全程护理干预在高龄腹腔镜结直肠癌根治术患者护理中的应用效果  

Application effect of continuous nursing intervention in elderly patients undergoing laparoscopic radical surgery for colorectal cancer

作　　者：谭迅山 罗云 王锐 张成熙 吴定泉[2] Tan Xunshan;Luo Yun;Wang Rui;Zhang Chengxi;Wu Dingquan(Operating Room,Beibei Traditional Chinese Medicine Hospital Affiliated to Guangzhou University of Chinese Medicine,Chongqing 400700,China;Department of Gastrointestinal and Hernia Surgery,Beibei Traditional Chinese Medicine Hospital Affiliated to Guangzhou University of Chinese Medicine,Chongqing 400700,China)

机构地区：[1]广州中医药大学附属北碚中医院手术室,重庆400700 [2]广州中医药大学附属北碚中医院胃肠疝外科,重庆400700

出　　处：《保健医学研究与实践》2024年第4期145-149,共5页Health Medicine Research and Practice

基　　金：重庆市卫生健康委员会中医药科技项目(2021ZY3712)。

摘　　要：目的探讨全程护理干预在高龄腹腔镜结直肠癌根治术患者中的应用效果,以期为临床治疗提供参考。方法选取2021年6月—2023年5月在广州中医药大学附属北碚中医院胃肠疝外科,接受择期腹腔镜根治性手术治疗的结直肠癌(CRC)患者78例为研究对象。采用随机数字表法将患者分为对照组和观察组,每组39例。对照组患者采用常规护理,观察组患者在常规护理基础上进行全程护理干预。比较2组患者干预前后(干预后为出院时)焦虑自评量表(SAS)、抑郁自评量表(SDS)评分;比较2组患者在术后胃肠功能恢复时间(术后肛门第1次排气时间)、术后下肢深静脉血栓(DVT)发生率以及术后住院时间;比较2组患者家属护理满意度。结果干预前,2组患者SAS、SDS评分比较,差异无统计学意义(P>0.05)。干预后,2组患者SAS、SDS评分均低于干预前,且观察组低于对照组,差异均具有统计学意义(P<0.05)。观察组患者胃肠功能恢复及住院时间均短于对照组,差异均有统计学意义(P<0.05)。观察组患者DVT发生率低于对照组,差异有统计学意义(P<0.05)。观察组患者家属护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论全程护理干预能够有效改善患者负面情绪,提高患者家属护理满意度,降低患者术后并发症发生率,促进患者术后恢复,缩短住院时间,值得临床推广应用。Objective To explore the application effect of continuous nursing intervention in elderly patients undergoing laparoscopic radical surgery for colorectal cancer,aiming to provide a reference for clinical treatment.Methods From June 2021 to May 2023,78 patients with colorectal cancer(CRC)who received elective laparoscopic radical surgery in the Department of Gastrointestinal Surgery of our hospital were selected as research subjects.Patients were randomly assigned to a control group and an observation group,with 39 cases in each group.The control group received routine nursing care,while the observation group received continuous nursing intervention in addition to routine care.The Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)scores were compared between the two groups before and after the intervention(the intervention ended at discharge).The postoperative recovery time of gastrointestinal function(time to first postoperative flatus after surgery),incidence of postoperative deep vein thrombosis(DVT)in the lower limbs,and length of postoperative hospital stay were compared between the two groups.The family members'degree of satisfaction with nursing was also compared.Results Before the intervention,there were no statistically significant differences in SAS and SDS scores between the two groups(P>0.05).After the intervention,SAS and SDS scores were lower in both groups compared to before the intervention,and lower in the observation group compared to the control group,with statistically significant differences(P<0.05).The observation group had shorter gastrointestinal function recovery time and length of hospital stay than the control group,with statistically significant differences(P<0.05).The incidence of DVT was significantly lower in the observation group compared to the control group(P<0.05).The overall degree of satisfaction with nursing among the family members of the observation group was significantly higher than that of the control group(P<0.05).Conclusion Continuous nursing interventi

关 键 词：全程护理干预 腹腔镜探查 高龄患者 结直肠癌根治术 

分 类 号：R473[医药卫生—护理学]