摘要
目的探讨全程系统化护理措施在腹腔镜肾癌根治性切除术围术期护理中的应用。方法选取2013年5月至2018年10月间陕西省榆林市中医医院收治的行腹腔镜肾癌根治性切除术治疗的100例患者,采用随机数表法分为对照组和研究组,每组50例。对照组患者在围术期采用常规的护理措施,研究组患者则在围术期应用全程系统化护理措施,比较两组患者的临床效果、护理满意度以及心理状态评分情况。结果研究组患者的有效率86. 0%,高于对照组患者的66. 0%,差异有统计学意义(P <0. 05)。研究组患者的护理满意度88. 0%,高于对照组患者的66. 0%,差异有统计学意义(P <0. 05)。研究组患者围术期护理后抑郁自评量表(SDS)和焦虑自评量表(SAS)评分均低于对照组患者,差异均有统计学意义(均P <0. 05)。研究组患者的业务水平、护理态度、心理干预和健康宣教等评分均高于对照组患者,差异均有统计学意义(均P <0. 05)。结论腹腔镜肾癌根治性切除术患者围术期护理中应用全程系统化护理措施,可取得较为理想的临床效果,能有效改善患者的不良情绪,缓解患者的心理负担,同时能够减轻患者的疼痛,减少不良反应情况的发生,临床上值得进一步推广和应用。
Objective To explore the application of systematic nursing in perioperative nursing for laparoscopic radical nephrectomy.Methods One hundred patients undergoing laparoscopic radical nephrectomy at Yulin Hospital of Traditional Chinese Medicine from May 2013 to October 2018 were randomly divided into a research group and a control group with 50 patients in each group.Patients in the study group were given systemic nursing during the perioperative period while the patients in the control group were given routine nursing during the perioperative period.The clinical efficacy,nursing satisfaction,psychological scores were compared between the two groups.Results The efficacy rate was 86.0%in the study group which was higher than 66.0%in the control group(P<0.05).The nursing satisfaction rate was 88.0%in the study group which was higher than 66.0%in the control group(P<0.05).The scores of self-rating depression scale(SDS)and self-rating anxiety scale(SAS)were lower in the study group after perioperative nursing than in the control group(all P<0.05).The business level,rational attitude,psychological intervention and health education were higher than in the control group(all P<0.05).Conclusion The application of whole-course systematic nursing measures in perioperative nursing has achieved ideal clinical efficacy,which can effectively improve the patients’bad mood,relieve patients’psychological burden,alleviate patients’pain and reduce the incidence of adverse reactions in patients undergoing laparoscopic radical nephrectomy.It is worthy of further promotion and application in clinic.
作者
黄健
张凡
石晶
陈幼霞
杨丽琴
HUANG Jian;ZHANG Fan;SHI Jing;CHEN You-xia;YANG Li-qin(Department of Urologic Surgery,Yulin Hospital of Traditional Chinese Medicine,Yulin 719000,China)
出处
《中国肿瘤临床与康复》
2019年第9期1122-1125,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
作者简介
黄健,女,主管护师,主要从事泌尿外科专业;通信作者:杨丽琴,Email:2511810485@qq.com
