Thực trạng kết quả chăm sóc người bệnh sau phẫu thuật nội soi cắt túi mật do sỏi tại Bệnh viện Đa khoa tỉnh Ninh Bình năm 2024=The outcome of nursing care for patients after laparoscopic cholecystectomy due to gallstones at Ninh Binh Provincial General Hospital in 2024

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Công Khẩn Nguyễn, Thị Thu Trang Phạm, Thanh Phương Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học Điều dưỡng, 2024

Mô tả vật lý: tr.52-62

Bộ sưu tập: Metadata

ID: 486024

Thêm vào giỏ

Mục tiêu: Mô tả tình trạng người bệnh và kết quả chăm sóc điều dưỡng sau phẫu thuật nội soi cắt túi mật do sỏi tại Khoa Ngoại - Bệnh viện Đa khoa tỉnh Ninh Bình năm 2024. Phương pháp: Nghiên cứu mô tả tiến cứu trên 123 người bệnh sau phẫu thuật nội soi cắt túi mật do sỏi trong thời gian từ tháng 2 đến tháng 8 năm 2024 sử dụng bộ công cụ được xây dựng dựa trên 12 nhiệm vụ chuyên môn về chăm sóc người bệnh được quy đinh tại Thông tư 31/2021/TT-BYT, bộ công cụ được đánh giá độ tin cậy với điểm Cronback’s Alpha là 0,75. Kết quả: Cho thấy tỉ lệ nữ giới cao hơn nam giới (tỉ lệ nam: nữ là 1: 2,15), độ tuổi trung bình của NB là 55,04 ± 15,02. Có 68,3% người bệnh có chỉ số BMI bình thường, 83,7% người bệnh được mổ phiên, 16,3% mổ cấp cứu. Thời gian nằm viện trung bình là 9,7 ± 3,3 và thời gian điều trị sau mổ là 5,7 ± 1,8. Sau 3 ngày phẫu thuật, không có người bệnh đau vừa hoặc đau dữ dội. 100% người bệnh được tư vấn, hướng dẫn vệ sinh cá nhân ở ngày thứ nhất sau mổ. Tỉ lệ người bệnh được tư vấn tái khám tăng từ 76,4% ở ngày 1 lên 92,7% ở ngày thứ 3. Kết quả chăm sóc tốt đạt 82,9%. Kết luận: Người bệnh cải thiện rõ rệt về tình trạng hồi phục sức khỏe sau 3 ngày phẫu thuật. Còn gần 10% người bệnh chưa được tư vấn dinh dưỡng trong ngày đầu sau phẫu thuật. Khuyến nghị: Tăng cường công tác tư vấn về dinh dưỡng và giáo dục sức khỏe cho người bệnh sau phẫu thuật nội soi cắt túi mật do sỏi ngay từ ngày đầu sau mổ.Objective: To describe the status of patients and nursing care results after laparoscopic cholecystectomy due to gallstones at the Department of Surgery, Ninh Binh Provincial General Hospital in 2024. Method: Cross-sectional descriptive study on 123 patients after laparoscopic cholecystectomy due to gallstones from February to August 2024 using a toolkit developed based on 12 professional tasks on patient care prescribed in Circular 31/2021/TT-BYT, the toolkit was assessed for reliability with a Cronback’s Alpha score of 0.75. The results: Showed that the proportion of women was higher than that of men (male: female ratio was 1:2.15), and the average age of patients was 55.04 ± 15.02. There was 68.3% of patients had normal BMI, 83.7% had elective surgery, and 16,3% had emergency surgery. The average hospital stay was 9.7 ± 3.3 days and the postoperative treatment time was 5.7 ± 1.8 days. After 3 days of surgery, no patient had moderate or severe pain. 100% of patients were counseled and instructed on personal hygiene on the first day after surgery. The rate of patients who were counseled for follow-up visits increased from 76.4% on day 1 to 92.7% on day 3. The results of good care accounted for 82.9%. Conclusion: The patient’s health status improved significantly after 3 days of surgery. Nearly 10% of patients have not received nutritional advice on the first day after surgery. Recommendation: Strengthen nutritional counseling and health education for patients after laparoscopic cholecystectomy due to gallstones from the first day after surgery.

1. Đọc trực tuyến

1. Đọc trực tuyến

Tạo bộ sưu tập với mã QR