摘 要 目的：探討行腹腔鏡膽囊切除術老年患者的臨床護理方法和效果。方法：選擇2014年9月—2016年9月收治的行腹腔鏡膽囊切除術老年患者92例，隨機法分為對照組和觀察組各46例。對照組進行常規(guī)護理，觀察組進行優(yōu)質護理，觀察兩組護理滿意度和效果。結果：觀察組的護理質量和健康知識掌握評分分別為（98.44±0.41）分和（96.09±5.46）分，對照組分別為（90.12±1.52）分和（89.61±6.33）分，組間差異均有統(tǒng)計學意義（P<0 . 0 5）。觀察組的住院費用和住院時間分別為（7 028.32±301.22）元和（4.41±0.55）d，對照組分別為（8 029.12±402.46）元和（6.91±0.72）d，組間差異均有統(tǒng)計學意義（P<0.05）。觀察組的護理滿意度為97.83%（45/46），對照組為82.61%（38/46），組間差異有統(tǒng)計學意義（P<0.05）。結論：優(yōu)質護理干預腹腔鏡膽囊切除術患者能預防并發(fā)癥，縮短住院時間。
　　關鍵詞 膽囊疾��；腹腔鏡膽囊切除術；優(yōu)質護理
　　中圖分類號：R657.4 文獻標志碼：A 文章編號：1006-1533（2018）04-0035-02
　　Study on the clinical nursing methods for elderly patients treated with laparoscopic cholecystectomy
　　PENG Qiong
　�。℅eriatric Department of Second People’s Hospital of Pingxiang， Pingxiang 337000， Jiangxi Province， China）
　　ABSTRACT Objective： To explore the clinical nursing methods and effect for elderly patients treated with laparoscopic cholecystectomy. Methods： From September 2014 to September 2016 92 elderly patients treated with laparoscopic cholecystectomy were selected and divided into a control group and an observation group with 46 cases in each group according to the random method. The control group received routine nursing care， and the observation group was given high quality care. The nursing satisfaction and effect were observed in the two groups. Results： The scores of nursing quality and health knowledge in the observation group were （98.44±0.41） points and （96.09±5.46） points， respectively and those in the control group were（90.12±1.52） points and （89.61±6.33） points， and the difference between the groups was statistically significant（P<0.05）. The hospitalization expenses and hospitalization time of the observation group were （7 028.32±301.22） Yuan and （4.41±0.55） d， respectively， and those of the control group were （8 029.12±402.46） and （6.91±0.72） d， and the difference between the groups was statistically significant（P<0.05）. The nursing satisfaction of the observation group was 97.83%（45/46）， and that of the control group was 82.61%（38/46）， and the difference between the groups was statistically significant（P<0.05）. Conclusion： High quality nursing intervention for patients with laparoscopic cholecystectomy can prevent complications and shorten the length of hospital stay.
　　KEY WORDS gallbladder disease； laparoscopic cholecystectomy； high quality nursing
　　腹腔鏡膽囊切除術具有并發(fā)癥少、恢復快、操作簡單、安全性高等優(yōu)點，廣泛用于膽囊良性病變治療中[1]。但有研究發(fā)現，因為老年患者年齡較大，身體各項功能明顯衰退，且合并諸多慢性疾病，如果術后護理不當，容易出現諸多并發(fā)癥，影響患者術后恢復[2-3]。本文報道優(yōu)質護理在腹腔鏡膽囊切除術老年患者中的應用價值。

相關熱詞搜索：膽囊 臨床 切除術 老年 護理