摘要
目的探讨舒适护理在食管癌患者围手术期的应用效果。方法将在我院外科行食管癌手术的78例患者随机分为对照组和观察组,各39例。对照组采用常规围术期护理,观察组采用围术期舒适护理。比较两组患者的护理效果。结果护理后,两组HAMD及HAMA评分较护理前明显改善,且观察组明显优于对照组(P<0.05)。观察组术后切口不适、口腔不适、疼痛、胸闷、睡眠障碍、引流管不适等并发症发生率明显低于对照组(P<0.05);观察组护患沟通、康复指导、护理满意度明显优于对照组(P<0.05);观察组术后排气时间、首次进食时间、静脉输液时间、住院时间明显短于对照组(P<0.05)。结论舒适护理在食管癌患者围手术期的应用效果显著,具有积极的临床意义。
Objective To explore the application effect of comfort nursing in perioperative patients with esophageal cancer. Methods A total of 78 patients undergoing esophageal cancer surgery in our hospital were randomly divided into control group and observation group, with 39 cases in each group. The control group was given routine perioperative nursing, and the observation group was treated with perioperative comfort nursing. The nursing effects of the two groups were compared. Results After nursing, the HAMD, HAMA scores of the two groups improved, and those of the observation group were better than the control group（P〈0.05）. The incidences of incision discomfort, oral discomfort, pain, chest distress, sleep disturbance and drainage tube discomfort of the observation group were lower than those of the control group（P〈0.05）. The rates of nurse-patient communication, rehabilitation guidance and nursing satisfaction of the observation group were lower than those of the control group（P〈0.05）. The postoperative exhaust time, first feeding time, time of intravenous infusion and hospital stays in the observation group were significantly shorter than those in the control group（P〈0.05）. Conclusion Comfort nursing has significant application effect in perioperative patients with esophageal cancer,which has positive clinical significance.
作者
白娟
张晓兰
刘亚琴
张银萍
BAI Juan;ZHANG Xiao-lan;LIU Ya-qin;ZHANG Yin-ping(Xi＇an Jiaotong University Health Science Center, Xi＇an 710003;Xi＇an Central Hospital, Xi＇an 710003, China)
出处
《临床医学研究与实践》
2018年第12期150-151,共2页
Clinical Research and Practice
关键词
食管癌
围手术期
舒适护理
esophageal cancer
perioperative
comfort nursing
