加速康復外科理念下精細化護理對膽結石擇期手術患者術前負性情緒及術后生活質量的影響

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中圖分類號：R473.6文獻標識碼：A

DOI：10.3969/j.issn.1006-1959.2025.12.036 文章編號：1006-1959（2025）12-0167-04

Effect of Refined Nursing Under the Concept of Enhanced Recovery After Surgery on PreoperativeNegativeEmotionsandPostoperativeQualityofLifeinPatients Undergoing Elective Surgery for Gallstones

ZHANGXiaoli

（Departmentof Surgery，TianjinBeichen HospitalofTraditional ChineseMedicine，Tianjin 3Oo4oo，China）

Abstract：OectieTploreetofedrsigderheoeptofacoveyesurgeRAopreoperaitie emotionsandpostoperaialitlifiatitsdergigeolseAalofasi underwenteletiesurgeryinTanjinBeichnHspitalofTaditioalCineseMediciefromNovember2toNovember23wereseletedse researchbjetsTheyeredividedintocontrolgoup（4patients）andservationgrou（34patients）yandomumbrtableetod.Thtol groupreceivedusinndseatiooadfisingderthetofSosisfii negaiveotsSeltietal）eftigprial（D）oatiooti ambatiioiii [WorldHealthOranzatioQualtofLifeScalerief（WHQBRFwereompredbetwnthetwgroupsResultsAt3Onforrge thescoresofSdSinetooseeghrthatoeatadsiouteorsofSndSDineoseatogopeelower than those in the control group （ P< 0.05）.The postoperative feeding time，of-bed activity timeand postoperative hospital stay in the observation group wereshorterthan thoseinthecontrolgroup，andthepostoperativeVASscore waslower thanthat inthecontrol group（ P<0.05 ）.Theincidence of postoperative discomfort in the observation group was lower than that in the control group（ P<0.05 ）.The WHOQOL-BREF scores of the two groups afterperationereghertanatforesureryndtheOLBREFsoroftsevatiogopereghetanoseofttol group P <0.05）.CncusionRefinedursingundertheconeptofERAScaneetivelyaleviatethepreoperativengativeemotionsofpatients undergoingeeieolseaeoiiouodfortd postoperative quality of life.

KeyWords：Gallstones;Theconceptofenhancedrecoveryaftersurgery;Refinednursing;Negativeemotions;Qualityoflife

膽結石（gallstone）為肝膽外科常見疾病，多由膽汁分泌紊亂、膽汁成分改變等原因引起的結晶析出、沉積所致，常伴有腹部悶脹、上腹壓痛、消化不良等癥狀表現，可刺激膽囊黏膜，引起繼發(fā)感染，導致急性炎癥及膽囊癌等不良后果，其早期治療尤為重要[12]。（剩余5396字）