摘要
目的分析结直肠癌腹腔镜手术患者的临床护理方法和效果。方法回顾性分析河南大学第一附属医院2018年1月至2020年12月收治的结直肠癌手术患者总共78例的临床资料,依据不同护理方式分成对照组(依据常规方案开展护理)和观察组(综合护理)各有39例,比较两组术后恢复指标、并发症出现情况、护理满意度、抑郁及焦虑自评量表(SDS、SAS)、疼痛(VAS)评分、营养指标、生活质量(SF-36)评分。结果观察组的留置胃管、留置尿管、进食、肛门排气、下地活动及住院时间短于对照组(P<0.05)。观察组的切口感染、泌尿系统感染、肺部感染、腹胀腹痛等并发症出现少于对照组(P<0.05)。观察组的护理满意度高于对照组(P<0.05)。护理前两组SDS、SAS、VAS评分比较差异无统计学意义(P>0.05),护理后观察组SDS、SAS、VAS评分均低于对照组,差异有统计学意义(P<0.05)。护理前两组转铁蛋白、白蛋白、前白蛋白比较差异无统计学意义(P>0.05),护理后观察组转铁蛋白、白蛋白、前白蛋白均高出对照组,差异有统计学意义(P<0.05)。护理前两组SF-36评分比较差异无统计学意义(P>0.05),护理后观察组健康状况、情感职能、精力、社会功能评分均高出对照组,差异有统计学意义(P<0.05)。结论结直肠癌腹腔镜手术患者采取综合护理效果确切,能促进其术后恢复,减少各类并发症出现,促进疼痛快速消失,消除负性情绪,改善营养状况,提升其满意度及生活质量,值得采用。
Objective To analyze the clinical nursing modes and results after the operation of colorectal cancer.Methods General data about 78 colorectal cancer patients treated from January 2018 to December 2020 in The First Affiliated Hospital Of Henan University was retrospectively analyzed.According to different nursing modes,patients were divided into control group(n=39,routine nursing)and observation group(n=39,comprehensive nursing).Postoperative recovery indicators,complication rates,nursing satisfaction,self-rating depression scale(SDS),self-rating anxiety scale(SAS),visual analogue scale(VAS),nutritive index and the MOS item short from health survey(SF-36)scores were elaborated.Results The time of gastric tube indwelling,catheter indwelling,feeding,anal exhaust,off-bed activity and hospitalization in the observation group was shorter than that in the control group,with statistically significant difference(P<0.05);the postoperative complications like incisional wound infection,urinary system infection,pulmonary infection and abdominal distension in the observation group were fewer than those in the control group,with statistically significant difference(P<0.05);patient’s satisfaction in the observation group was higher than that in the control group,with statistically significant difference(P<0.05);before care,SDS,SAS and VAS scores between groups were not significantly different(P>0.05);after care,SDS,SAS and VAS scores in the observation group were lower than those in the control group,with statistically significant difference(P<0.05);before care,transferrin,albumin and prealbumin levels between groups were not significantly different(P>0.05);after care,transferrin,albumin and prealbumin levels in the observation group were higher than those in the control group,with statistically significant difference(P<0.05);before care,SF-36 scores between groups were not significantly different(P>0.05);after care,the health conditions,role emotional,vitality and social function scores in the observation group were higher than those in the control group,with statistically significant difference(P<0.05).Conclusion After the operation of colorectal cancer,the comprehensive nursing can promote the patient’s fast recovery,reduce the postoperative complications,pain degree and negative emotions and improve the clinical satisfaction,nutritive states and life quality.It is worthy of application.
作者
张盼
ZHANG Pan(Digestive diseases combined minimally invasive ward of the First Affiliated Hospital of Henan University,Zhengzhou Henan 475000,China)
出处
《临床研究》
2021年第12期171-174,共4页
Clinical Research
关键词
结直肠癌
腹腔镜手术
综合护理
并发症
colorectal cancer
laparoscopy
comprehensive nursing
complications
