护理学报2025，Vol.32Issue(4)：74-78,5.DOI:10.16460/j.issn1008-9969.2025.04.074
肝胆外科术后患者基础体征采集-比对-识别隐匿型病情变化的效果观察
Effect of basic sign collection-comparison-recognition model for occult change after hepatobiliary surgery
龚祖华 1孙丽 2谭璇 2张悦 1施丹 1程娟娟1
作者信息
- 1. 华中科技大学同济医学院附属协和医院金银湖院区 肝胆外科,湖北 武汉 430000
- 2. 华中科技大学同济医学院附属协和医院金银湖院区 护理部,湖北 武汉 430000
- 折叠
摘要
Abstract
Objective To observe the effect of basic sign collection-comparison-recognition model for early identification of occult change in patients with postoperative?electrocardiogram monitoring after hepatobiliary surgery.Methods A total of 269 patients who met the criteria from February 2024 to May 2024 were selected,with 136 cases in control group given conventional nursing care,and 133 cases in observation group given nursing care with basic sign collection-comparison-recognition model.Preoperative baseline indexes such as heart rate,blood pressure,etc.were recorded as references for postoperative signs.WPS form calculator with assignment operation was used to identify fluctuations.Once the fluctuations exceeded the range of early warning,structured assessment manual constructed by the evidence-based nursing was used to identify the hazards.The difference between the two groups of patients in terms of the incidence of postoperative pain,fever,nausea and vomiting,abnormal infusion rate,abdominal distension,chest tightness and shortness of breath,and bleeding tendency was compared.Results The identification rate of occult complications and overt symptoms in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Patients in the observation group performed better in terms of postoperative pain score,nausea and vomiting,abdominal distension,dyspnea,infusion rate abnormality,bleeding tendency and difficulty in breathing(P<0.05),showing statistical significance.Conclusion Basic sign collection-comparison-recognition mode is effective for recognizing the occult changes of vital signs after hepatobiliary surgery,and can effectively prevent and control the occurrence and development of complications in postoperative patients.关键词
隐匿型病情变化/基础体征/术后护理/肝胆外科Key words
occult change/basal signs/postoperative nursing/hepatobiliary surgery分类
临床医学引用本文复制引用
龚祖华,孙丽,谭璇,张悦,施丹,程娟娟..肝胆外科术后患者基础体征采集-比对-识别隐匿型病情变化的效果观察[J].护理学报,2025,32(4):74-78,5.
