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临床护理进展

Journal of Advances in Clinical Nursing

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Journal of Advances in Clinical Nursing. 2026; 5: (10) ; 10.12208/j.jacn.20260508 .

The application effect of situational micro-video nursing intervention in the perioperative period of patients undergoing hepatobiliary pancreatic open surgery
情境微视频护理干预在肝胆胰开腹手术患者围术期的应用效果

作者: 胡月梅, 韩亚丽, 刘瑾 *

新疆医科大学附属肿瘤医院 新疆乌鲁木齐

*通讯作者: 刘瑾,单位:新疆医科大学附属肿瘤医院 新疆乌鲁木齐; ;

引用本文: 胡月梅, 韩亚丽, 刘瑾 情境微视频护理干预在肝胆胰开腹手术患者围术期的应用效果[J]. 临床护理进展, 2026; 5: (10) : 12-14.
Published: 2026/10/4 9:10:18

摘要

为考察情境微视频护理干预在肝胆胰开腹手术患者围术期应用的效果,本文采用明确的方法,选取2022年6月-2023年12月本院接受肝胆胰开腹手术的患者96例,随机分为观察组和对照组各48例,对照组予以常规围术期护理,观察组在常规护理基础上加用情境微视频护理干预,之后对两组术前焦虑水平、护理依从性、术后疼痛视觉模拟评分法(VAS)评分、术后康复指标及护理满意度诸指标予以比较。结果十分清楚:观察组术前焦虑评分明显低于对照组,护理依从性、满意度均优于对照组,术后疼痛评分及首次排气时间、下床活动时间、住院天数诸指标也都优于对照组(P<0.05)。结论为情境微视频护理干预能有效改善肝胆胰开腹手术患者围术期焦虑情绪、提高护理依从性、促进术后康复,有较好的临床应用价值。

关键词: 情境微视频;围术期护理;肝胆胰开腹手术;快速康复;护理干预

Abstract

To evaluate the efficacy of situational micro-video nursing intervention in perioperative care for patients undergoing hepatobiliary pancreatic open surgery, this study employed a well-defined methodology by selecting 96 patients who underwent such surgeries at our hospital from June 2022 to December 2023 and randomly assigning them into an observation group (n=48) and a control group (n=48). The control group received conventional perioperative care, while the observation group received additional situational micro-video nursing intervention. Subsequent comparisons were made between the two groups regarding preoperative anxiety levels, nursing compliance, Visual Analogue Scale (VAS) score for postoperative pain, postoperative recovery outcomes, and nursing satisfaction. The results were unequivocal: the observation group exhibited significantly lower preoperative anxiety scores, superior nursing compliance and satisfaction rates, as well as better postoperative pain scores, time to first flatus, time to ambulation, and length of hospital stay compared to the control group (P<0.05). The conclusion is that situational micro-video nursing intervention effectively alleviates perioperative anxiety, enhances nursing compliance, and promotes postoperative recovery in patients undergoing hepatobiliary pancreatic open surgery, demonstrating significant clinical value.

Key words: Situational micro-video; Perioperative nursing; Hepatobiliary pancreatic open surgery; Rapid rehabilitation; Nursing intervention

参考文献 References

[1] 李冰石,侯庆梅.小群体情景模拟训练对经外周置入的中心静脉导管肿瘤患者的自我护理能力和自我效能的影响[J].解放军护理杂志,2016,33(13):28-31.

[2] 丁浩萍.情景模拟健康教育对学龄期支气管哮喘患儿认知水平及健康行为的影响[J].医学临床研究,2018,35(9): 1763-1765.

[3] 赵凤阳,黄叶莉,邱宝安.程序化综合护理预防老年肝胆外科患者术后谵妄的研究[J].上海护理,2020,19(3):231-233.

[4] 李楠,谷艳梅.快速康复外科护理在肝胆外科手术患者术后的应用[J].结直肠肛门外科,2020,28(7):148-154.

[5] 董敏惠,林剑芳,邹莹星.个性化护理在肝胆外科围手术期护理中的应用价值[J].中国医药指南,2023,21(14):135 -137.

[6] 王蕊蕊,李靖,张媛媛,等. 护理安全管理对肝胆手术患者DVT形成的预防效果[J].黑龙江中医药,2021,50 (6):384-385.

[7] 钟自勤,陈云超,陈育慧,等.基于加速康复理念的综合护理干预在DVSS治疗伴肝硬化原发性肝癌患者围术期的应用效果[J].国际检验医学杂志,2023,44(S1):152-155.

[8] 潘文,刘小白. 个性化护理策略应用于肝胆手术患者的临床效果观察[J].中国社区医师,2020,36 (22):144-145.

[9] 袁年粉,成迎春.基于快速康复外科理论的围手术期护理干预应用于肝胆管结石肝切除术患者中的价值[J]. 实用临床护理学电子杂志,2025,10(2):28-31.