围术期全程系统化护理措施在腹腔镜下肾癌根治术患者中的应用  

Application of systematic nursing care during perioperative period in laparoscopic radical nephrectomy

作　　者：张海艳[1] 赵文彩[1] 罗晓桃 肖晓晓 李晶[1] 邹铁军[1] 程永毅[1] 

机构地区：[1]陕西省人民医院泌尿外科,陕西西安710061

出　　处：《实用临床医药杂志》2017年第20期63-65,共3页Journal of Clinical Medicine in Practice

基　　金：陕西省科技厅科技攻关项目(2010JM4043)

摘　　要：目的探讨围术期全程系统化护理措施在腹腔镜下肾癌根治术患者中的应用效果。方法选择90例腹腔镜下肾癌根治术患者作为研究对象,随机分为观察组和对照组各45例。观察组采用围术期全程系统化护理,对照组采用传统护理,比较2组患者治疗效果、术后疼痛、SAS评分、SDS评分以及术后并发症情况。结果观察组总有效率(97.78%)高于对照组(84.44%)(P<0.05);观察组0、Ⅰ级疼痛患者多于对照组,Ⅱ、Ⅲ级疼痛患者少于对照组(P<0.05);治疗后,2组患者SAS评分、SDS评分均较治疗前下降,且观察组低于对照组(P<0.05);观察组患者术后并发症发生率低于对照组(P<0.05)。结论围术期全程系统化护理措施可提高腹腔镜下肾癌根治术患者的疗效,减轻疼痛,缓解焦虑抑郁情绪,降低并发症发生率。Objective To analyze the effect of perioperative systemic nursing for laparoscopic radical nephrectomy patients. Methods A total of 90 patients with laparoscopic radical nephrectomy undergoing laparoscopic surgery were randomly divided into observation group and control group,with 45 cases in each group. The observation group used the perioperative whole systematic nursing,the control group traditional nursing. The therapeutic effect,postoperative pain,SAS score,SDS score and postoperative complications were compared between the two groups. Results The total effective rate of the observation group was significantly higher than that of the control group( 97. 78%vs. 84. 44%,P < 0. 05); The number of patients with 0,Ⅰ pain was more,and grade Ⅱ and Ⅲpain patients in observation group were significantly less than that in the control group( P < 0. 05);SAS scores and SDS scores of the two groups after treatment decreased compared with treatment before,and the observation group was significantly lower than the control group( P < 0. 05); The postoperative complication rate in the observation group was significantly lower than that in the control group( P < 0. 05). Conclusion Perioperative systemic nursing measures can improve the curative effect of laparoscopic radical nephrectomy,relieve the pain and negative mood of patients,and reduce the incidence of complications.

关 键 词：围术期护理 系统化护理 腹腔镜下肾癌根治术 

分 类 号：R473.6[医药卫生—护理学]