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作 者:黄萍萍 HUANG Ping-ping(Hepatobiliary and Pancreatic Surgery Department IV,Tianjin Integrated Traditional Chinese and Western Medicine Hospital Nankai Hospital,Tianjin 300102,China)
机构地区:[1]天津市中西医结合医院南开医院肝胆胰外科四,天津300102
出 处:《中国城乡企业卫生》2024年第11期159-161,共3页Chinese Journal of Urban and Rural Enterprise Hygiene
摘 要:目的 分析人性化护理在肝门部胆管癌根治性切除术患者中的应用价值,为患者探寻更优质的护理方式。方法选取天津市中西医结合医院南开医院同意接受根治性切除术治疗的90例肝门部胆管癌患者为研究对象,随机分为对照组和观察组各45例。对照组给予常规护理,观察组在对照组基础上给予人性化护理。比较两组患者护理后并发症发生率、疼痛评估情况以及护理满意率。结果 观察组并发症发生率为4.44%,明显低于对照组的20.12%,差异有统计学意义(χ^(2)=5.244,P<0.05)。护理前,两组疼痛评分比较,差异无统计学意义(P>0.05);护理后,两组疼痛评分较护理前明显降低,且观察组明显低于对照组,差异均有统计学意义(P<0.05)。观察组护理总满意率为84.44%,明显高于对照组的55.56%,差异有统计学意义(χ^(2)=8.942,P<0.05)。结论 对于行根治性切除术治疗的肝门部胆管癌患者,实施人性化护理可以综合性为患者进行有效干预,减少患者护理后并发症发生率,进而提升生活质量,有效提高护理满意率,值得临床进一步推广应用。Objective To analyze the application value of humanized nursing for patients with radical resection of hilar cholangiocarcinoma,and to explore better nursing methods for patients.Methods A total of 90 patients with hilar cholangiocarcinoma who agreed to undergo radical resection in Tianjin Integrated Traditional Chinese and Western Medicine Hospital Nankai Hospital were selected as the study objects and randomly divided into control group and observation group,with 45 patients in each group.The control group received routine nursing,while the observation group received humanized nursing on the basis of the control group.The incidence of complications,pain assessment and nursing satisfaction rate after nursing between two groups of patients were compared.Results The incidence of complications in the observation group was 4.44%,which was significantly lower than 20.12%in the control group,and the difference was statistically significant(χ^(2)=5.244,P<0.05).There was no significant difference in pain scores between the two groups of patients before nursing(P>0.05);after nursing,the pain scores of the two groups significantly decreased compared to before nursing and the observation group was significantly lower than the control group,and the differences were statistically significant(P<0.05).The total nursing satisfaction rate of the observation group was 84.44%,which was significantly higher than 55.56%in the control group,and the difference was statistically significant(χ^(2)=8.942,P<0.05).Conclusion For patients with hilar cholangiocarcinoma undergoing radical resection treatment,implementing humanized nursing could provide comprehensive and effective intervention for patients,reduce complications of patients afer nursing,improve quality of life,and effectively improve nursing satisfaction rate.It was worthy further promotion and application in clinical practice.
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