后腹腔镜下肾癌根治术的护理体会

Nursing experience of retroperitoneal laparoscopic radical nephrectomy

目的探讨后腹腔镜下肾癌根治术的护理体会。方法选择2012年12月至2015年5月间收治的120例肾癌患者,按照的性别、年龄和肾癌位置分为观察组和对照组,每组各60例。观察组患者接受常规护理和针对性护理,对照组患者接受常规护理。比较两组患者术后并发症的发生情况、术后镇痛治疗情况和心理状态等。结果观察组患者并发症发生率为5.0%,对照组为21.7%,差异有统计学意义(P<0.05)。观察组患者护理前后的焦虑、抑郁评分差异有统计学意义(均P<0.05)。对照组患者护理前后焦虑、抑郁评分的差异均有统计学意义(均P<0.05)。观察组患者护理后的焦虑、抑郁评分与对照组护理后相比差异均有统计学意义(均P<0.05)。观察组患者的镇痛泵使用率为16.7%,对照组为53.3%,组间差异有统计学意义(P<0.05)。观察组患者的镇痛泵使用时间短于对照组,差异有统计学意义(P<0.05)。结论针对性护理有助于降低后腹腔镜下肾癌根治术患者并发症的发生率,改善患者心理状态,促进患者康复。

Objective To analyze the nursing experience of retroperitoneal laparoscopic radical nephrectomy. Methods From December 2012 to May 2015,120 cases with kidney cancer reveived treatment in The First Affiliated Hospital of China Medical University were selected,according to the patient’s gender,age,position of renal cancer,divided into the observation group and the control group,with 60 cases in each group. The patients in the observation group were implemented routine nursing and targeted nursing,while patients in the control group received routine nursing. Postoperative complications,postoperative analgesia treatment and psychological state of patients in two groups were observed and compared. Results Complication rate of patients in the observation group was 5. 0%,while in the control group was 21. 7%,with statistical difference（ P 〈 0. 05）. Before and after nursing,anxiety and depression scores of patients in the observation group had significant difference（ P 〈 0. 05）. Before and after nursing,anxiety and depression scores of patients in the control group had significant difference（ P 〈 0. 05）. After nursing,anxiety and depression scores of patients in the observation group had significant difference with those in the control group（ P 〈 0. 05）. Analgesia pump usage rate in observation group was 16. 7%,while in the control group was53. 3%,with statistical difference（ P 〈 0. 05）. Analgesia pump usage time in the observation group was shorter than that in the control group,with statistical difference（ P 〈 0. 05）. Conclusion The targeted nursing can reduce the complications of patients with renal carcinoma after laparoscopic radical nephrectomy,improve the patient’s psychological and promote the rehabilitation of patients.