Effects of rapid recovery nursing after surgery in patients with acute calculous cholecystitis after laparoscopic cholecystectomy.

IF 1.7 4区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY
Zhong-Yi Chen, Xiao-Dan Han, Mei Liu, Ming-Yang Fu, Ying-Jie Nie, Feng-En Wang
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Abstract

Background: Laparoscopic cholecystectomy (LC) is the primary treatment for acute calculous cholecystitis. Although rapid recovery nursing is commonly implemented in postoperative care, its effect on acute calculous cholecystitis after LC remains unclear.

Aim: To analyze the impact of rapid recovery nursing in patients with acute calculous cholecystitis undergoing LC.

Methods: A retrospective study was conducted with a total of 120 patients with acute calculous cholecystitis who underwent LC at our hospital between October 2023 and October 2024. The patients were divided into two groups with 60 patients in each group according to the different nursing methods: Conventional nursing and rapid recovery nursing groups. Data was recorded from the electronic medical records. Gastrointestinal recovery, pain, quality of life, and nursing satisfaction were compared between the two groups before and after nursing.

Results: Following nursing intervention, the visual analog scale scores on Days 3 and 7 post-surgery in the rapid recovery nursing group were notably lower than those of the conventional nursing group (P < 0.05). The rapid recovery nursing group experienced significantly reduced times for bowel sound recovery, getting out of bed, hospital stay, passing flatus, and first defecation compared with the conventional nursing group (P < 0.05), thereby experiencing significantly better quality of life and nursing satisfaction (P < 0.05).

Conclusion: Rapid recovery nursing effectively promoted the recovery of gastrointestinal function, reducing pain and improving the quality of life of patients who underwent LC for acute calculous cholecystitis.

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急性结石性胆囊炎腹腔镜胆囊切除术后快速康复护理的效果。
背景:腹腔镜胆囊切除术(LC)是急性结石性胆囊炎的主要治疗方法。虽然快速恢复护理在术后护理中被普遍采用,但其对LC术后急性结石性胆囊炎的影响尚不清楚。目的:分析快速康复护理对急性结石性胆囊炎行腹腔镜手术的影响。方法:对2023年10月至2024年10月在我院行LC治疗的120例急性结石性胆囊炎患者进行回顾性研究。根据护理方法的不同,将患者分为常规护理组和快速康复护理组,每组60例。数据从电子病历中记录。比较护理前后两组患者胃肠道恢复、疼痛、生活质量及护理满意度。结果:护理干预后,快速恢复护理组术后第3天、第7天视觉模拟量表评分显著低于常规护理组(P < 0.05)。快速恢复护理组患者的肠音恢复次数、下床次数、住院次数、排气次数、首次排便次数均显著少于常规护理组(P < 0.05),生活质量和护理满意度均显著高于常规护理组(P < 0.05)。结论:快速康复护理可有效促进急性结石性胆囊炎行LC患者胃肠功能恢复,减轻疼痛,提高生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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