摘要
目的探讨基于IDEAS模式的术前护理在初次行内镜下黏膜剥离(ESD)术早期食管癌患者中的应用效果。方法采用便利抽样法,选取2021年5月—2023年6月济宁医学院附属医院收治的初次行ESD术的早期食管癌患者130例为研究对象。采用随机数字表法,将患者分为试验组和对照组,各65例。对照组接受常规术前护理,试验组在对照组基础上接受基于IDEAS模式的术前护理。采用中文版医学应对问卷,心率、舒张压、收缩压,护理满意度调查问卷评估干预的效果。结果进入胃镜室前30 min试验组患者中文版医学应对问卷面对维度评分高于对照组,回避、屈服维度评分均低于对照组,差异均有统计学意义(P<0.01)。进入胃镜室后试验组患者心率、舒张压、收缩压均低于对照组,差异有统计学意义(P<0.01)。试验组护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论IDEAS模式的术前护理可增加初次行ESD术早期食管癌患者积极的应对方式,降低其心血管应激反应,提高患者对护理的满意度。
Objective To explore the application effect of IDEAS model-based preoperative nursing in early esophageal cancer patients undergoing endoscopic submucosal dissection(ESD)for the first time.Methods A total of 130 patients with early esophageal cancer who underwent ESD for the first time in Affiliated Hospital of Jining Medical University from May 2021 to June 2023 were selected as the study objects by the convenient sampling method.The patients were divided into the experimental group and the control group by random number table method,with 65 cases in each group.The control group received routine preoperative care,while the experimental group received the IDEAS model-based preoperative care based on the control group.Chinese version of Medical Coping Questionnaire,heart rate,diastolic blood pressure,systolic blood pressure and Nursing Satisfaction Questionnaire were used to evaluate the effect of intervention.Results 30 minutes before entering the gastroscopy room,the score of face dimension in Chinese version of Medical Coping Questionnaire in the experimental group was higher than that in the control group,while the scores of avoidance and submission dimensions were lower than those in the control group,and the differences were statistically significant(P<0.01).After entering the gastroscopy room,the heart rate,diastolic blood pressure and systolic blood pressure of the experimental group were lower than those of control group,and the differences were statistically significant(P<0.01).The total satisfaction of nursing in the experimental group was higher than that in control group,and the difference was statistically significant(P<0.05).Conclusions The IDEAS model-based preoperative care can increase the positive coping strategies of early esophageal cancer patients undergoing ESD surgery for the first time,reduce their cardiovascular stress response and improve patients'satisfaction with nursing.
作者
张令鸣
梁美
陈卫卫
Zhang Lingming;Liang Mei;Chen Weiwei(Department of Gastroenterology,Affiliated Hospital of Jining Medical University,Jining 272100,China;Department of Thyroid Surgery,Affiliated Hospital of Jining Medical University,Jining 272100,China;Department of Traditional Chinese Medicine,Affiliated Hospital of Jining Medical University,Jining 272100,China)
出处
《中华现代护理杂志》
2024年第28期3913-3916,共4页
Chinese Journal of Modern Nursing
