摘要
目的探讨全程手术室护理在腹腔镜下结直肠癌根治术患者中的应用效果.方法选取2019年9月—2021年9月我院收治的86例腹腔镜下结直肠癌根治术患者作为研究对象,按随机数字表法分为两组,各43例.对照组给予常规护理,试验组采用全程手术室护理,持续观察至患者出院.对比两组术后疼痛、负性情绪、术后康复情况、并发症发生率及护理满意度.结果两组术后6 h的视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05);试验组术后72 h的VAS评分为(2.21±0.47)分,低于对照组的(2.77±0.38)分,差异有统计学意义(P<0.05).干预前,两组焦虑自评量表(SAS)和抑郁自评量表(SDS)评分比较,组间差异无统计学意义(P>0.05);干预后,试验组SAS和SDS评分分别为(34.95±6.49)分、(36.87±5.59)分,均低于对照组的(42.83±6.82)分、(42.30±5.74)分,组间差异有统计学意义(P<0.05).试验组术后下床活动时间、肛门排气时间、普食恢复时间、住院时间分别为(26.43±2.88)h、(38.23±4.02)h、(42.72±5.46)h、(6.49±1.25)d,均短于对照组的(31.31±3.45)h、(43.55±4.29)h、(50.88±5.17)h、(8.34±1.65)d,组间差异有统计学意义(P<0.05).试验组并发症发生率为4.65%,低于对照组的18.60%,差异有统计学意义(P<0.05).试验组护理满意度为95.35%,高于对照组的79.07%,差异有统计学意义(P<0.05).结论全程手术室护理在腹腔镜下结直肠癌根治术患者中的应用效果确切,可有效减轻术后疼痛及负性情绪,减少并发症的发生,促进术后康复,提高患者护理满意度.
Objective To explore the application effect of whole process operating room nursing in patients undergoing laparoscopic radical resection of colorectal cancer.Methods 86 patients with laparoscopic radical resection of colorectal cancer treated in our hospital from September 2019 to September 2021 were selected as the research objects,and they were randomly divided into two groups according to the random number table method,with 43 cases in each group.The control group was given routine nursing,while the experimental group was given whole process operating room nursing intervention,and both groups were continuously observed until the patients were discharged.The postoperative pain,negative emotion,postoperative rehabilitation,complication rate and nursing satisfaction were compared between the two groups.Results There was no significant difference in visual analogue scale(VAS)score between the two groups at 6 h after operation(P>0.05);the VAS score at 72 h after operation in the experimental group was(2.21±0.47)points,which was lower than(2.77±0.38)points in the control group,and the difference was statistically significant(P<0.05).Before intervention,there was no significant difference in the scores of self rating anxiety scale(SAS)and self rating depression scale(SDS)between the two groups(P>0.05);after intervention,the scores of SAS and SDS in the experimental group were(34.95±6.49)points and(36.87±5.59)points respectively,which were lower than(42.83±6.82)points and(42.30±5.74)points in the control group,and the differences between the groups were statistically significant(P<0.05).The postoperative ambulation time,anal exhaust time,general food recovery time and hospitalization time in the experimental group were(26.43±2.88)h,(38.23±4.02)h,(42.72±5.46)h and(6.49±1.25)d respectively,which were shorter than(31.31±3.45)h,(43.55±4.29)h,(50.88±5.17)h and(8.34±1.65)d in the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of complications in the experimental group was 4.65%,lower than 18.60%in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the experimental group was 95.35%,which was higher than 79.07%of the control group,and the difference was statistically significant(P<0.05).Conclusion The application effect of whole process operating room nursing in patients undergoing laparoscopic radical resection of colorectal cancer is accurate.It can effectively reduce postoperative pain and negative emotion,reduce the occurrence of complications,promote postoperative rehabilitation and improve patient nursing satisfaction.
作者
李红
LI Hong(Operating Room,Linyi Lanling People's Hospital,Linyi Shandong,277700,China)
出处
《反射疗法与康复医学》
2022年第11期67-70,共4页
Reflexology And Rehabilitation Medicine
关键词
结直肠癌
腹腔镜下结直肠癌根治术
全程手术室护理
术后疼痛
负性情绪
并发症
护理满意度
Colorectal cancer
Laparoscopic radical resection of colorectal cancer
Whole process operating room nursing
Postoperative pain
Negative emotion
Complication
Nursing satisfaction
