临床普外科电子杂志 ›› 2025, Vol. 13 ›› Issue (3): 80-.

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多维度护理干预在肝胆手术患者快速康复中的应用效果

  

  1. 东南大学附属中大医院 普外科,江苏 南京 210000
  • 出版日期:2025-07-01 发布日期:2025-11-21

Application effect of multidimensional nursing intervention in rapid rehabilitation of patients with hepatobiliary surgery

  1. General Surgery Department of Zhongda Hospital Affiliated to Southeast University, Jiangsu Nanjing 210000, China
  • Online:2025-07-01 Published:2025-11-21

摘要:

目的 探究多维度护理干预应用于肝胆手术患者快速康复中的效果。方法 选取东南大学附属中大医院 2023 年 1 月至 2024 年 12 月收治的肝胆手术患者 102 例,按随机数字表法分为观察组、对照组,各 51 例。观察组予多维度护理干预,对照组予常规护理干预,对比两组焦虑水平、恢复情况和术后并发症发生情况。结果 观察组患者首次下床、进食、肛门排气、排便时间及术后住院时间均短于对照组,且观察组患者焦虑水平较对照组更低,差异均有显著性(P < 0.05)。观察组患者出现 1 例出血,对照组患者出现 2 例出血、2 例导管滑脱、1 例胆管破裂、1 例胆瘘、1 例感染,观察组患者术后并发症总发生率(1.96%)低于对照组(15.69%),差异有显著性(χ2=4.387,P=0.036)。结论 多维度护理干预能减轻肝胆手术患者的焦虑水平,缩短恢复时间及减少术后并发症发生。

关键词: 肝胆手术, 多维度护理干预, 快速康复

Abstract:

Objective To explore the effect of multi-dimensional nursing intervention in the rapid rehabilitation of patients with hepatobiliary surgery. Method 102 patients with hepatobiliary surgery in the Zhongda Hospital Affi liated to Southeast University from January 2023 to December 2024 were selected and randomly divided into observation group and control group, 51 cases in each group. The observation group was given multi-dimensional nursing intervention, and the control group was given conventional nursing intervention. The anxiety level, recovery and postoperative complications of the two groups were compared. Result The first time out of bed, eating, anal exhaust, defecation time and postoperative hospital stay of the observation group were shorter than those of the control group, and the anxiety score of the observation group was lower than that of the control group, with significant differences (P < 0.05). The observation group had 1 case of bleeding, and the control group had 2 cases of bleeding, 2 cases of catheter slippage, 1 case of bile duct rupture, 1 case of biliary fistula, and 1 case of infection. The total incidence of postoperative complications in the observation group (1.96%) was lower than that in the control group (15.69%), and the difference was significant (χ2=4.387, P=0.036). Conclusion Multidimensional nursing intervention can reduce the anxiety level of patients with hepatobiliary surgery, shorten the recovery time and reduce the incidence of postoperative complications.

Key words: Hepatobiliary surgery, Multi-dimensional nursing intervention, Rapid recovery