摘要
目的探究在胸腔镜食管癌根治术中应用手术室全程优质护理模式的效果及对并发症的影响。方法选取2021年6月~2023年6月于本院接受胸腔镜食管癌根治术治疗的患者88例,根据护理方案进行分组,对照组48例患者实施手术室常规护理方案,观察组40例患者实施手术室全程优质护理方案。比较两组的手术相关指标、应激指标、心理状态以及并发症发生情况。结果干预前两组患者各项指标之间均无显著性差异(P>0.05)。干预后,观察组手术时间、术中出血量、拔管时间、住院时间、SAS、SDS评分、并发症总发生率均明显较对照组低(P<0.05);两组患者心率、舒张压、收缩压水平均有所升高,但观察组较对照组低(P<0.05)。结论在胸腔镜食管癌根治术中应用手术室全程优质护理模式,可明显改善EC患者的手术相关指标及心理状态,有效降低患者术后应激反应,显著减少并发症发生,值得临床推广。
Objective To explore the effect of the whole-course high-quality nursing mode in operating room and its influence on complications in thoracoscopic radical resection of esophageal cancer.Methods From June 2021 to June 2023,88 patients who were treated by thoracoscopic radical resection of esophageal cancer in our hospital were divided into two groups according to the nursing plan.The control group(48 patients)implemented the routine nursing plan in the operating room,and the observation group(40 patients)implemented the whole-course quality nursing plan in the operating room.The operation-related indexes,stress indexes,psychological state and complications of the two groups were compared.Results Before the intervention,there was no significant difference between the two groups(P>0.05).After intervention,the operation time,intraoperative blood loss,extubation time,hospitalization time,SAS and SDS scores and the total incidence of complications in the observation group were significantly lower than those in the control group(P<0.05).The levels of heart rate,diastolic blood pressure and systolic blood pressure increased in both groups,but the observation group was lower than the control group(P<0.05).Conclusion Applying the whole-course high-quality nursing mode in the operating room in thoracoscopic radical resection of esophageal cancer can obviously improve the operation-related indexes and psychological state of EC patients,effectively reduce the postoperative stress response of patients and significantly reduce the occurrence of complications,which is worthy of clinical promotion.
作者
李娟
崔金元
楚阿兰
LI Juan;CU Jin-yuan;CHU A-lan(Surgical Department,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan Province,China;Gastrointestinal Surgery Department,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan Province,China;Tumor Radiotherapy Department,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan Province,China)
出处
《罕少疾病杂志》
2024年第8期62-64,共3页
Journal of Rare and Uncommon Diseases
基金
2019年度河南省医学科技攻关计划(联合共建)项目(LHGJ20190304)。
关键词
手术室全程优质护理
胸腔镜食管癌根治术
应用效果
并发症
Operating Room Whole Process Quality Care
Thoracoscopic Radical Esophageal Cancer Surgery
Application Effect
Complication
作者简介
第一作者/通讯作者:李娟,女,主管护师,主要研究方向:手术室护理。E-mail:LJuan333410@163.com。
