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| Effect of comfort care on pain perception and health behavior ability after laparoscopic cholecystectomy |
| XU Na CAO Xiaogang FANG Xingchao |
Department of General Surgery, Lishui District People’s Hospital, Jiangsu Province, Nanjing 211200, China
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Abstract Objective To observe the effect of comfort care on pain perception and health behavior ability after laparoscopic cholecystectomy (LC). Methods A total of 100 middle-aged and elderly patients with laparoscopic LC treated in Lishui District People’s Hospital of Nanjing (hereinafter referred to as “our hospital”) from February 2020 to June 2022 were selected by convenient sampling method as the study objects, comfort nursing service was launched in our hospital in April 2021, and the patients were grouped according to the order of admission, from February 2020 to Aprol 2021, conventional perioperative nursing mode was used as the control group, and from May 2021 to June 2022, comfort nursing was used as the experimental group, with 50 cases in each group. The changes of postoperative pain degree and healthy behavior ability were compared between the two groups. Results The overall analysis showed that there were statistically significant differences in VAS scores between groups, time point comparison and interaction (P＜0.05). Further pin-wise comparison, intra-group comparison: the VAS scores of the experimental group were lower at discharge and seven days after discharge than before nursing care, and the VAS scores at seven days after discharge were lower than those at discharge, the differences were statistically significant (P＜0.05); comparison between groups: VAS scores of test group at discharge and seven days after discharge were lower than those of control group, the differences were statistically significant (P＜0.05). At seven days after discharge, the nutrition, health responsibility and total score of the control group were higher than those before nursing, the nutrition, exercise, health responsible and total score of the experimental group were higher than those before nursing, and the nutrition, psychological well-being, exercise, and total score of the experimental group were higher than those of the control group, the differences were statistically significant (P＜0.05). Forced expiratory volume in first second and forced vital capacity in test group were higher than those in control group seven days after discharge, and the differences were statistically significant (P＜0.05). Conclusion Comfort nursing for middle-aged and elderly LC can reduce respiratory insufficiency, improve the degree of body pain, and improve the ability of self-health behavior.
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