内镜下胃息肉切除术围手术期应用集束化护理的效果分析  

Effect analysis of cluster nursing in endoscopic gastric polyps resection during perioperative period

作　　者：赵凤华 赵海霞 宋晓楠 

机构地区：[1]大连市第五人民医院窥镜室,116000

出　　处：《中国实用医药》2016年第34期137-138,共2页China Practical Medicine

摘　　要：目的观察集束化护理对内镜下胃息肉切除患者围手术期不良应激的改善作用。方法 86例行内镜下胃息肉切除术患者为研究对象,按照随机数字表法分为观察组和对照组,每组43例。对照组给予常规护理干预,观察组给予集束化护理干预。观察两组护理前后不良应激改善情况[焦虑自评量表(SAS)、抑郁自评量表(SDS)],同时观察术后并发症发生情况。结果两组护理前SAS、SDS评分比较差异均无统计学意义(P>0.05);护理后两组SAS、SDS评分均较护理前降低,且观察组护理前后比较差异具有统计学意义(P<0.05),护理后观察组SAS、SDS评分均低于对照组,差异具有统计学意义(P<0.05)。观察组术后并发症发生率6.98%低于对照组23.26%,差异具有统计学意义(P<0.05)。结论集束化护理对内镜下胃息肉切除患者不良应激具有较显著的改善作用,同时可显著降低患者术后并发症发生。Objective To observe improvement of cluster nursing for distress of endoscopic gastric polyps resection patients in perioperative period. Methods A total of 86 endoscopic gastric polyps resection patients as research subjects were divided by random number table into observation group and control group, with 43 cases in each group. The control group received conventional nursing intervention, and observation group received luster nursing intervention. Observation was made on improvement of distress [self-rating anxiety scale（SAS） and self-rating depression scale（SDS）] and postoperative complications. Results Both groups had no statistical significance in SAS and SDS score before treatment（P〉0.05）. Both groups had lower SAS and SDS score after treatment than before treatment,and observation group had statistical significance compared with before treatment（P〈0.05）. The observation group had lower SAS and SDS score after treatment than control group, and their differences had statistical significance（P〈0.05）. The observation group had incidence of complications as 6.98%, which was lower than 23.26% in control group, and difference had statistical significance（P〈0.05）. ConclusionCluster nursing shows clear improvement for distress of endoscopic gastric polyps resection period and this method also can clearly decrease incidence of complications after operation.

关 键 词：胃息肉切除 集束化护理 不良应激 

分 类 号：R473.6[医药卫生—护理学]