围术期护理干预对卵巢癌患者的影响  

Effect of Perioperative Nursing Intervention on Patients with Ovarian Cancer

作　　者：张招艳 ZHANG Zhao-yan(Shenyang Maternal and Child Hospital,Shenyang 110000,China)

机构地区：[1]沈阳市妇婴医院,辽宁沈阳110000

出　　处：《中国医药指南》2020年第13期262-263,共2页Guide of China Medicine

摘　　要：目的观察围术期护理干预对卵巢癌患者的影响。方法选择我院2017年1月至2019年1月收治的卵巢癌患者80例,随机分成2组,观察组40例,采取围术期护理干预,患者年龄39~62岁,平均(43.5±5.7)岁,体质量(57.2±6.2)kg,病程3月~2.6年;对照组40例,采取常规护理,患者年龄38~63岁,平均(44.6±6.1)岁,体质量(55.2±7.3)kg,病程5个月~2.4年。全部患者症状、体征、专科检查、病理结果符合卵巢癌诊断标准,两组患者在年龄、体质量、病程、治疗方法等方面比较,差异值无统计学意义(P>0.05),具有可比性。常规护理措施在护理过程中强调无菌操作和核对制度,严格执行护理流程,注意输液管理、用药管理等,护理干预是在常规护理的基础上增加对环境因素、心理因素、饮食因素、术后康复等方面的干预和人文关怀,从而减少并发症发生率,提高护理满意度。结果观察组患者下床活动时间为(5.6±3.5)h,对照组患者下床活动时间为(8.7±6.4)h;观察组患者焦虑发生率为7.5%,对照组患者焦虑发生率为26.5%;观察组疼痛评分(3.2±0.8)分,对照组疼痛评分(5.6±1.1)分;观察组恶心呕吐发生率为10.0%,对照组恶心呕吐发生率为47.5%;观察组住院时间(6.2±3.1)d,对照组住院时间(9.5±4.2)d。观察组开始下床活动时间更短,焦虑发生率更低,疼痛评分更低,恶心呕吐发生率更低,住院时间更短,与对照组相比,差异值具有统计学意义(P<0.05)。观察组护理满意度为93.1%,也远高于对照组的80.2%。结论为患者提供优质人文护理干预,不仅让患者感到满意,同时也让护士从中受益。这些护理措施的开展使护理工作流程更加合理和高效,提高了护士对护理工作执行力,减少了护理差错发生。注意护理细节,提高护理人员自信心,这种良性循环可以促进护理质量持续改进。Objective Observe the effect of perioperative nursing intervention on patients with ovarian cancer.Methods Eighty patients with ovarian cancer admitted to our hospital from January 2017 to January 2019 were randomly divided into two groups.The observation group was treated with perioperative nursing intervention.The symptoms,signs,specialist examination and pathological results of all patients were consistent with the diagnostic criteria of ovarian cancer.The differences between the two groups in terms of age,weight,duration of disease,and treatment methods were not statistically significant(P>0.05).Routine nursing measures emphasize aseptic operation and verification system in the nursing process,strictly implement the nursing process,pay attention to infusion management,medication management,etc.Nursing intervention is to increase environmental factors,psychological factors,dietary factors on the basis of routine nursing,Postoperative rehabilitation and other aspects of intervention and human care,thereby reducing the incidence of complications and improving nursing satisfaction.Results The observation group began to get out of bed for shorter time,had lower incidence of anxiety,lower pain score,lower incidence of nausea and vomiting,and shorter hospital stay.Compared with the control group,the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was 93.1%,which was also much higher than that of the control group of 80.2%.Conclusion Providing quality human care interventions to patients not only satisfies patients,but also benefits nurses.The development of these nursing measures makes the nursing work process more reasonable and efficient,improves the nurse’s execution of nursing work,and reduces the occurrence of nursing errors.Pay attention to the details of care and improve the self-confidence of the nursing staff.This virtuous circle can promote continuous improvement of the quality of care.

关 键 词：妇科 卵巢癌 围术期 心理状态 护理 

分 类 号：R473.73[医药卫生—护理学]