Clinical Application of Rapid Rehabilitation Surgical Nursing on Laparoscopic Cholecystectomy Patients
نویسندگان
1 Department of Emergency Surgery, Suzhou Hospital of Anhui Medical University, Suzhou, Anhui 234000, China
2 Department of Emergency Internal Medicine, Suzhou Hospital of Anhui Medical University, Suzhou, Anhui 234000, China
3 Department of Emergency Surgery, Suzhou Hospital of Anhui Medical University, Suzhou, Anhui 234000, China
4 Department of Emergency Surgery, Suzhou Hospital of Anhui Medical University, Suzhou, Anhui 234000, China
5 Department of Emergency Intensive Care Unit, Suzhou Hospital of Anhui Medical University, Suzhou, Anhui 234000, China
6 Department of Emergency, Suzhou Hospital of Anhui Medical University, Suzhou, Anhui 234000, China
doi
10.22034/ircmj.2024.189897چکیده
Background and Objectives: Laparoscopic cholecystectomy is widely used in clinical treatment for gallbladder diseases. Rapid rehabilitation surgical nursing can significantly reduce the incidence of postoperative complications and shorten the hospital stay of patients, and has been supported by evidence-based medicine and has been widely used in clinical nursing. Nonetheless, there are few of studies analyzing the influence of rapid rehabilitation surgical nursing on patients undergoing laparoscopic cholecystectomy. This study aims to assess the clinical use of rapid rehabilitation surgical nursing in laparoscopic cholecystectomy. Methods: Patients who underwent laparoscopic cholecystectomy in Suzhou hospital of Anhui medical university between June 2021 and July 2022 were separated into research group (RG) as well as control group (CG) based on different nursing plan, with 51 cases in each group. Routine nursing plan was implemented for CG patients. Rapid rehabilitation surgical nursing was implemented for RG patients. Results: The bowel sound recovery time, the first time of anal exhaust and getting out of bed, as well as the length of hospital stay in the RG were declined in contrast to the CG. Prior to nursing, no significance was found in visual analogue scale (VAS) scores, interleukin 6 (IL-6) and C-reactive protein (CRP) levels, as well as World Health Organization Quality of Life Scale (WHOQOL-BREF) scores in both groups. After nursing, VAS scores were declined in both groups, and those in the RG were declined in contrast to the CG. IL-6 together with CRP levels was increased in both groups, but those in the RG were declined in contrast to the CG. WHOQOL-BREF scores of all dimensions were higher in both groups than before nursing, and those in the RG were elevated relative to the CG. Additionally, the total occurrence of complication in the RG was declined compared to the CG. The total nursing satisfaction in the RG was elevated relative to the CG (P<0.05). Conclusion: Application of rapid rehabilitation surgical nursing can expedite postoperative rehabilitation, reduce pain and stress response, promote quality of life and lessen complications in patients undergo laparoscopic cholecystectomy, thereby promoting nursing satisfaction, which is worthy for promotion.