胆囊癌围手术期护理对患者预后的影响  

Effects of perioperative high quality nursing on prognosis of patients with gallbladder cancer

作　　者：宋文丽[1] 张鹏娟[1] 张星月 张迎春[1] 刘振显[1] 连晶晶[1] 刘博[1] 崔大鹏[1] SONG Wenli;ZHANG Pengjuan;ZHANG Xingyue(Department of Hepatobiliary Surgery,The First Hospital Affiliated to Hebei North University,Hebei,Zhangjiakou 075000,China)

机构地区：[1]河北北方学院附属第一医院肝胆外科,河北省张家口市075000

出　　处：《河北医药》2020年第16期2546-2548,2553,共4页Hebei Medical Journal

基　　金：河北省卫生厅科研基金项目(编号:20190915)。

摘　　要：目的探讨胆囊癌围手术期优质护理对胆囊癌患者预后的影响。方法选取2016年1月至2018年6月确诊并进行腔镜下胆囊癌根治术治疗患者65例,随机分为对照组32例,观察组33例。对照组采取常规护理的方式对胆囊癌患者进行护理,观察组在对照组护理基础上进行优质护理。比较2组患者的手术疗效,对护理的满意度,住院时间及并发症发生率等指标。结果观察组手术总有效率为90%,观察组有效率优于对照组(70%);观察组护理满意度为78.7%,观察组护理满意度优于对照组(53.1%);观察组总并发症发生率为24.2%,观察组并发症发生率低于对照组(53.1%);观察组平均住院时间为(4.44±1.16)d,明显少于对照组的(7.88±1.69)d;患者手术2个月后,复查CEA、CA199指标均较手术前明显降低,2组差异均有统计学意义(P<0.05)。结论在胆囊癌患者围手术期进行优质护理,可提高手术疗效,提升患者对护理服务的满意度,缩短住院时间,减少并发症的发生率。手术2个月后患者CEA、CA199指标均较手术前明显降低,但CEA、CA199是否可作为胆囊癌特异性指标仍不明确,需要进一步试验验证。Objective To investigate the Effects of perioperative high quality nursing on prognosis of patients with gallbladder cancer.Methods A total of 65 patients with gallbladder cancer who were treated by laparoscopic surgery in our hospital from January 2016 to June 2018 were enrolled as research objects,who were divided into observation group(n=33)and control group(n=32)according to random digit table method.The patients in control group were given routine nursing,while the patients in observation group were given high quality nursing.The surgical efficacy,nursing satisfaction degree,and the length of staying in hospital and the incidence rate of complications were observed and compared between the two groups.Results The total effective rate in observation group was 90%,which was significantly higher than that(70%)in control group.The satisfaction degree of patients and their family members in observation group was 78.7%,which was significantly higher than that(53.1%)in control group.The incidences rate of complications in observation group was 24.2%,which was significantly lower than that(53.1%)in control group,and the length of staying in hospital in observation group was(4.44±1.16)days,which was significantly lower than that(7.88±1.69)days in control group.At two months after surgery,the levels of CEA and CA199 were significantly decreased in both groups,as compared with those before surgery,moreover,there were significant differences between the two groups(P<0.05).Conclusion The perioperative high quality nursing can improve therapeutic effects,enhance the nursing satisfaction degree of patients,reduce the incidence rate of complications,and shorten the length of staying hospital.At two months after surgery,the levels of CEA and CA199 are significantly decreased.However,whether CEA and CA199 can be used as specific indicators of gallbladder cancer needs to be identified by further research.

关 键 词：胆囊癌 围手术期 优质护理 常规护理 

分 类 号：R473.73[医药卫生—护理学]