摘要
【摘要】 目的 研究胆囊结石腹腔镜术后疼痛护理干预中循证理念的应用价值。方法 68例胆囊结石腹腔镜术治疗患者， 根据随机数字表法分为对照组和循证干预组， 每组 34例。对照组进行传统护理干预， 循证干预组在疼痛护理干预中应用循证理念。对两组患者胆囊结石腹腔镜术后疼痛程度、疼痛持续时间、总住院时间和对临床护理的满意度、胆漏等手术相关并发症发生率进行比较， 并比较护理前后焦虑感。结果 循证干预组患者胆囊结石腹腔镜术后疼痛程度评分、疼痛持续时间、总住院时间分别为（ 2.51±1.25）分、（ 2.51±0.62） d、（ 6.14±1.25） d， 均明显优于对照组的（ 4.66±2.24）分、（ 3.60±1.24） d、（ 8.62±2.51） d， 差异具有统计学意义（ P<0.05）。循证干预组临床护理满意度明显高于对照组（ P<0.05）。循证干预组胆漏等手术相关并发症发生率 2.94%明显低于对照组的 23.53%（ P<0.05）。干预后循证干预组焦虑感评分为（ 28.13±2.21）分， 优于对照组的（ 45.13±2.25）分， 差异具有统计学意义（ P<0.05）。
结论 胆囊结石腹腔镜术后疼痛护理干预中循证理念的应用价值高， 可有效减轻患者焦虑感和疼痛， 缩短疼痛持续时间和住院时间， 减少并发症， 提升满意度。
【关键词】 胆囊结石；腹腔镜术后疼痛；护理干预；循证理念；应用价值
[Abstract] Objective To study the application value of evidence-based concept in nursing intervention of pain after laparoscopic cholecystolithiasis. Methods 68 cases of laparoscopic cholecystolithiasis were divided into control group and evidence-based intervention group, 34 cases in each group. The control group received traditional nursing intervention, and the evidence-based intervention group applied evidence-based concept in pain nursing intervention. The degree of postoperative pain, the duration of pain, the total length of stay, the satisfaction of clinical nursing and the incidence of operation related complications such as bile leakage were compared between the two groups. Results the score of pain degree, duration of pain and total length of stay were (2.51 ± 1.25), (2.51 ± 0.62) d, (6.14 ± 1.25) d in evidence-based intervention group, which were significantly better than those in control group (4.66 ± 2.24), (3.60 ± 1.24) d, (8.62 ± 2.51) d, with statistical significance (P < 0.05). The clinical nursing satisfaction of evidence-based intervention group was significantly higher than that of control group (P < 0.05). The incidence of bile leakage and other surgical complications in evidence-based intervention group was 2.94% lower than that in control group (23.53%) (P < 0.05). After intervention, the anxiety score of evidence-based intervention group was (28.13 ± 2.21), which was better than that of the control group (45.13 ± 2.25), the difference was statistically significant (P < 0.05).
出版日期
2020年06月12日（中国期刊网平台首次上网日期，不代表论文的发表时间）
