目的:探讨舒适护理在泌尿外科老年患者后腹腔镜手术中的应用效果。方法:将76例老年泌尿外科后腹腔镜手术患者随机分为干预组和对照组各38例,对照组采用常规泌尿外科干预措施,干预组在对照组基础上予以舒适护理模式,应用正性负性情绪量表...目的:探讨舒适护理在泌尿外科老年患者后腹腔镜手术中的应用效果。方法:将76例老年泌尿外科后腹腔镜手术患者随机分为干预组和对照组各38例,对照组采用常规泌尿外科干预措施,干预组在对照组基础上予以舒适护理模式,应用正性负性情绪量表(PANAS)对两组患者心理状态予以评估,比较两组入院后第1天、麻醉前及术后24 h的收缩压(SBP)、心率等应激反应变化,舒适度及对护理满意度。结果:护理干预后,两组正性与负性情绪评分均有改善,且干预组改善程度较对照组更为明显,差异有统计学意义(P<0.05);干预组麻醉前、术后24 h SBP与心率波动程度均明显小于对照组,差异有统计学有意义(P<0.05);干预组舒适度、护理满意度均显著高于对照组,差异有统计学有意义(P<0.05)。结论:舒适护理能明显缓解患者负性情绪,减少应激反应,提高舒适度与护理满意度。展开更多
BACKGROUND Patients with colorectal cancer may need postoperative nursing to improve prognosis,and conventional nursing is not effective.Clinical research is needed to explore nursing methods that can more effectively...BACKGROUND Patients with colorectal cancer may need postoperative nursing to improve prognosis,and conventional nursing is not effective.Clinical research is needed to explore nursing methods that can more effectively improve postoperative conditions on colorectal cancer patients undergoing colostomy.AIM To explore the effect of internet multiple linkage mode-based extended care combined with in-hospital comfort care on colorectal cancer patients undergoing colostomy.METHODS Data from 187 patients with colostomy treated in our hospital from May 2019 to March 2022 were collected and divided into three groups,A(n=62),B(n=62)and C(n=63),according to different intervention methods.Group A received internet multiple linkage mode-based extended care combined with in-hospital comfort care.Group B received internet multiple linkage mode-based extended care.Group C received usual care intervention.Complications were compared among the three groups.The stoma self-efficacy scale,Hamilton Anxiety Scale,RESULTS The complication rate of group A,B and C(16.13%,20.97%and 60.32%,respectively)was significantly different(all P<0.05).The incidence of complications in groups A and B was lower than that in group C,and there was no significant difference between groups A and B(P>0.05).After intervention,the scores of ostomy care,social contact,diet choice,confidence in maintaining vitality,confidence in self-care of ostomy,confidence in sexual life,confidence in sexual satisfaction and confidence in physical labor in the three groups were all higher than before intervention,and the scores of groups A and B were higher than those of group C,with statistical significance(P<0.05).The Hamilton Anxiety Scale and Hamilton Depression Scale scores of the three groups after intervention were lower than those before intervention.The scores of groups A and B were lower than those of group C,and the score of group A was lower than that of group B,all with statistical significance(all P<0.05).There was a statist-ically significant difference in can展开更多
文摘目的:探讨舒适护理在泌尿外科老年患者后腹腔镜手术中的应用效果。方法:将76例老年泌尿外科后腹腔镜手术患者随机分为干预组和对照组各38例,对照组采用常规泌尿外科干预措施,干预组在对照组基础上予以舒适护理模式,应用正性负性情绪量表(PANAS)对两组患者心理状态予以评估,比较两组入院后第1天、麻醉前及术后24 h的收缩压(SBP)、心率等应激反应变化,舒适度及对护理满意度。结果:护理干预后,两组正性与负性情绪评分均有改善,且干预组改善程度较对照组更为明显,差异有统计学意义(P<0.05);干预组麻醉前、术后24 h SBP与心率波动程度均明显小于对照组,差异有统计学有意义(P<0.05);干预组舒适度、护理满意度均显著高于对照组,差异有统计学有意义(P<0.05)。结论:舒适护理能明显缓解患者负性情绪,减少应激反应,提高舒适度与护理满意度。
基金Supported by Clinical Teaching Base of Jiangsu Medical Vocational College,No.20219141.
文摘BACKGROUND Patients with colorectal cancer may need postoperative nursing to improve prognosis,and conventional nursing is not effective.Clinical research is needed to explore nursing methods that can more effectively improve postoperative conditions on colorectal cancer patients undergoing colostomy.AIM To explore the effect of internet multiple linkage mode-based extended care combined with in-hospital comfort care on colorectal cancer patients undergoing colostomy.METHODS Data from 187 patients with colostomy treated in our hospital from May 2019 to March 2022 were collected and divided into three groups,A(n=62),B(n=62)and C(n=63),according to different intervention methods.Group A received internet multiple linkage mode-based extended care combined with in-hospital comfort care.Group B received internet multiple linkage mode-based extended care.Group C received usual care intervention.Complications were compared among the three groups.The stoma self-efficacy scale,Hamilton Anxiety Scale,RESULTS The complication rate of group A,B and C(16.13%,20.97%and 60.32%,respectively)was significantly different(all P<0.05).The incidence of complications in groups A and B was lower than that in group C,and there was no significant difference between groups A and B(P>0.05).After intervention,the scores of ostomy care,social contact,diet choice,confidence in maintaining vitality,confidence in self-care of ostomy,confidence in sexual life,confidence in sexual satisfaction and confidence in physical labor in the three groups were all higher than before intervention,and the scores of groups A and B were higher than those of group C,with statistical significance(P<0.05).The Hamilton Anxiety Scale and Hamilton Depression Scale scores of the three groups after intervention were lower than those before intervention.The scores of groups A and B were lower than those of group C,and the score of group A was lower than that of group B,all with statistical significance(all P<0.05).There was a statist-ically significant difference in can