Impact of diet nursing intervention on patients' rehabilitation effect of gallbladder removal under laparoscope based on the surgical theoretical support of quick recovery

Abstract

Objective To discuss about the impact of diet nursing intervention on patients' rehabilitation effect of gallbladder removal under laparoscope based on the surgical theoretical support of quick recovery. Methods A total of 110 patients conducted with gallbladder removal under laparoscope in this hospital from June, 2014 to December, 2015 were selected as the study objects.Random number table was used to divide into observation group and control group where there were 55 patients each.Usual care was given to control group during perioperative period and diet nursing intervention was given to observation group based on surgical theoretical support of quick recovery to compare patients' satisfaction of nutritional indicator, gastrointestinal function and complication of two groups after operations. Results The postoperative off-bed activity time, anus exhaust time, time of taking food, defecation time, time of stopping transfusion and length of stay of patients in observation group were significantly shorter than control group (t=11.481, 11.171, 19.509, 8.479, 2.966, 5.889, P<0.05).7 days after operation, the indicators of ALB, PRE, TRF and RbP of the observation group were significantly higher than that of the control group(t=7.038, 5.971, 8.540, 10.383, P<0.05). The total occurrence rate (30.91%) of postoperative complication in observation group was significantly lower than 52.73% that was in control group(χ2=5.380, P<0.05). The satisfaction that was 94.55% was significantly higher than that of the control group's 81.82%(χ2=4.274, P<0.05). Conclusion The diet nursing intervention based on the surgical theoretical support of quick recovery can help improve the postoperative malnutrition state of patients for gallbladder removal under laparoscope, promote the recovery of gastrointestinal function, reduce complications and improve the satisfaction of patients. Key words: Quick recovery; Diet nursing; Gallbladder removal under laparoscope; Gastrointestinal function; Nutritional index