To explore the application effect of continuous nursing based on timing theory in patients after laparoscopic cholecystectomy.Methods A total of 188 patients undergoing laparoscopic cholecystectomy under general anesthesia at the Affiliated Suzhou Hospital of Nanjing Medical University from April 2024 to March 2025 were selected as the study subjects.They were randomly divided into an observation group and a control group using a random number table method,with 94 patients in each group.The control group received routine nursing,while the observation group received continuous nursing based on timing theory in addition to the nursing given to the control group.Both groups received nursing for 10 days,followed by continuous nursing for another 10 days after discharge.The postoperative recovery status of the two groups was compared,and the scores of Self-Rated Abilities for Health Practice Scale(SRAHP),36-Item Short Form Health Survey(SF-36),and psychological status were compared before nursing,before discharge,and 10 days after discharge.The satisfaction with nursing was also compared between the two groups.Results The observation group had a shorter time of first ambulation,postoperative recovery of intestinal exhaust function,and postoperative hospitalization compared with the control group(P<0.05).The nutrition,psychological well-being,physical activity,and health responsibility scores of the observation group were higher than those of the control group before discharge and 10 days after discharge(P<0.05).The social function,physical function,physiological function,and emotional function scores of the observation group were higher than those of the control group before discharge and 10 days after discharge(P<0.05).The Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)scores of the observation group were significantly lower than those of the control group(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion The continuous nursing based on timing theory has a significant effect on patients undergoing laparoscopic cholecystectomy,which can promote postoperative recovery,improve quality of life,and enhance psychological well-being.
贲勋玺;尚星辰;李丽;李丹;沈怡清
南京医科大学附属苏州医院 苏州市立医院,江苏 苏州,215000扬州大学医学部护理学院,江苏 扬州,225000南京医科大学附属苏州医院 苏州市立医院,江苏 苏州,215000南京医科大学附属苏州医院 苏州市立医院,江苏 苏州,215000南京医科大学附属苏州医院 苏州市立医院,江苏 苏州,215000
医药卫生
腹腔镜胆囊切除术时机理论延续性护理生活质量
laparoscopic cholecystectomytiming theorycontinuous nursingquality of life
《中西医结合护理（中英文）》 2026 (4)
86-90,5
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