护理干预对食管癌根治术患者手术室相关护理并发症及负性心理的影响

Influence of nursing intervention on nursing complications and negative psychology in radical operation room of patients with esophageal cancer

目的探讨护理干预对食管癌根治术患者手术室相关护理并发症及负性心理的影响。方法将2012年1月至2013年6月食管癌根治术患者列为对照组,共70例,进入手术室后手术护士给予常规护理,将2013年7月至2014年12月食管癌根治术患者列为观察组,共75例,根据2012年食道癌手术室相关并发症和患者负性心理情况,改进护理方案,给予新型护理干预,分析护理干预对食管癌根治术患者手术室相关护理并发症及负性心理的影响。结果观察组患者并发症发生率为5.33%,对照组为17.14%,两组比较差异有统计学意义（χ^2=4.11,P〈0.05）;观察组护理干预后焦虑指数、抑郁指数分别为（46.72±6.17）、（38.24±6.59）,较干预前的（65.33±10.38）、（54.76±9.46）明显改善,比较差异有统计学意义（t1=32.72,t2=26.38,P〈0.05）;对照组护理干预后焦虑指数分别为（66.37±10.68）、（49.55±7.14）干预前为（64.18±10.29）、（52.81±9.74）,比较差异无统计学意义（t1=51.13,t2=39.76,P〉0.05）;两组患者比较护理干预后焦虑指数、抑郁指数差异有统计学意义（t1=19.47,t2=35.11,P〈0.05）。结论护理干预能够降低食管癌根治术患者手术室相关护理并发症发生率,改善患者的负性心理状态。

Objective To explore the effect of nursing intervention on nursing complications and negative psychology in radical operation room of patients with esophageal cancer. Methods 70 cases of patients with esophageal cancer after radical operation from 2012,1 to 12 were be as control group giving conventional nursing,75 cases of patients with esophageal cancer after radical operation from 2013,1 to 12 were be as the observation group,giving a new nursing intervention according to the operation room of esophageal cancer related complications and patients negative psychological situation in 2012,improved nursing program. To analyze the effect of nursing intervention on nursing complications and negative psychology in radical operation room of patients with esophageal cancer. Results 1The incidence of complications in the observation group was 5. 33%and 17. 14% in the control group,there was significant difference between two groups（ χ^2= 4. 11,P 0. 05）;2The anxiety,depression index after receiving nursing intervention of the observation group were respectively（ 46. 72 ± 6. 17）,（ 38. 24 ± 6. 59）,when compared with（ 65. 33 ± 10. 38）,（ 54. 76 ± 9. 46） of before intervention were improved obviously,the difference was statistically significant（ t1= 32. 72,t2= 26. 38,P 〈0. 05）; The anxiety index of the control group after intervention were（ 66. 37 ± 10. 68）,（ 49. 5 ± 7. 14） when compared with（ 64. 18 ± 10. 29）,（ 52. 81 ± 9. 74） of before the intervention,there was no significant differences（ t1= 51. 13,t2= 39. 76,P 〉0. 05）; The two groups had statistical significance difference（ t1= 19. 47,t2=35. 11,P〈 0. 05） in anxiety depression index. Conclusions Nursing intervention can reduce the incidence of nursing complications in operation room of patients with esophageal cancer and improve the negative mental state of patients.