延续性护理干预在预防食管癌术后吻合口狭窄的应用研究

Application of Continuity of Nursing Intervention on the Prevention of Esophageal Anastomotic Stricture

目的探讨延续性护理干预在预防食管癌患者术后吻合口狭窄的应用效果。方法选择2014年5月-2015年5月我科住院治疗的食管癌患者76例作为研究对象，根据随机数字表法将患者分为观察组和对照组，各38例。观察组予以延续性护理干预模式。对照组予以常规护理干预模式。比较两组护理干预后吻合口狭窄发生率及预后情况，采用视觉模拟评分法（VAS）及生活质量综合问卷（GQOLI-74）评价两组疼痛情况及生活质量。结果两组疗效比较有显著性差异（P〈0．05）。观察组干预后癌细胞转移率为13．16％，吻合口狭窄发生率为47．37％，1年生存率为94．74％，与对照组比较有显著性差异（P〈0．05）；观察组干预后生活质量评分优于对照组，疼痛评分低于对照组（P〈0．01）。结论延续性护理干预能有效降低吻合口狭窄发生率，提高了患者的整体生活质量。

Objective To analyze the continuity of nursing intervention study on postoperative anastomotic stenosis in patients with esophageal cancer and prognosis and provide a theoretical basis for the clinical treatment of esophageal cancer. Methods Select- eel 76 cases of esophageal cancer patients treated in the hospital as study from May 2014 to May 2015. Patients were divided accord- ing to the digital method into observation group （38 cases） and control group （38 cases）. The patients in the observation group re- ceived continuity of nursing intervention while routine nursing intervention in the control group. And compared the incidence of anas- tomotic stricture and other adverse prognosis, using visual analogue scale （VAS） and Quality of Life Questionnaire Comprehensive （GQOLI-74） evaluated two groups of patients with pain conditions and quality of life. Results The anastomotic stricture rate was 47. 37% in the study group after nursing intervention, 13. 16% rate of cancer metastasis, 1-year survival rate was 94. 74%, respectively, compared to the control group, the difference was statistically significant （P 〈0. 05） ; after the intervention, the obser- vation group of patients GQOLI--74 scores were higher than the control group, with statistical difference; after the intervention, patients with pain scores in the observation group were significantly lower than the control group, the difference was statistically sig- nificant （P 〈0. 01）. Conclusion the continuity of nursing intervention esophageal cancer better, effectively reducing the incidence of anastomotic stricture, improve the overall quality of life of patients, it is worthy of wider promotion.