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《圍手術(shù)期論文護(hù)理干預(yù)論文：圍手術(shù)期護(hù)理干預(yù)對(duì)闌尾炎手術(shù)患者的臨床分析》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫(kù)。
1、圍手術(shù)期論文護(hù)理干預(yù)論文：圍手術(shù)期護(hù)理干預(yù)對(duì)闌尾炎手術(shù)患者的臨床分析【摘要】目的探討圍手術(shù)期護(hù)理干預(yù)對(duì)闌尾炎手術(shù)患者的影響。方法選擇70例闌尾炎患者，采用硬膜外麻醉行闌尾切除術(shù)，隨機(jī)分為兩組，護(hù)理干預(yù)組采用整體護(hù)理方法，對(duì)照組采用常規(guī)護(hù)理方法，比較兩組患者手術(shù)后肛門(mén)恢復(fù)排氣時(shí)間，術(shù)后并發(fā)癥情況及護(hù)理滿意度。結(jié)果護(hù)理干預(yù)組35例，肛門(mén)恢復(fù)排氣時(shí)間為23.4±3.12，常規(guī)護(hù)理組35例，肛門(mén)恢復(fù)排氣時(shí)間為43.1±4.02，兩組間采用t檢驗(yàn)，p＜0.05，差異有統(tǒng)計(jì)學(xué)意義。護(hù)理干預(yù)組術(shù)后出現(xiàn)并發(fā)癥2例（5.71%），常規(guī)護(hù)理組術(shù)后出現(xiàn)并發(fā)癥8例（22.86%），兩組間采用校正卡方檢驗(yàn)，p
2、=0.0353＜0.05，差異有統(tǒng)計(jì)學(xué)意義。護(hù)理干預(yù)組滿意34例，出院滿意度97.14%，對(duì)照組滿意27例，占71.14%，兩組間采用校正卡方檢驗(yàn)，p=0.0127＜0.05，差異有統(tǒng)計(jì)學(xué)意義。結(jié)論采用圍手術(shù)期護(hù)理干預(yù)，能盡快恢復(fù)患者術(shù)后肛門(mén)恢復(fù)排氣時(shí)間，能有效的預(yù)防和減少術(shù)后并發(fā)癥的發(fā)生，提高護(hù)理質(zhì)量?！娟P(guān)鍵詞】圍手術(shù)期；護(hù)理干預(yù)；闌尾炎perioperativenursinginterventionontheclinicalanalysisofpatientswithappendicitis【abstract】objectiveofinterventiononperioperat
3、ivenursingofpatientswithappendicitis.methods70casesofappendicitispatients,theuseofepiduralanesthesiaforappendectomy,wererandomlydividedintotwogroups,nursingholisticnursinginterventiongroupandcontrolgroupusingconventionalmethodsofcare,comparedtwogroupsofpatientsrecoveraftersurgeryanalexhausttime
4、,intraoperativeaftercomplicationsandnursingsatisfaction.resultnursinginterventiongroupof35patients,analexhausttimeofrecovery23.4±3.12,usualcaregroupof35patients,analexhausttimeofrecovery43.1±4.02,usingttestbetweenthetwogroups,p＜0.05,thedifferencewasstatisticallysignificant.nursinginterventiongr
5、oup2casesofpostoperativecomplications(5.71%),usualcaregroupwerecomplicationsin8cases(22.86%)betweenthetwogroupsusingchi-squaretestcorrected,p=0.0353＜0.05,significantdifference.satisfactionwithnursinginterventiongroup,34cases97.14%weredischargedsatisfaction,satisfactionwiththecontrolgroup,27case
6、saccountedfor71.14%betweenthetwogroupsusingchi-squaretestcorrected,p=0.0127＜0.05,thedifferencewasstatisticallysignificant.conclusionuseofperioperativenursingintervention,patientscanresumeassoonaspossibleanalexhausttimerecovery,caneffectivelypreventandreducetheincidenceofpostoperativecomplicatio
7、nsandimprovequalityofcare.【keywords】perioperation;nursingintervention;appendicitissurgery急性闌尾炎是外科的常見(jiàn)病，在各種急腹癥中位居于首位［1］。臨床表現(xiàn)多始發(fā)于上腹部，數(shù)小時(shí)后轉(zhuǎn)移到右下腹呈持續(xù)性或陣發(fā)性的腹痛，右下腹有固定的壓痛點(diǎn)，早期可伴有惡心、嘔吐、厭食等消化系統(tǒng)癥狀，目前臨床上主要采取手術(shù)治療為主［2］。由于急性闌尾炎的發(fā)病率較高，且癥狀和病理改變有時(shí)不一致
