PMID- 34540091
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20210921
IS  - 1943-8141 (Print)
IS  - 1943-8141 (Electronic)
IS  - 1943-8141 (Linking)
VI  - 13
IP  - 8
DP  - 2021
TI  - Effect of systematic nursing on the stress response and recovery of 
      gastrointestinal function in patients undergoing laparoscopic cholecystectomy.
PG  - 9647-9654
AB  - OBJECTIVE: To explore the effect of systematic nursing on the stress response and 
      recovery of gastrointestinal function in patients undergoing laparoscopic 
      cholecystectomy. METHODS: A retrospective study was conducted among 102 patients 
      with gallbladder system disease. They were divided into an observation group 
      (n=51, perioperative systematic care) and a control group (n=51, perioperative 
      conventional care) according to a random number table. The clinical indicators, 
      postoperative recovery of gastrointestinal function, and patients' stress 
      response, psychological status and quality of life before and after intervention 
      were compared between the two groups. RESULTS: Compared with the control group, 
      the time to get out of bed for the first time after operation, the recovery time 
      of bowel sounds, and the time of first gas/defecation after operation in the 
      observation group were significantly earlier (all P<0.01), and the hospital stay 
      was significantly shorter (P<0.001). Compared with 12 hours before operation, the 
      serum adrenaline and cortisol levels of the two groups were significantly higher 
      at 48 hours after operation, and the levels in the observation group were lower 
      than the control group (all P<0.001). Compared with 1 day before the operation, 
      the scores of Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) 
      in both groups were reduced when they were discharged from the hospital, and the 
      scores in the observation group were lower than that of the control group (all 
      P<0.01). Three months after the operation, the scores of Generic Quality of Life 
      Inventory-74 (GQOLI-74) in the two groups increased in all dimensions, and the 
      scores in the observation group were higher than the control group (all P<0.05). 
      CONCLUSION: Systematic care during the perioperative period of laparoscopic 
      cholecystectomy can alleviate the degree of stress, promote the recovery of 
      postoperative gastrointestinal function, relieve the level of anxiety and 
      depression, and improve the quality of life of patients after discharge from the 
      hospital.
CI  - AJTR Copyright (c) 2021.
FAU - Li, Sha
AU  - Li S
AD  - Department of Anesthesiology and Surgery, Affiliated Hospital of Gansu University 
      of Chinese Medicine Lanzhou 730020, Gansu Province, China.
FAU - Bai, Jing
AU  - Bai J
AD  - Department of Anesthesiology and Surgery, Affiliated Hospital of Gansu University 
      of Chinese Medicine Lanzhou 730020, Gansu Province, China.
FAU - Wei, Wanxia
AU  - Wei W
AD  - Department of Anesthesiology and Surgery, Affiliated Hospital of Gansu University 
      of Chinese Medicine Lanzhou 730020, Gansu Province, China.
FAU - Liu, Xiaoqin
AU  - Liu X
AD  - Department of Nursing, Affiliated Hospital of Gansu University of Chinese 
      Medicine Lanzhou 730020, Gansu Province, China.
FAU - Shen, Yanping
AU  - Shen Y
AD  - Department of Anesthesiology and Surgery, Affiliated Hospital of Gansu University 
      of Chinese Medicine Lanzhou 730020, Gansu Province, China.
LA  - eng
PT  - Journal Article
DEP - 20210815
PL  - United States
TA  - Am J Transl Res
JT  - American journal of translational research
JID - 101493030
PMC - PMC8430183
OTO - NOTNLM
OT  - Systematic nursing
OT  - gastrointestinal function
OT  - laparoscopic cholecystectomy
OT  - stress response
COIS- None.
EDAT- 2021/09/21 06:00
MHDA- 2021/09/21 06:01
PMCR- 2021/08/15
CRDT- 2021/09/20 06:06
PHST- 2021/01/18 00:00 [received]
PHST- 2021/02/19 00:00 [accepted]
PHST- 2021/09/20 06:06 [entrez]
PHST- 2021/09/21 06:00 [pubmed]
PHST- 2021/09/21 06:01 [medline]
PHST- 2021/08/15 00:00 [pmc-release]
PST - epublish
SO  - Am J Transl Res. 2021 Aug 15;13(8):9647-9654. eCollection 2021.