结肠息肉日间手术患者术后延续性护理需求情况调查  

Investigation on postoperative continuous nursing needs of patients with colonic polyps undergoing daytime surgery

作　　者：王芳[1] 王敏[1] 杨文霞[1] 尹华莹 王金晓 WANG Fang;WANG Min;YANG Wenxia;YIN Huaying;WANG Jinxiao(The Second Ward of Department of Gastroenterology,the Affiliated Hospital of Binzhou Medical College,Shandong Province,Binzhou256600,China)

机构地区：[1]滨州医学院附属医院消化内科二病区,山东滨州256600

出　　处：《中国当代医药》2022年第15期131-134,共4页China Modern Medicine

摘　　要：目的调查结肠息肉日间手术患者对术后延续性护理的需求,为今后健康教育及出院后随访提供依据。方法选取2020年1月1日至12月31日在滨州医学院附属医院消化内科二病区行结肠息肉日间手术的130例患者为研究对象,采用自制的结肠息肉日间手术患者延续性护理需求情况调查问卷进行调查,并对调查结果进行统计分析。结果结肠息肉日间手术的患者术后延续性护理需求较高,为85.71%,患者对结肠息肉日间手术延续性护理需求的评价与职业、居住方式及年龄有关,差异有统计学意义(P<0.05);患者对术后延续性护理需求排名前三位的是术后并发症的观察和护理指导、术后饮食指导、术后健康生活方式指导;患者希望获取健康教育的途径多种多样,但主要为建立健康教育网络平台(建立微信群或者公众号等)、提供出院健康指南。结论结肠息肉日间手术患者对术后健康教育需求较高,临床医护人员应针对日间手术的特色、患者需求的内容、患者希望获取需求的途径等多方面采取有针对性的措施,向患者提供优质的护理服务和健康指导,减少并发症的发生,保障患者安全,促进患者早日康复。Objective To investigate the need of postoperative continuous nursing in patients undergoing day surgery for colonic polyps,and to provide basis for future health education and follow-up after discharge.Methods A total of 130 patients who underwent day surgery for colonic polyps in the second ward of department of Gastroenterology,the Affiliated Hospital of Binzhou Medical College from January 1 to December 31,2020 were selected as the research objects.A self-made questionnaire was used to investigate the continuous nursing needs of patients undergoing day surgery for colonic polyps,and the results were statistically analyzed.Results Patients with day operation for colonic polyps had a high need for continuous nursing after operation,accounting for 85.71%.The evaluation of patients′needs for continuous nursing of colonic polyps during day surgery was related to occupation,residence style and age,the differences were statistically significant(P<0.05).The top three requirements for postoperative continuous nursing of patients undergoing day surgery for colonic polyps were observation and nursing guidance for postoperative complications,dietary guidance for postoperatively,and postoperative healthy lifestyle guidance.There were various ways for patients to obtain health education,but the main ones were to establish health education network platforms(establishing wechat groups or public accounts,etc.)and to provide discharge health guidelines.Conclusion Colonic polyps ambulatory surgery patients with a high demand for health education after surgery,clinical medical staff should take targeted measures according to the characteristics of day surgery,the content of patients′needs,the ways patients want to obtain their needs and so on,provide high quality nursing and health guidance to the patients,reduce complications,ensure the safety of patients and promote their early recovery.

关 键 词：结肠息肉 日间手术 延续性护理 需求 

分 类 号：R473.6[医药卫生—护理学]