循证护理理念在胆囊结石患者腹腔镜术后护理中的应用效果

The Application Effect of Evidence-Based Nursing in the Postoperative Care of Patients with Gallbladder Stones after Laparoscopic Surgery

摘要: 目的：探讨循证护理理念在胆囊结石患者腹腔镜胆囊切除术(LC)术后护理中的应用效果。方法：选取2021年1月至2024年12月期间我院收治的120例行LC的胆囊结石患者，采用随机数字表法分为观察组及对照组，每组60例；对照组实施常规术后护理，观察组在常规护理基础上应用基于循证护理理念制定的系统性护理方案。比较两组患者术后疼痛程度、睡眠质量、康复指标及护理满意度；结果：观察组患者术后24 h、48 h的VAS评分及术后1周的PSQI总分均显著低于对照组(P < 0.05)。观察组患者肛门排气时间、下床活动时间、胃肠功能恢复时间及住院时间均显著短于对照组(P < 0.05)。观察组患者对护理工作的总满意度显著高于对照组(P < 0.05)。结论：将循证护理理念应用于胆囊结石患者LC术后护理中，能有效减轻患者术后疼痛，改善睡眠质量，加速术后康复进程，缩短住院时间，并显著提升护理满意度，具有较高的临床推广价值。

Abstract: Objective: To explore the application of evidence-based nursing concepts in the postoperative care of patients with gallbladder stones undergoing Laparoscopic Cholecystectomy (LC). Methods: A total of 120 patients with gallbladder stones who underwent LC in our hospital from January 2021 to December 2024 were selected and randomly divided into an observation group and a control group, with 60 cases in each group. The control group received routine postoperative care, while the observation group received a systematic nursing plan based on the evidence-based nursing concept in addition to routine care. The postoperative pain degree, sleep quality, rehabilitation indicators, and nursing satisfaction of the two groups were compared. Results: The VAS scores at 24h and 48h after surgery and the total PSQI score at 1 week after surgery in the observation group were significantly lower than those in the control group (P < 0.05). The time to anal exhaust, time to get out of bed, time to recover gastrointestinal function, and hospital stay in the observation group were significantly shorter than those in the control group (P < 0.05). The total satisfaction with nursing work in the observation group was significantly higher than that in the control group (P < 0.05). Conclusion: The application of evidence-based nursing concepts in the postoperative care of patients with gallbladder stones undergoing LC can effectively alleviate postoperative pain, improve sleep quality, accelerate the postoperative recovery process, shorten the hospital stay, and significantly improve nursing satisfaction, which has high clinical promotion value.