| 张丹妮,吴晓蓉,奚慧琴,张婷,胡潇泓,万慧敏,徐燕,吴玲娣.日间腹腔镜胆囊切除术患者出院过渡期照护方案的应用效果观察[J].上海护理,2024,24(10): |
| 日间腹腔镜胆囊切除术患者出院过渡期照护方案的应用效果观察 |
| Observation on the Application Effect of Discharge Transition Care Plan for Outpatients Day-Case Laparoscopic Cholecystectomy |
| DOI： |
| 中文关键词: 日间腹腔镜胆囊切除术 过渡期护理 |
| 英文关键词:day-case laparoscopic cholecystectomy transitional care |
| 基金项目:上海交通大学医学院护理科研项目,编号Jyhz2112 |
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| 中文摘要: |
| 目的 探讨日间腹腔镜胆囊切除术患者出院过渡期互动式患者参与照护方案的应用效果。方法 采用非同期对照类实验研究方法，便利选取2022年1月-2022年2月某三级甲等医院日间腹腔镜胆囊手术患者113例为对照组，2023年1月-2023年2月日间腹腔镜胆囊手术患者122例为试验组。对照组采用常规护理方法，试验组采用日间腹腔镜胆囊切除术患者出院过渡期互动式患者参与照护方案，该方案包括引导患者进行决策性参与、照护性参与、诉求性参与三个方面。比较两组患者出院后“术后恢复”、“术后依从性”、“不安全事件发生情况”的差异。结果 试验组患者术后恢复情况包括体温“≦37℃”、伤口“无疼痛”、伤口 “无渗血”、“肩背部无酸痛”人数均高于对照组（P<0.05）；试验组术后依从性包括早期下床活动、术后正确执行特殊饮食、及时预约复诊的患者人数均高于对照组（P<0.05）；试验组患者出院过渡期跌倒及未遵医嘱服药人数均低于对照组（P<0.05）。结论 日间腹腔镜胆囊切除术患者出院过渡期互动式患者参与照护方案可以促进患者康复、提高遵医行为、减少不安全事件发生。 |
| 英文摘要: |
| Objective To explore the application effect of the patient participation discharge transition care plan undergoing day-case laparoscopic cholecystectomy.Methods A non-concurrent controlled experimental research method was adopted.A convenience sample of 113 patients who underwent day-case laparoscopic cholecystectomy in a tertiary hospital between January 2022 and February 2022 was selected as the observation group, and 122 patients who underwent the same procedure between January 2023 and February 2023 were selected as the intervention group. The control group received conventional nursing care, while the intervention group was subjected to a patient participation discharge transition care plan intervention specifically designed for day-case laparoscopic cholecystectomy patients. Comparisons were made between the two groups regarding "postoperative recovery," "postoperative compliance," and "unsafe events" after discharge.Results The postoperative recovery of patients in the intervention group, including those with a body temperature "≤37℃," "painless wounds," "no bleeding from wounds," and "no shoulder or back pain," was higher than that in the control group (P<0.05). The postoperative compliance of the intervention group, including early ambulation, correct implementation of special diets, and timely follow-up appointments, was also higher than that of the control group (P<0.05). The number of patients who fell during the discharge transition period and those who did not take medication as prescribed was lower in the intervention group than in the control group (P<0.05).Conclusion Involving patients undergoing day-case laparoscopic cholecystectomy in the patient participation discharge transition care plan can promote their recovery, improve compliance with medical advice, and reduce the occurrence of unsafe events. |
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