摘要
目的探讨全程人性化干预在内镜下胃癌切除术患者中的应用价值。方法选取95例内镜下胃癌切除术患者,依据干预方法的不同分为对照组(n=48)和观察组(n=47),对照组患者给予常规护理干预,观察组患者给予全程人性化干预。比较两组患者的手术相关指标、疼痛程度[视觉模拟评分法(VAS)]、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、生活质量[生活质量综合评定问卷(GQOL-74)]、护理满意度和并发症发生情况。结果观察组患者术中出血量明显少于对照组,肠鸣音恢复时间、首次排气时间、首次进食时间、首次排便时间均明显短于对照组,差异均有统计学意义(P﹤0.01)。干预后32、72 h,观察组患者的VAS评分均明显低于对照组,差异均有统计学意义(P﹤0.01)。干预后,两组患者SAS、SDS评分均明显低于本组干预前,且观察组患者SAS、SDS评分均明显低于对照组,差异均有统计学意义(P﹤0.01)。干预后,两组患者GQOL-74量表各维度评分均明显高于本组干预前,且观察组患者GQOL-74量表各维度评分均明显高于对照组,差异均有统计学意义(P﹤0.01)。观察组患者的并发症总发生率为17.02%,明显低于对照组患者的41.67%(P﹤0.01),护理满意度为74.47%,明显高于对照组患者的39.58%(P﹤0.01)。结论全程人性化干预可促进内镜下胃癌切除术患者术后恢复,减轻疼痛程度,缓解负性情绪,改善生活质量。
Objective To explore the application value of whole-process humanized intervention in patients undergo-ing endoscopic gastric cancer resection.Method A total of 95 patients with endoscopic gastric cancer resection were se-lected and divided into control group(n=48)and observation group(n=47)according to the different intervention meth-ods.The patients in the control group were given routine nursing intervention,and the patients in the observation group were given the whole-process humanized intervention.The operation-related indicators,pain level[visual analogue scale(VAS)],negative emotion[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],quality of life[generic quality of life inventory-74(GQOL-74)],nursing satisfaction and complications were compared between the two groups.Result The intraoperative blood loss of the observation group was significantly less than that of the control group,and the recovery time of bowel sounds,the time of the first exhaust,the time of the first meal,and the time of the first defeca-tion were significantly shorter than those of the control group,and the differences were statistically significant(P<0.01).At 32 and 72 h after the intervention,the VAS scores of the observation group were significantly lower than those of the control group,and the differences were statistically significant(P<0.01).After the intervention,the SAS and SDS scores of the two groups were significantly lower than those before the intervention,and the SAS and SDS scores of the observa-tion group were significantly lower than those of the control group,and the differences were statistically significant(P<0.01).After the intervention,the scores of each dimension of the GQOL-74 scale in the two groups were significantly higher than those before the intervention,and the scores of each dimension of the GQOL-74 scale in the observation group were significantly higher than those in the control group,and the differences were statistically significant(P<0.01).The total incidence of complications in the observation group was 17.02%,which was significantly lower than 41.67%in the control group(P<0.01),and the nursing satisfaction was 74.47%,which was significantly higher than 39.58%in the control group(P<0.01).Conclusion Whole-process humanized intervention can promote postoperative recovery of pa-tients undergoing endoscopic gastric cancer resection,reduce pain,relieve negative emotions,and improve quality of life.
作者
张雅
焦志宏
邱红雨
张令
宋慧泽
陈秋杰
ZHANG Ya;JIAO Zhihong;QIU Hongyu;ZHANG Ling;SONG Huize;CHEN Qiujie(Department of Endoscopic Diagnosis and Treatment,Zhumadian Central Hospital,Zhumadian 463000,He’nan,China)
出处
《癌症进展》
2022年第11期1172-1175,共4页
Oncology Progress
关键词
胃癌
全程人性化干预
内镜下胃癌切除术
生活质量
gastric cancer
whole-process humanized intervention
endoscopic gastric cancer resection
quality of life
