循证护理对胸部肿瘤患者术后白蛋白含量、不良情绪、疼痛及并发症的影响  

Effects of evidence-based nursing on postoperative albumin content,negative emotion,pain and complications in patients with thoracic cancer

作　　者：王建清[1] 周宇鹏 宋明华 Wang Jianqing;Zhou Yupeng;Song Minghua(Department of Thoracic Surgery,the Fifth People's Hospital of Datong,Shanxi Province,Datong 037009, China;the Second Clinical Medicine College,Southern Medical University,Guangzhou 510515,China)

机构地区：[1]山西省大同市第五人民医院胸外科,037009 [2]南方医科大学第二临床医学院,广州510515

出　　处：《中华现代护理杂志》2018年第32期3930-3933,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨循证护理对胸部肿瘤患者术后营养状况及并发症的影响,为护理人员提供相关的临床经验。方法采用方便抽样法,选择2014年8月—2018年5月大同市第五人民医院收治的胸部肿瘤手术患者256例。2014年8月—2017年6月的126例患者为对照组,术后接受常规护理,2017年7月—2018年5月的130例患者为观察组,术后接受循证护理。比较两组患者术前和术后1个月白蛋白及血红蛋白的含量、疼痛评分、焦虑及抑郁评分,比较两组患者术后并发症发生率。结果术后1个月观察组患者的白蛋白含量较术前及对照组升高,差异有统计学意义(P<0.01)。两组患者血红蛋白含量手术前后差异无统计学意义(P>0.05)。术后1个月观察组患者SDS及SAS评分均低于对照组,差异有统计学意义(P<0.01)。术后24 h两组患者VAS评分差异无统计学意义(P>0.05),术后3、7、10 d观察组患者VAS评分均低于对照组,差异有统计学意义(P<0.01),术后1个月两组患者VAS评分差异无统计学意义(P>0.05)。观察组总并发症发生率8.46%,低于对照组的22.22%,差异有统计学意义(P<0.05)。结论循证护理可降低胸部肿瘤患者术后的疼痛程度及手术并发症的发生率,改善机体白蛋白含量及焦虑、抑郁不良情绪,值得临床推广应用。Objective To explore the effects of evidence-based nursing on postoperative nutriture and complications in patients with thoracic cancer.Methods A total of 256 patients with thoracic cancer admitted in the Fifth People's Hospital of Datong from August 2014 to May 2018 were selected by convenient sampling. Totally 126 patients admitted between August 2014 and June 2017 were divided into the control group who received conventional nursing care post surgery, while another 130 patients admitted between July 2017 to May 2018 were divided into the observation group who received evidence-based nursing care. The content of albumin and hemoglobin, pain scores, anxiety and depression scores, and the incidence rate of complications were compared between the two groups before surgery and 1 month after surgery.Results The content of albumin in the observation group 1 month post surgery was higher than that before surgery and that in the control group (P<0.01) . There was no statistical difference in the content of hemoglobin between the two groups before and after surgery (P>0.05) . The Self-Depression Scale (SDS) score and Self-Anxiety Scale (SAS) score was lower in the observation group than in the control group 1 month post surgery (P<0.01) . There was no significant difference in the Visual Analogue Scale (VAS) score between the two groups 24 hours post surgery (P>0.05) ; the VAS score in the observation group was lower than that in the control group days 3, 7 and 10 post surgery (P<0.01) ; and there was significant difference in the VSA score between the two groups 1 month post surgery (P>0.05) . The incidence rate of complications was 8.46% in the observation group, lower than that of the control group (P<0.05) , which was 22.22%.Conclusions Evidence-based nursing can reduce the pain and the incidence rate of complications postoperatively in patients with thoracic cancer, improve the content of albumin in the patients' body, and ameliorate their negative emotions such as anxiety and depression, which is worth promoting

关 键 词：胸部肿瘤 循证护理 疼痛 手术后并发症 焦虑 抑郁 

分 类 号：R-03[医药卫生] R473.73