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全程系统化护理干预在腹腔镜下肾癌根治术患者中的应用 被引量:8

Application of Systematic Nursing in Patients Undergoing Laparoscopic Radical Nephrectomy
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摘要 目的:探讨全程系统化护理干预在腹腔镜下肾癌根治术患者中的应用效果。方法:将64例行腹腔镜下肾癌根治术患者按照不同护理方法分为对照组和观察组各32例,对照组给予常规护理,观察组实施全程系统化护理干预,比较两组护理效果。结果:两组肛门排气时间、导尿管拔除时间、首次活动时间、睡眠时间、住院时间比较差异有统计学意义(P<0.05)。两组干预后汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评分低于干预前(P<0.05),观察组干预后HAMD、HAMA评分低于对照组(P<0.05)。观察组干预后健康促进生活方式量表-Ⅱ(HPLP-Ⅱ)评分高于对照组(P<0.05)。结论:全程系统化护理干预可有效缩短腹腔镜下肾癌根治术患者的康复时间,改善心理状态,对培养患者健康生活习惯具有重要意义。 Objective: To explore the effect of systematic nursing intervention on patients undergoing laparoscopic radical nephrectomy.Methods: A total of 64 cases of laparoscopic radical nephrectomy were divided into the control group and the observation group,32 cases in each group. The control group was given the routine nursing. The observation group carried out the whole systematic nursing intervention and compared the nursing effect of the two groups. Results: There were significant differences in anal exhaust time,catheter removal time,first activity time,sleep time,and hospitalization time between the two groups(P〈0. 05). The scores of Hamilton Depression Scale(HAMD) and Hamilton Anxiety Scale(HAMA) were lower than those before intervention(P〈0. 05); The scores of HAMD and HAMA in the observation group were lower than those in the control group(P〈0. 05). The Health Promoting Lifestyle Scale II(HPLP-Ⅱ) score of the observation group was higher than that of the control group(P〈0. 05). Conclusion: Systemic nursing interventions can effectively shorten the recovery time and improve the psychological state of patients undergoing laparoscopic radical nephrectomy. It is of great significance to cultivate healthy living habits of patients.
作者 刘晓菲 Liu Xiaofei(Department of nursing of Heze Medical College,Heze Shandong 274000,China)
出处 《齐鲁护理杂志》 2018年第14期27-30,共4页 Journal of Qilu Nursing
关键词 肾癌 腹腔镜下肾癌根治术 围术期护理 全程系统化护理干预 Renal cell carcinoma Laparoscopic radical nephrectomy Perioperative nursing Systematic nursing intervention
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