肝硬化门脉高压症脾切除术的围术期临床护理

摘要

Objective To study perioperative clinical nursing for hepatocirrhosis portal hypertension patients with splenectomy and its effect.Methods A total of 36 hepatocirrhosis portal hypertension patients with splenectomy were as the research objects,and were divided into control group and study group according to the random number table method,with 18 cases in each group,given routine nursing intervention and perioperative nursing intervention,respectively.The success rate of resection,incidence of complication,hospital stay,nursing satisfaction and quality of life scores before and after nursing were compared between two groups.Results The study group had significantly lower incidence of complications,shorter hospital stay,and higher nursing satisfaction than the control group (P ＜ 0.05).But there was no significant difference in the success rate of surgical resection between the two groups (P ＞ 0.05).No significant difference was seen in quality of life scores before nursing between the two groups (P ＞ 0.05),but the study group was higher than the control group in quality of life scores after nursing.Conclusion Perioperative nursing intervention can significantly improve nursing satisfaction,reduce incidence of complications,shorten hospital stay and improve quality of life scores of patients with hepatocirrhosis portal hypertension.%目的 研究肝硬化门脉高压症脾切除术患者的围术期临床护理方法与效果.方法 将本院36例肝硬化门脉高压症脾切除术患者作为研究对象,按照随机数表法分组,每组18例.对照组患者给予常规护理干预,研究组患者则实施围术期护理干预,对2组患者手术切除成功率、并发症发生率、住院时间、护理满意率以及护理前后患者生活质量评分进行比较.结果 研究组并发症发生率显著低于对照组,住院时间明显短于对照组,患者对护理满意率显著高于对照组,2组比较差异均有统计学意义(P＜0.05),但组间比较手术切除成功率差异无统计学意义(P＞0.05);2组患者护理前生活质量评分比较差异无统计学意义(P＞0.05),护理后研究组生活质量评分显著高于对照组(P＜0.05).结论 肝硬化门脉高压症脾切除术患者实施围术期护理干预能够明显提高护理满意率,减少并发症,缩短住院时间,提高生活质量.