关键词: 急性阑尾炎, 手术, 围手术期, 精细化护理

Abstract:

Objective To observe the effect of perioperative refined nursing intervention on patients undergoing acute appendicitis surgery. Method Ninety hospitalized patients with acute appendicitis who underwent surgical treatment at Huangpu Hospital of Guangdong Second Traditional Chinese Medicine Hospital from July 2020 to August 2022 were selected. They were divided into a control group (receiving routine perioperative care) and an observation group (receiving refined perioperative care) according to different nursing methods, with 45 patients in each group. The perioperative nursing effects of the two groups were compared. Result The observation group had shorter first anal exhaust time, time to get out of bed, and length of hospital stay than the control group, and the nursing satisfaction rate was significantly higher than the control group, with significant differences (P ＜ 0.05). Two patients in the observation group experienced complications after surgery, including one respiratory infection and one incision infection, with a complication rate of 4.44% (2/45); There were 9 postoperative complications in the control group, including 4 cases of respiratory infection, 2 cases of incision infection and abdominal abscess, and 1 case of intestinal adhesion. The incidence of complications was 20.00% (9/45). The total incidence of complications in the observation group was significantly lower than that in the control group (χ2 ＝ 5.075, P ＝ 0.024). Conclusion When treating acute appendicitis patients with surgery in clinical practice, fine nursing during the perioperative period can significantly reduce postoperative complications, promote rapid postoperative recovery, and improve patient satisfaction with nursing.

Key words: Acute appendicitis, Surgery, Perioperative period, Refined care