摘要
目的：探讨以人文为核心的整体护理在胰腺癌根治术后恢复的影响。方法选取胰腺癌患者100例行胰腺癌根治术，按随机数字表法分为对照组和观察组，对照组49例，观察组51例。对照组采用常规护理方法；观察组在常规护理的基础上以人文精神为核心的整体护理方法。比较两组身心情况、住院时间、胃肠道恢复动力时间、并发症发生率、对护理的满意度、治疗依从性。结果观察组护理前后 SAS 评分为（56．87±6．01）分、（39．11±5．68）分，差异有统计学意义（t ＝9．136，P ＜0．05）。观察组护理前后 SDS 评分为（61．79±6．17）分、（40．82±5．31）分，差异有统计学意义（t ＝8．561，P ＜0．05）；观察组和对照组的住院时间分别为（31．9±6．81）d 和（45．8±9．91）d，差异有统计学意义（t ＝5．385，P ＜0．05）；排气时间分别为（8．21±1．35）d 和（13．56±1．77）d，差异有统计学意义（t ＝3．769，P ＜0．05）；观察组治疗满意度和治依从性均明显优于对照组（χ2＝8．292、8．156，均 P ＜0．05）。结论以人文为核心的整体护理方法使患者缩短住院时间，提高胰腺癌患者的术后康复速度，值得临床推广。
Objective To discuss the influence of the holistic nursing careng on clinical value in patients with advanced pancreatic cancer.Methods 70 patients with pancreatic cancer were randomly divided into the observation group and the control group,with 35 cases in each group.The control group was given routine nursing measures.The observation group received the holistic nursing careng on the basis of routine nursing measures.The hospitalization time,satisfaction degree,treatment compliance and mentality were observed.Results The SAS,SDS scores of the observation group after nursing were （56.87 ±6.01）points and （61.79 ±6.17）points,which were significantly lower than （39.11 ±5.68）points and （40.82 ±5.31）points of before nursing（t =9.136,8.561,all P 〈0.05）.The hospi-talization time,exhaust time of the observation group were （32.9 ±6.6）days and （8.21 ±1.29）days,which were significantly lower than （45.1 ±10.2）days and （13.56 ±1.77）days of the control group（t =8.561,3.769,all P 〈0.05）.The treatment satisfaction and treatment compliance in the observation group were also significantly better than the control group（χ2 =8.292,8.156,all P 〈0.05）.Conclusion Hsystematic nursing intervention can significantly improve thepostoperative anxiety and depression,and improve the quality of life of patients with severe pneumonia.
作者
张跃
包雪青
夏捷
Zhang Yue Bao Xueqing Xia Jie(Department of Hepatobiliary Surgery,the Second Affiliated Hospital of Wenzhoti Medical University, Wenzhou, Zhejiang 325000, Chin)
出处
《中国基层医药》
CAS
2016年第21期3244-3247,共4页
Chinese Journal of Primary Medicine and Pharmacy
基金
浙江省温州市科技计划项目（20130099）
关键词
胰腺肿瘤
手术后医护
焦虑
抑郁
Pancreatic neoplasms
Postoperative care
Anxiety
Depression
