Analysis of clinical effect of comprehensive nursing on patients with slow transit constipation after laparoscopic surgery

分析综合护理对腹腔镜手术后慢传输型便秘患者的临床疗效

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Abstract

OBJECTIVE: To explore the clinical effect of comprehensive nursing on patients with slow transit constipation after laparoscopic surgery. METHODS: A total of 80 patients with colonic slow transit constipation, who received laparoscopic treatment in our hospital from January 2019 to December 2021 were selected. A total of 80 patients with colonic slow transit constipation treated by laparoscopy were divided according to the random table method. There were 2 groups, 40 cases in the control group and 40 cases in the experimental group. All patients underwent laparoscopic surgery, the control group was given routine nursing measures, and the experimental group was given comprehensive nursing intervention on the basis of routine nursing. The SAS and SDS scores were used to compare the levels of anxiety and depression in the two groups before and after the intervention; the quality of life core scale (QOL-C30) was used to score the physical function, material function, psychological function and social function, and the two groups of patients were compared before and after the intervention. The quality of life; comparison of postoperative pain scores between the two groups; comparison of nursing satisfaction between the two groups were analyzed. RESULTS: SDS and SAS scores of the control group before the intervention and the experimental group before the intervention (P<0.05). Compared with the control group after the intervention, the SDS and SAS scores of the experimental group after the intervention were significantly lower (P<0.05). There was no significant difference in the quality of life between the two groups before the intervention (P>0.05); compared with before and after the intervention, the quality of life in the two groups after the intervention was significantly higher than that before the intervention (P<0.05); compared with the control group after the intervention The quality of life of patients in the experimental group after intervention was significantly improved (P<0.05). The satisfaction rate of the patients in the control group was 62.5%; the satisfaction rate of the patients in the research group was 92.5%; compared with the control group, the satisfaction rate of the patients in the research group was significantly higher (P<0.05). CONCLUSION: Comprehensive nursing can effectively improve the negative emotions of patients with colonic slow transit constipation after laparoscopic surgery, improve the quality of life and satisfaction of patients, and reduce postoperative pain.

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