定量化护理管理方案在骨软骨瘤患者中的应用效果  

Effect of quantitative nursing management program in patients with osteochondroma

作　　者：韩慧敏 陈渊莹 史册 余九松 吕娟 HAN Huimin;CHEN Yuanying;SHI Ce;YU Jiusong;LYU Juan(Suqian Hospital Affiliated to Xuzhou Medical University,Suqian Hospital of Nanjing Drum Tower Hospital Group,Suqian,Jiangsu,223800)

机构地区：[1]徐州医科大学附属宿迁医院/南京鼓楼医院集团宿迁医院,江苏宿迁223800

出　　处：《实用临床医药杂志》2024年第14期139-143,共5页Journal of Clinical Medicine in Practice

基　　金：江苏省宿迁市中医药科技项目(YB202211)。

摘　　要：目的观察基于风险评估策略构建的手术室定量化护理管理方案在骨软骨瘤患者中的应用效果。方法将徐州医科大学附属宿迁医院2021年7月—2022年6月行骨软骨瘤手术治疗的30例患者设为对照组(采用常规护理管理方案),将2022年7月—2023年6月行骨软骨瘤手术治疗的30例患者设为研究组(采用以风险评估策略为中心的定量化护理管理方案),比较2组患者的围术期指标、心理应激状态、自我护理能力、生活质量和并发症发生情况。结果研究组患者术后胃肠功能恢复时间、术后肛门排气时间、住院时间依次为(0.72±0.12)、(1.71±0.32)、(21.32±3.47)d,分别短于对照组的(1.04±0.28)、(2.02±0.42)、(28.02±4.02)d,差异有统计学意义(P<0.05);护理后,研究组患者抑郁自评量表评分、焦虑自评量表评分依次为(36.87±5.64)、(32.42±6.82)分,分别低于对照组的(45.24±6.32)、(48.33±6.56)分,差异有统计学意义(P<0.05);护理后,研究组患者自我护理能力量表(ESCA)总分、SF-36量表总分依次为(142.87±15.62)、(86.42±7.28)分,分别高于对照组的(125.42±16.32)、(78.33±8.56)分,差异有统计学意义(P<0.05);研究组患者的并发症总发生率为6.67%,低于对照组的26.67%,差异有统计学意义(P<0.05)。结论以风险评估策略为中心构建的手术室定量化护理管理方案可有效提升骨软骨瘤患者术后恢复效果,减轻心理应激反应,提升自我护理能力和生活质量,并减少并发症发生。Objective To observe the application effect of a quantitative nursing management program in the operating room constructed based on risk assessment strategies for patients with osteochondroma.Methods Thirty patients who underwent osteochondroma surgery from July 2021 to June 2022 at Suqian Hospital Affiliated to Xuzhou Medical University were set as control group(receiving conventional nursing management),and 30 patients who underwent osteochondroma surgery from July 2022 to June 2023 were set as study group(receiving quantitative nursing management centered on risk assessment strategies).The perioperative indicators,psychological stress status,self-care ability,quality of life,and complication occurrence were compared between the two groups.Results The recovery time of gastrointestinal function,postoperative anal exhaust time,and hospital stay in the study group were(0.72±0.12),(1.71±0.32),and(21.32±3.47)days,respectively,which were shorter than(1.04±0.28),(2.02±0.42),and(28.02±4.02)days in the control group(P<0.05).After nursing,the scores of the Self-rating Depression Scale and Self-rating Anxiety Scale in the study group were(36.87±5.64)and(32.42±6.82),respectively,which were lower than those(45.24±6.32)and(48.33±6.56)in the control group(P<0.05).After nursing,the total scores of the Exercise of Self-Care Agency Scale(ESCA)and SF-36 Scale in the study group were(142.87±15.62)and(86.42±7.28),respectively,which were higher than(125.42±16.32)and(78.33±8.56)in the control group(P<0.05).The total complication rate in the study group was 6.67%,which was lower than 26.67%in the control group(P<0.05).Conclusion The quantitative nursing management program in the operating room constructed centered on risk assessment strategies can effectively improve the postoperative recovery effect of patients with osteochondroma,relieve psychological stress responses,enhance self-care ability and quality of life,and reduce the occurrence of complications.

关 键 词：风险评估策略 手术室护理 骨软骨瘤 胃肠功能 抑郁 焦虑 

分 类 号：R738[医药卫生—肿瘤] R319[医药卫生—临床医学] R47