预见性护理在腹腔镜直肠癌根治术中的应用

Application of predictive nursing in laparoscopic radical resection of rectal cancer

目的观察预见性护理干预在腹腔镜直肠癌根治术患者中的应用效果。方法将南华大学附属第二医院2010年1月至2015年1月收治的200例腹腔镜直肠癌根治术患者作为研究对象,其中2010年1月至2013年1月应用传统护理干预的100例患者作为对照组,2013年2月至2015年1月应用预见性护理干预的100例患者作为观察组,比较两组患者的手术时间、并发症、出血量及住院时间等情况,调查患者对护理满意度及手术医生对护理人员的护理配合满意度。结果观察组患者的手术时间为(2.38±0.58) h,明显低于对照组的(3.01±0.79) h,手术出血量为(70.22±13.89) m L,明显低于对照组的(81.02±16.11) m L,差异均有统计学意义(P<0.05);观察组患者的住院并发症发生率为13.00%,明显低于对照组的44.00%,住院时间为(9.02±1.28) d,明显短于对照组的(11.21±2.06) d,差异均有统计学意义(P<0.05);观察组患者对护理人员满意度为99.0%,明显高于对照组的87.0%,差异具有统计学意义(P<0.05);观察组手术医生对护理人员的护理配合满意度为100.0%,对照组为63.64%,差异具有统计学意义(P<0.05)。结论预防性护理干预可以大幅度提高患者满意度,缩短腹腔镜直肠癌根治术患者的住院时间、减少并发症、降低出血量,对提高护理质量,树立医院形象具有积极作用。

Objective To observe the effect of predictive nursing intervention in patients with rectal cancer undergoing laparoscopic radical resection. Methods A total of 200 patients with rectal cancer undergoing laparoscopic radical resection admitted to the Second Affiliated Hospital of Nanhua University from January 2010 to January 2015 were enrolled, of which 100 patients were treated with traditional nursing intervention from January 2010 to January2013(the control group), and 100 patients with predictive nursing intervention from February 2013 to January 2015(the observation group). The operation time, complications, bleeding volume, and length of hospital stay were compared between the two groups. The patient’s satisfaction and the surgeon’s satisfaction with the nursing of the nursing staff were investigated. Results The operation time of the observation group was(2.38 ± 0.58) h, which was lower than(3.01 ±0.79) h in the control group(P<0.05). The amount of surgical bleeding was(70.22±13.89) mL, which was significantly lower than(81.02±16.11) m L in the control group(P<0.05). The incidence of hospitalization complications was 13.00%in the observation group, which was significantly lower than 44.00% in the control group(P<0.05). The hospitalization time of the observation group patients was(9.02±1.28) days, significantly shorter than(11.21±2.06) days in the control group(P<0.05). The patients’ satisfaction rate with the nursing staff in the observation group was 99.00%, significantly higher than 87.00% in the control group(P<0.05). The surgeon’s satisfaction with the nursing staff was 100.00% in the observation group and 63.64% in the control group, and the difference was statistically significant(P<0.05). Conclusion Preventive nursing intervention can greatly improve patient satisfaction, shorten hospitalization time, reduce complications and reduce bleeding volume in patients undergoing laparoscopic radical resection of rectal cancer. It has a positive effect on improving the quality of nursing and establishing hospital image.