Current situation and influencing factors of postcholecystectomy syndrome
10.3760/cma.j.cn115682-20220429-02104
- VernacularTitle:胆囊切除术后综合征发生现状及其影响因素分析
- Author:
Mingming ZHANG
1
;
Yulin ZHENG
;
Jing GUO
;
Xiaowen CHEN
;
Fanhua MENG
;
Yamin ZHENG
;
Xinran WANG
Author Information
1. 首都医科大学宣武医院普通外科，北京 100053
- Keywords:
Cholecystectomy;
Postcholecystectomy syndrome;
Complications;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2022;28(33):4655-4660
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the current situation of postcholecystectomy syndrome (PCS) and analyze its influencing factors, so as to provide basis for the formulation of postoperative nursing measures.Methods:A total of 336 patients who underwent laparoscopic cholecystectomy in Department of General Surgery in Xuanwu Hospital, Capital Medical University from June 2019 to December 2020 were selected as research objects by the convenient sampling method. General information questionnaire, lifestyle questionnaire, Self-rating Anxiety Scale and Self-rating Depression Scale were used to conduct a questionnaire survey of the patients in 1 month and 3 months after the operation. Logistic regression analysis was used to explore the influencing factors of PCS occurrence.Results:After 3 months of follow-up, 4 patients were lost to follow-up, and data of 332 patients were finally collected. The incidence of PCS was 23.5% (78/332) in 1 month after surgery and 7.2% (24/332) in 3 months after surgery. The total incidence of PCS within 3 months was 30.7% (102/332) , and the main symptoms were diarrhea, abdominal pain and abdominal distension. Logistic regression analysis showed that meat diet and irregular meals were the risk factors for PCS in one month after surgery ( P<0.05) and marriage was the protective factor for PCS in one month after surgery ( P<0.05) . Anxiety was a risk factor for PCS in 3 months after surgery ( P<0.05) . Conclusions:Patients with cholecystectomy have a high incidence of PCS. Patients are advised to reduce the intake of high-fat food, pay attention to the combination of meat and vegetables in their diet and correct irregular eating habits within 1 month after surgery. Meanwhile, family support should be enhanced and emotional management should be strengthened in 3 months after surgery to reduce the incidence of PCS.
