摘要
目的探讨绑定式医护同组管理模式对老年食管癌术后并发胸腔感染的影响。方法选取2016年1月至2019年12月在我院接受食管癌手术治疗的患者206例,按照随机编号法分为对照组和观察组各103例,对照组给予常规护理,观察组给予绑定式医护同组管理模式,比较两组患者术后胸腔感染发生率、康复情况、焦虑评分(SAS)、抑郁评分(SDS)、生活质量评分、护理满意度。结果观察组排气时间、术后首次下床活动时间、拔管时间、住院时间、术后胸腔感染发生率显著低于对照组(P<0.05);干预后观察组SDS、SAS评分显著低于对照组(P<0.05);患者的心理健康、情感角色、躯体功能、社会功能、健康状态、生活力、肌体疼痛、躯体角色生活质量评分显著高于对照组(P<0.05);护理满意度评分显著高于对照组(P<0.05)。结论对老年食管癌术后患者实施绑定式医护同组管理模式进行干预,可显著降低术后胸腔感染发生率,同时可缓解患者的不良情绪、有助于患者的病情康复,提高患者的生活质量和对护理的满意度。
Objective To explore the effect of binding doctor-nurse group management model on postoperative chest infection in elderly patients with esophageal cancer.Methods Two hundred and six patients undergoing esophageal cancer surgery in our hospital between January 2016 and December 2019 were selected and divided into control group and observation group by using the random numbering method,103 in each group.The control group were given routine nursing and the observation group were given binding doctor-nurse group management model.The incidence of postoperative chest infection,rehabilitation,anxiety scores(SAS),depression scores(SDS),quality of life scores and nursing satisfaction were compared between the two groups.Results Exhaust time,postoperative first leaving bed time,extubation time,length of hospital stay and incidence of postoperative chest infection in the observation group were significantly shorter or lower than those in the control group(P<0.05).After intervention,SDS and SAS scores of the observation group were significantly lower than that of the control group(P<0.05).The mental health,emotional role,physical function,social function,health status,vitality,physical pain and role physical scores of the observation group were significantly higher than those of the control group(P<0.05).The nursing satisfaction scores were also significantly higher than the control group(P<0.05).Conclusion The application of binding doctor-nurse group management model of intervention in elderly patients after esophageal cancer surgery can significantly reduce the incidence of postoperative chest infection.In addition,it relieves the patients'unhealthy emotions,which is conductive to patients'recovery and improvement of quality of life and nursing satisfaction.
作者
郝群
贺兰
HAO Qun;HE Lan(Department of Thoracic and Cardiovascular Surgery,Yibin First People's Hospital,Yibin 644000,China)
出处
《实用医院临床杂志》
2020年第4期238-241,共4页
Practical Journal of Clinical Medicine
关键词
食管癌
绑定式医护同组管理模式
胸腔感染
康复情况
Esophageal cancer
Binding doctor-nurse group management model
Chest infection
Rehabilitation
