摘要
目的:探讨基于循证理念的快速康复护理干预方案在结肠癌术后患者中的应用效果。方法:选取2022年8月—2024年8月于本院行手术治疗的结肠癌患者80例,采用随机数字表法将其分为对照组(40例,采取常规护理干预)和观察组(40例,采取基于循证理念的快速康复护理干预方案),两组患者均术后采取莫沙必利治疗,均持续护理至患者出院,并随访观察1周。比较两组心理状态、疼痛程度、并发症发生率、术后胃肠功能恢复情况、生活质量及护理满意度。结果:观察组干预后SAS、SDS评分均低于对照组(P<0.05);两组术后72 h的VAS评分均升高,但观察组术后72 h的VAS评分低于对照组(P<0.05);观察组术后胃肠功能各项指标恢复时间均短于对照组(P<0.05);观察组术后并发症发生率为5.00%,低于对照组的20.00%(P<0.05);观察组干预后GQOLI-74各项评分均高于对照组(P<0.05);观察组护理总满意度为97.50%,高于对照组的80.00%(P<0.05)。结论:基于循证理念的快速康复护理干预方案能够有效缓解结肠癌患者不良心理状态,减轻其疼痛症状,促进胃肠功能恢复,利于降低并发症发生风险,提升其患者的生活质量和对护理的满意度。
Objective:To explore the application effect of rapid rehabilitation nursing intervention program based on evidence-based concept in patients with colon cancer after operation.Methods:A total of 80 patients with colon cancer who underwent surgical treatment in our hospital from August 2022 to August 2024 were selected and divided into control group(40 patients,routine nursing intervention)and observation group(40 patients,rapid rehabilitation nursing intervention based on evidence-based concept)by random number table method.Both groups of patients were treated with mosapride after operation,and continued nursing until the patient was discharged,and followed up for 1 week.The psychological state,pain degree,complication rate,postoperative gastrointestinal function recovery,quality of life and nursing satisfaction were compared between the two groups.Results:After intervention,the scores of SAS and SDS in the observation group were lower than those in the control group(P<0.05).The VAS score of the two groups increased at 72 h afer operation,but the VAS score ofthe observation group was lower than that ofthe control group at 72 h after operation(P<0.05).The recovery time of gastrointestinal function indexes in the observation group was shorter than that in the control group(P<0.05).The incidence of postoperative complications in the observation group was 5.00%,which was lower than 20.00%in the control group(P<0.05).After intervention,the scores of GQOLI-74 in the observation group were higher than those in the control group(P<0.05).The total nursing satisfaction of the observation group was 97.50%,which was higher than 80.00%of the control group(P<0.05).Conclusion:The rapid rehabilitation nursing intervention program based on evidence-based concept can effectively alleviate the adverse psychological state of colon cancer patients,reduce their pain symptoms,promote the recovery of gastrointestinal function,reduce the risk of complications,and improve the quality of life and nursing satisfaction of patients.
作者
于倩
李琨琨
胡德升
YU Qian;LI Kunkun;HU Desheng(Zhengzhou University Affiliated Zhengzhou Central Hospital,Zhengzhou 45000,Henan,China)
出处
《中国药物滥用防治杂志》
2025年第6期1169-1172,共4页
Chinese Journal of Drug Abuse Prevention and Treatment
基金
郑州市医疗卫生领域科技创新指导计划项目(编号:2024YLZDJH250)。
关键词
结肠癌
循证理念
快速康复护理
胃肠功能
心理状态
Colon cancer
Evidence-based concept
Rapid rehabilitation nursing
Gastrointestinal function
Psychological state
作者简介
于倩(1986.10-),女,汉族,河南郑州人,本科,主管护师,主要研究方向:外科护理;通信作者:李琨琨(1977.06-),女,汉族,河南鹤壁人,硕士,主任医师,主要研究方向:消化学科。
