文献类型：期刊文献

英文题名：Effect of systematic nursing on the stress response and recovery of gastrointestinal function in patients undergoing laparoscopic cholecystectomy

作者：Li, Sha[1];Bai, Jing[1];Wei, Wanxia[1];Liu, Xiaoqin[2];Shen, Yanping[1]

第一作者：栗莎

通信作者：Shen, YP[1]

机构：[1]Gansu Univ Chinese Med, Dept Anesthesiol & Surg, Affiliated Hosp, 732 Jiayuguan Rd, Lanzhou 730020, Gansu, Peoples R China;[2]Gansu Univ Chinese Med, Dept Nursing, Affiliated Hosp, Lanzhou 730020, Gansu, Peoples R China

第一机构：甘肃中医药大学第二附属医院

通信机构：[1]corresponding author), Gansu Univ Chinese Med, Dept Anesthesiol & Surg, Affiliated Hosp, 732 Jiayuguan Rd, Lanzhou 730020, Gansu, Peoples R China.|[10735b845793de6ae2b30]甘肃中医药大学第二附属医院;[10735]甘肃中医药大学;

年份：2021

卷号：13

期号：8

起止页码：9647

外文期刊名：AMERICAN JOURNAL OF TRANSLATIONAL RESEARCH

收录：;Scopus(收录号：2-s2.0-85114091957);WOS:【SCI-EXPANDED(收录号:WOS:000693121000020)】；

语种：英文

外文关键词：Systematic nursing; laparoscopic cholecystectomy; stress response; gastrointestinal function

摘要：Objective: To explore the effect of systematic nursing on the stress response and recovery of gastrointestinal function in patients undergoing laparoscopic cholecystectomy. Methods: A retrospective study was conducted among 102 patients with gallbladder system disease. They were divided into an observation group (n=51, perioperative systematic care) and a control group (n=51, perioperative conventional care) according to a random number table. The clinical indicators, postoperative recovery of gastrointestinal function, and patients' stress response, psychological status and quality of life before and after intervention were compared between the two groups. Results: Compared with the control group, the time to get out of bed for the first time after operation, the recovery time of bowel sounds, and the time of first gas/defecation after operation in the observation group were significantly earlier (all P<0.01), and the hospital stay was significantly shorter (P<0.001). Compared with 12 hours before operation, the serum adrenaline and cortisol levels of the two groups were significantly higher at 48 hours after operation, and the levels in the observation group were lower than the control group (all P<0.001). Compared with 1 day before the operation, the scores of Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) in both groups were reduced when they were discharged from the hospital, and the scores in the observation group were lower than that of the control group (all P<0.01). Three months after the operation, the scores of Generic Quality of Life Inventory-74 (GQOLI-74) in the two groups increased in all dimensions, and the scores in the observation group were higher than the control group (all P<0.05). Conclusion: Systematic care during the perioperative period of laparoscopic cholecystectomy can alleviate the degree of stress, promote the recovery of postoperative gastrointestinal function, relieve the level of anxiety and depression, and improve the quality of life of patients after discharge from the hospital.