老年腹腔镜胆囊切除术围手术期的护理风险管理

目的探讨老年腹腔镜胆囊切除围手术期患者的护理风险管理.方法对150例老年腹腔镜胆囊切除围手术期患者的临床资料进行统计分析,依据围手术期护理方法将患者分为常规护理组(n=75)和安全管理组(n=75)两组,常规护理组患者接受常规护理,安全管理组患者接受常规护理联合安全管理,然后对两组患者的护理效果、护理风险事件发生情况、手术时间、护理满意度进行统计分析.结果安全管理组患者的总有效率(93.3%)显著高于常规护理组(76.0%,P0.05),护理风险事件发生率(4.0%)显著低于常规护理组(25.3%,P0.05),护理满意度评分显著高于常规护理组(P0.05),但两组患者手术时间的差异不显著(P0.05).结论老年腹腔镜胆囊切除围手术期患者的护理风险包括压力性损伤、跌倒坠床、切口感染、深静脉血栓等,安全管理能够减少患者的护理风险事件,还能够提升患者的临床疗效及护理满意度,减少患者的术中出血量,值得临床推广使用.

Perioperative Nursing Risk Management of Laparoscopic Cholecystectomy in Elderly Patients

Objective To explore the perioperative nursing risk management in elderly patients undergoing laparoscopic cholecystectomy. Method The clinical datum of 150 elderly patients undergoing laparoscopic cholecystectomy were analyzed. According to perioperative nursing methods, these patients were divided into routine nursing group ( n＝75 ) and safety management group ( n＝75 ) . Patients in the routine care group received routine care and patients in the safety management group received routine nursing combined with safety management. Then, the nursing effects, nursing risk events, operation time and nursing satisfaction were statistically analyzed. Results The total effective rate was 93. 3% in safety management group and the rate was 76. 0% in general nursing care group ( P<0. 05) . The incidence of nursing risk event was 4. 0% significantly lower than that of the general nursing group (25. 3% ,P<0. 05). The nursing satisfaction score was significantly higher than that of the routine nursing group (P<0. 05),but there was no significant difference between the two groups in the operation time ( P>0. 05 ) . Conclusion The nursing risk of patients undergoing peritoneal laparoscopic cholecystectomy includes pressure injury,fall-down bed,incision infection,deep venous thrombosis and so on. Safety management can reduce the patient's nursing risk event,and enhance the patient's clinical efficacy and nursing satisfaction,reduce the amount of intraoperative blood loss in patients. Therefore,it is worth to promote the clinical use of safety management.