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1、循证护理在腹腔镜胆囊切除术的运用代胜云？孙淑梅［摘要］目的：分析腹腔镜胆囊切除术(Laparoscopiccholecystectomy,LC)常见问题，评价循证护理效果。方法：给予常规护理患者155例纳入常规组，给予循证护理患者119例纳入循证组，循证护理以改善心理状况，降低围术期应激水平，减轻疼痛、胃肠道不适为主要内容，统计对比相关指标。结果：循证组术后住院时间、术后24h疼痛峰值低于常规组，差异具有统计学意义(P<0.05)；循证组6h内下床活动率70.6%、患者满意率98.3%高于常规组16.1%、84.5%,不良事件
2、复查率4.2%、感染率8.4%、胃肠道反应发生率2.5%、并发合计例次率17.6%低于常规组16.1%、12.3%、9.7%、29.7%,差异具有统计学意义(P<0.05)。结论：LC围术期护理路径已基木成熟，但仍存在部分细节问题，循证护理有助于进一步提升护理质量，提升服务品质，降低不良事件发生风险，且有助于改善患者长远预后。［关键词］循证护理腹腔镜胆囊切除术并发症长远预后DOI:10.3760/cma.j.issn.1672-7088.2015.21.39作者单位：266200，山东即墨市，即墨市中医医院普外科［作者简介］代
3、胜云(1972—)，女，即墨市中医医院主管护师。TheApplicationofEvidence-basedNursinginLaparoscopicCholecystectomyDaiShengyun,SunShumeiAbstract:ObjectiveToanalyzecommonproblemsexistinginlaparoscopiccholecystectomy(LC)andevaluatetheefficacyoftheevidence-basednursing.Methods155patientswerese
4、lectedintheconventionalgroupandacceptedroutinenursingand119patientswereselectedintotheevidence-basednursing,whichtookevidence-basednursinginordertoimprovepatients’psychologicalcondition,reducetheirperioperativestresslevels,andrelievepainandgastrointestinalsymp
5、toms.Relatedparametersofwerestatisticallycompared.ResultsThepostoperativehospitalstayandpostoperativepainpeakwithin24hofthesurgeryoftheevidence-basedgroupislowerthanconventionalgroup,thedifferenceisstatisticallysignificant(P<0.05);theoff-bedactivityrateoftheevide
6、nce-basedgroupwithin6hwas70.6%andpatientssatisfactionratewas98.3%,bothhigherthanthatofconventionalgroup，whichwas16.1%and84.5%respectively;intheevidence-basednursinggroup,theadverseeventrateoftheevidence-basednursinggroupwas4.2%,infectionratewas8.4%,theincidenceofgas
7、trointestinalreactionwas2.5%andtotalconcurrentcasewas17.6%,alllowerthantheconventionalgroup’s16.1%,12.3%,9.7%,16.1%,thedifferencestatisticallysignificant(P<0.05).ConclusionAlthoughLCperioperativenursingpathhasalreadybeenbasicallymature,therearestillsomedeta
8、ilsneedtobemodified.Evidence-basednursingishelpfultofurtherenhancenursingquality,improveservicequality,reducetheriskofadverseevents,andhel
