[1]杨金霞 王英.老年腹腔镜胆囊切除患者围术期护理 需求的调查与分析[J].中国微创外科杂志,2015,15(4):382-384.
　Yang Jinxia,Wang Ying..Investigation and Analysis of Patient’s Nursing Demand in Perioperation of Laparoscopic Cholecystectomy[J].Chinese Journal of Minimally Invasive Surgery,2015,15(4):382-384.
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老年腹腔镜胆囊切除患者围术期护理 需求的调查与分析()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
15
期数:
2015年4期
页码:
382-384
栏目:
护理研究
出版日期:
2015-04-20

文章信息/Info

Title:
Investigation and Analysis of Patient’s Nursing Demand in Perioperation of Laparoscopic Cholecystectomy
作者:
杨金霞 王英
首都医科大学附属北京世纪坛医院肿瘤科，北京100038
Author(s):
Yang Jinxia;  Wang Ying.
Beijing Shijitan Hospital Affiliated to Capital Medical University, Beijing 100038, China
关键词:
老年患者; 腹腔镜胆囊切除术; 围术期护理
Keywords:
Elderly patients; Laparoscopic cholecystectomy; Perioperative care
分类号:
R473.6
文献标志码:
A
摘要:
目的探讨老年腹腔镜胆囊切除术（laparoscopic cholecystectomy，LC）患者围术期对护理及相关知识的需求。方法采用自行设计问卷，对195例老年LC患者入院当日、术前、术后、出院前的护理需求进行调查。结果入院当日100%的患者希望知道主刀医师，97.9%（191/195）的患者希望了解疾病原因及预防，96.9%（189/195）的患者希望了解手术费用，63.6%（124/195）的患者希望基础疾病对手术的影响等；术前98.5%（194/195）的患者希望了解手术的安全性及手术所需时间，95.9%（187/195）的患者希望了解需做的术前准备，69.2%（135/195）的患者希望了解术前紧张如何处理等；术后100%（195/195）的患者希望知道手术的过程及结果，94.9%（185/195）的患者希望护士能提供必要的帮助，88.2%（172/195）、75.9%（148/195）、74.9%（146/195）的患者希望了解术后疼痛的处理办法、术后基础疾病用药情况、术后如何饮食及活动；出院前100%（195/195）的患者希望知道出院后的复查时间及随访指征，99.0%（193/195）、90.8%（177/195）的患者希望了解出院后饮食注意事项、锻炼的方法与时间等。结论护士应把握好老年LC患者不同阶段的护理需求，有针对性进行护理，以减少并发症的发生，争取患者早日康复。
Abstract:
ObjectiveTo investigate the perioperative nursing demands of elderly patients receiving laparoscopic cholecystectomy（LC）. MethodsA total of 195 elderly patients receiving LC were interviewed. The nursing care demands at admission, preoperation, postoperation, and discharge were collected respectively.ResultsOn the day of admission, all the 195 patients (100%) wished to be aware of their surgeons, 191 patients (97.9%) wished to understand causes of disease and its prevention, 189 patients (96.9%) were willing to know the operation costs, and 124 patients (63.6%) wanted to know the influences of basic diseases on operation. During preoperative periods, 194 patients (98.5%) expected to understand the safety and time of operation, 187 patients (95.9%) were interested in the preparedness before operation, and 135 patients (69.2%) wanted to know about the strategy for treating operation stress. During postoperative periods, 195 patients (100%) wanted to know the operation process and outcomes, 185 patients (94.9%) wanted necessary cares from nurses, 172 patients (88.2%) wanted to know the management for postoperative pain, 148 patients (75.9%) expected to understand the drug prescription after operation, and 146 patients (74.9%) were interested in diets and physical activities. At the time of discharge, 195 patients (100%) wanted to be aware of reexamination time and followup context, 193 patients (99.0%) wanted to know dietary recommendation, and 177 patients (908%) were willing to know the exercise options and time.ConclusionNurses should be aware of the perioperative care demands in elderly patients receiving LC and provide specific care services to reduce complications and improve rehabilitation.

参考文献/References:

[1]龙行菊.腹腔镜胆囊切除术156例护理体会.现代医药卫生杂志，2012，2（28）：268-269.
[2]彭文，金岚.老年患者对护理工作需求的分析.解放军护理杂志，2008，25(7A):43-44.
[3]钟鑫琪，静进.中文版《婴幼儿社会认知发展筛查量表》的信度和效度评价.中国循证儿科杂志，2008，3（4）:247-251.
[4]方积乾,主编.医学统计学与电脑实验. 第2版.上海:上海科学技术出版社，2001.246-251.
[5]柳红霞.围手术期患者心理健康需求的调查及护理对策.现代护理,2005,14(11):1098-1100.
[6]张美萍.痔疮患者围手术期护理需求调查与分析.护理管理杂志，2008,8（12）：23-24.
[7]李中兴，黄辉键，钱建荣，等.腹腔镜胆囊切除术严重并发症6例报道.中国微创外科杂志，2008,8（7）：653-654.
[8]周冬梅，曾红梅，张敏，等.腹腔镜下胆囊切除病人手术前后护理需求调查.护理学报，2009，2（16）：8-10.

备注/Memo

备注/Memo:
*通讯作者，E-mail：wy0068@aliyun.com
更新日期/Last Update: 2015-04-20