基于循证支持的围术期护理在结直肠癌手术患者中的应用效果  

Application effects of perioperative nursing based on evidence-based support in patients with colorectal cancer surgery

作　　者：张亚楠[1] 于桂青[1] 贾锋[1] ZHANG Yanan;YU Guiqing;JIA Feng(Department of Gastrointestinal Surgery of Nanyang Central Hospital,Nanyang 473000 Henan,China)

机构地区：[1]南阳市中心医院普外胃肠外科,河南南阳473000

出　　处：《中国民康医学》2024年第9期169-172,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察基于循证支持的围术期护理在结直肠癌手术患者中的应用效果。方法:选取2020年10月至2022年10月该院收治的88例结直肠癌患者进行前瞻性研究,采用随机数字表法将其分为对照组和观察组各44例。对照组采用常规护理,观察组采用基于循证支持的围术期护理。比较两组护理前后负性情绪[美国精神病学会制定的患者健康问卷(PHQ-9)、广泛性焦虑障碍量表(GAD-7)]评分、疼痛程度[疼痛数字评分法(NRS)]评分,术后康复指标水平、并发症发生率和护理满意度。结果:护理后,两组PHQ-9、GAD-7评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组NRS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组术后首次下床活动时间、肛门首次排气时间、首次进食时间、住院时间均短于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组护理满意度高于对照组,差异均有统计学意义(P<0.05)。结论:基于循证支持的围术期护理应用于结直肠癌手术患者可提高护理满意度,缩短康复时间,降低负性情绪评分、术后疼痛程度评分和并发症发生率,其效果优于常规护理效果。Objective:To observe application effects of perioperative nursing based on evidence-based support in patients with colorectal cancer surgery.Methods:A prospective study was conducted on 88 patients with colorectal cancer admitted to the hospital from October 2020 to October 2022.They were divided into control group and observation group by using the random number table method,44 cases in each group.The control group was given routine nursing,while the observation group was given the perioperative nursing based on evidence-based support.The scores of negative emotions[patient health questionnaire(PHQ-9)and generalized anxiety disorder(GAD-7)],the pain degree[numerical rating scale(NRS)],the postoperative rehabilitation index levels,the postoperative incidence of complications,and the nursing satisfaction were compared between the two groups before and after the nursing.Results:After the nursing,the scores of PHQ-9 and GAD-7 in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The NRS scores of the two groups were lower than those before the nursing,that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).The first out-of-bed time,the first anal exhaust time,the first dieting time and the hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was higher than that of the control group,and the differences were statistically significant(P<0.05).Conclusions:The perioperative nursing based on evidence-based support in the patients with colorectal cancer surgery can improve the nursing satisfaction,shorten the recov

关 键 词：结直肠癌 循证支持 围术期护理 负性情绪 疼痛 并发症 

分 类 号：R473.6[医药卫生—护理学]