A COMBINATION OF DIFFERENT DIETARY STRUCTURES AND PERSONALIZED NURSING INTERVENTIONS FOR THE EFFECT ON GALLBLADDER CONTRACTION AND COMPLICATIONS AFTER LAPAROSCOPIC CHOLECYSTECTOMY

Abstract Objective To investigate the effects of combining different dietary structures with personalized nursing interventions on the recovery of gallbladder contraction function, recurrence of gallstones, and complications in patients after laparoscopic cholecystectomy (LCPL). Methods 150 patients with cholelithiasis who underwent LCPL were randomly divided into control group, observation group A, and observation group B. The control group received routine postoperative dietary guidance and nursing care. On the basis of routine care, observation group A received a low-fat, high-fiber dietary structure combined with personalized nursing interventions. Observation group B received a balanced lipid dietary structure, mainly composed of unsaturated fatty acids, combined with personalized nursing interventions. Results At six months post-operation, the gallbladder ejection fraction (GBEF) in observation group B was significantly higher, while the gallstone recurrence rate and gallbladder sludge formation rate were significantly lower than those in observation group A and the control group (p<.05; p<.05). The SF-36 scores of both observation groups were superior to those of the control group, with the improvement being more significant in observation group B (p<.05). The dietary compliance of both observation groups was significantly higher than that of the control group (p<.05). Conclusion After minimally invasive gallbladder-preserving lithotomy, implementing a balanced lipid diet predominantly composed of unsaturated fatty acids, combined with systematic and personalized nursing interventions, can promote the recovery of gallbladder contraction function, reduce the long-term risk of gallstone recurrence and gallbladder sludge formation, and improve patients’ quality of life. Acknowledgments This study was supported by Medical Science Research Project of Hebei Province (No. 20220578).