简介：摘要目的探讨预见性护理在老年腹腔镜胆囊切除患者围手术期的应用方法及效果.方法选取２０１４年１０月－２０１５年３月在我院行腹腔镜胆囊切除术的老年患者１００例,将其分为对照组和观察组,每组各５０例,对照组患者围手术期给予肝胆外科常规护理,观察组患者围手术期实施预见性护理,对比两组患者并发症发生率及术后２４h疼痛评分.结果观察组患者并发症发生率及术后２４h疼痛评分均低于对照组,差异均具有统计学意义(P＜０??０５).结论预见性护理可以有效的减少老年腹腔镜胆囊切除患者并发症的发生率、降低患者术后焦虑和疼痛,提高患者舒适度.关键词预见性护理;腹腔镜胆囊切除术;老年患者;围手术期PredictivenursingusedinperioperativenursingofelderlylaparoscopiccholecystectomypatientsAbstractObjectiveToinvestigatetheapplicationofpredictivenursingintheperioperativeperiodoflaparoscopiccholecystectomyinelderlypatients??Methods１００elderlypatientswhounderwentlaparoscopiccholecystectomyinourhospitalfromOctober２０１４toMarch２０１５,casesweredividedintoconＧtrolgroupandobservationgroup,５０casesineachgroup,thecontrolgroupweretreatedwithroutinenursingcare,theobservationgroupweretreatedwithpreＧdictivenursing,comparedwithtwogroupsofpatientswithcomplicationsandpostoperative２４hpainscore??Resultstheincidenceofpostoperativecomplicationsandpostoperative２４hpainscoreintheobservationgroupwerelowerthanthoseinthecontrolgroup,thedifferencewasstatisticallysignificant(P＜０??０５)??Conclusionpredictivenursingcaneffectivelyreducetheincidenceofcomplicationsinelderlypatientswithlaparoscopiccholecystectomy,reducepostoperativeanxietyandpain,improvKeeypawtioerndtscomfort??predictivenursing;Laparoscopiccholecystectomy;Elderlypatients;Perioperative中图分类号R４７３．６文献标识码A文章编号１００８－６３１５(２０１５)１２－１０８０－０２

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