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目的探析在腹腔镜胃穿孔修补术中对患者予以循环改进护理模式的效果。方法取我院于2015年7月~2016年7月因胃穿孔行腹腔镜修补术患者128例,随机分为对照组和实验组各64例,对照组予以常规护理,实验组予以循环改进模式护理。观察两组患者使用不同护理方案后的生存质量、满意度、睡眠质量、康复状态等。结果两组患者经过不同方式护理后,术后1d、3d的VAS情况实验组患者均显著优于对照组(P<0.05);精力、疼痛、角色状态、心理功能、社会功能、躯体功能、体力状况、角色状态8方面得分实验组显著优于对照组,对比差异(P<0.05)具有统计学意义;经睡眠自测表对比,两组患者护理前无统计学意义(P>0.05),但护理后实验组得分明显低于对照组,两组间比较有显著性差异(P<0.05)。结论在腹腔镜胃穿孔修补术中对患者予以循环改进护理模式较常规护理方式效果更佳,可有效提升患者的生存质量、满意度、睡眠质量、康复状态,增加患者对医护人员的依从性,值得广泛推广于临床。
Objective To explore the effect of improving the nursing model in patients with laparoscopic gastric perforation repair. Methods From July 2015 to July 2016 in our hospital, 128 patients undergoing laparoscopic repair of gastric perforation were randomly divided into control group and experimental group, 64 cases in each group. The control group was given routine nursing and the experimental group was given the mode of cyclic improvement Nursing. The quality of life, satisfaction, sleep quality, rehabilitation status and so on after using different nursing programs were observed in two groups of patients. Results After two groups of patients were treated with different methods, the VAS condition in the experimental group was significantly better than that in the control group (P <0.05). The levels of energy, pain, character status, mental function, social function, body function, physical strength (P <0.05). There was no significant difference between the two groups before nursing (P> 0.05), but the difference was significant (P <0.05) After nursing, the score of experimental group was significantly lower than that of control group, with significant difference between the two groups (P <0.05). CONCLUSIONS: Laparoscopic gastric perforation repair improves circulation of patients. Nursing mode is more effective than conventional nursing mode, which can effectively improve patients’ quality of life, satisfaction, quality of sleep, rehabilitation status, increase patient compliance with medical staff, It is widely recommended in clinic.