早期关怀住院模式在结直肠癌手术患者护理中的应用评价  

Application of Early Care Hospitalization Model in Nursing Care of Patients with Colorectal Cancer Surgery

作　　者：魏英田[1] WEI Ying-tian(Department of Gastrointestinal Hepatobiliary,the Third People＇s Hospital of Jinan,Shandong Province,250132 China)

机构地区：[1]山东省济南市第三人民医院胃肠肝胆外科,山东济南250132

出　　处：《中外医疗》2018年第22期136-138,共3页China & Foreign Medical Treatment

摘　　要：目的评价在结直肠癌手术患者护理中早起关怀住院模式的应用效果及价值。方法方便选取该医院2016年1月—2017年8月收治的拟实施结直肠癌手术的106例患者,采用简单随机化方法分为常规组和试验组,均实施常规护理模式干预,后者另给予早期关怀住院模式干预。对比护理前后心理痛苦程度、住院期间的诊疗配合度,并评价患者对护理人员的满意率。结果护理后2组各项心理痛苦评分均显著降低,试验组[(29.9±3.3)分、(10.1±3.0)分、(51.3±5.0)分、(3.0±0.5)分、(120.1±9.3)分]均低于常规组[(21.4±3.1)分、(15.6±3.2)分、(60.7±5.2)分、(4.2±0.8)分、(132.1±8.7)分],差异有统计学意义(t=13.667、9.128、9.486、9.260、6.860,P=0.000<0.05);住院期间2组诊疗配合度分布情况可见显著差异,且试验组优良率(94.34%)远高于常规组(79.25%),差异有统计学意义(χ2=5.267,P=0.022);试验组对护理人员态度、责任感、人文关怀、整体服务质量的满意率(98.11%、94.34%、96.23%、98.11%)均明显高于常规组(81.13%、79.25%、83.02%、81.13%),差异有统计学意义(χ2=8.216、5.267、4.970、8.216,P=0.004、0.022、0.026、0.004)。结论对结直肠癌手术患者护理中给予早期关怀住院模式能够减轻其心理痛苦,改善诊疗配合度和护理满意度。Objective To evaluate the effect and value of early care and hospitalization in the care of patients with colorectal cancer. Methods A total of 106 patients undergoing colorectal cancer surgery from January 2016 to August 2017 were convenient selected and divided into routine and experimental group using simple randomization methods. Both groups were implemented with care hospitalization model intervention. The degree of psychological pain before and after nursing was compared with the degree of diagnosis and treatment during hospitalization, and the patients＇ satisfaction rate with nursing staff was evaluated. Results After the nursing, the psychological pain scores of the two groups were significantly decreased,and the experimental group was [（29.9±3.3） points,（10.1±3.0） points,（51.3±5.0） points,（3.0±0.5） points,（120.1±9.3） points were all lower than the conventional group [（21.4±3.1） points,（15.6 ± 3.2） points,（60.7 ± 5.2） points,（4.2 ± 0.8） points,（132.1±8.7） points]（t=13.667, 9.128, 9.486, 9.260, 6.860, P=0.000 〈0.05）; with significant difference, and the excellent rate in the experimental group（94.34%） was much higher than that in the regular group（79.25%）（χ^2=5.267, P=0.022）; the satisfaction rates of the attitude, responsibility, humanistic care, and overall service quality of the nursing staff in the experimental group were（98.11%, 94.34%, 96.23%, 98.11%）, significantly higher than those of the conventional group（81.13%,79.25%, 83.02%, 81.13%）（χ^2=8.216, 5.267,4.970,8.216, P =0.004, 0.022, 0.026, 0.004）. Conclusion The early care and hospitalization mode in the nursing of patients with colorectal cancer surgery can reduce their psychological pain, improve the coordination of diagnosis and treatment and nursing satisfaction.

关 键 词：早期关怀住院模式 结直肠癌 心理痛苦 配合度 满意度 

分 类 号：R473.73[医药卫生—护理学]