疼痛护理联合早期康复指导对腹腔镜阑尾切除术后患者康复效果的影响OA
Impact of pain nursing combined with early rehabilitation guidance on recovery outcomes of patients after laparoscopic appendectomy
目的 探讨疼痛护理与早期康复指导对腹腔镜阑尾切除术(LA)后患者康复效果的影响.方法 选取 2024年 1 月至 2026 年 1 月福清市第四医院行 LA 术的患者 100 例,采用随机数字表法分为对照组与观察组,每组各50 例.对照组采用 LA 术后常规护理,观察组在常规护理基础上实施针对性疼痛护理与规范化早期康复指导.比较2 组患者视觉模拟评分法(VAS)、Kolcaba 舒适状况量表(GCQ)、血清炎症指标[C 反应蛋白(CRP)、白细胞计数(WBC)]、康复指标(术后肛门排气时间、首次下床活动时间、住院时间)、并发症发生情况以及护理满意度.结果 术后 24 h 及 48 h 观察组 VAS 评分均低于对照组,GCQ 评分均高于对照组(P 均<0.05);术后 24 h 及 72 h,观察组CRP、WBC 均低于对照组(P 均<0.05);观察组术后肛门排气时间、首次下床活动时间、住院时间均短于对照组(P均<0.05);观察组并发症发生率低于对照组,护理满意度高于对照组(P 均<0.05).结论 对 LA 术后患者开展疼痛护理与早期康复指导,能够显著缓解术后疼痛、提高患者舒适度,抑制机体炎症反应,加速康复进程,减少并发症,并提升患者对护理工作的满意度.
Objective To explore the impact of pain nursing combined with early rehabilitation guidance on the recovery outcomes of patients after laparoscopic appendectomy(LA).Methods A total of 100 patients who underwent LA at Fuqing Fourth Hospital from January 2024 to January 2026 were selected and divided into a control group and an observation group by a random number table,with 50 cases in each group.The control group received routine postoperative nursing after LA,while the observation group received targeted pain nursing and standardized early rehabilitation guidance on the basis of routine nursing.The Visual Analogue Scale(VAS),Kolcaba's General Comfort Questionnaire(GCQ),serum inflammatory indicators(C-reactive protein[CRP]and white blood cell count[WBC]),rehabilitation indicators(time to anal flatus,time to first ambulation,and length of hospital stay),incidence of complications,and nursing satisfaction were compared between the two groups.Results At 24 h and 48 h after surgery,the VAS scores in the observation group were significantly lower than those in the control group,while the GCQ scores were significantly higher(P<0.05).At 24 h and 72 h after surgery,the CRP and WBC levels in the observation group were significantly lower than those in the control group(P<0.05).The time to anal flatus,time to first ambulation,and length of hospital stay were all significantly shorter in the observation group(P<0.05).The incidence of complications was lower and the nursing satisfaction was higher in the observation group than in the control group(P<0.05).Conclusion The implementation of pain nursing and early rehabilitation guidance in patients after LA can effectively alleviate postoperative pain,enhance patient comfort,attenuate systemic inflammatory responses,accelerate recovery process,reduce complications,and improve patient satisfaction with nursing care.
何华;张红英
福清市第四医院,福建 福州,350307福清市第四医院,福建 福州,350307
医药卫生
疼痛护理早期康复指导腹腔镜阑尾切除术康复效果炎症反应
pain nursingearly rehabilitation guidancelaparoscopic appendectomyrecovery outcomeinflammatory response
《中西医结合护理（中英文）》 2026 (6)
99-103,5
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