前瞻性护理干预在胸腹腔镜联合食管癌根治术围手术期中的应用

Application of prospective nursing intervention in perioperative periods of thoracic and laparoscopic surgery combined with esophageal cancer

目的探讨前瞻性护理干预在胸腹腔镜联合食管癌根治术围手术期中的应用。方法选取我院食管癌患者126例,均拟行胸腹腔镜联合食管癌根治术,随机分为观察组与对照组,各63例,对照组围手术期接受基础护理措施(II级护理),观察组基于常规护理进行前瞻性护理干预,比较2组手术效果及术后并发症发生情况,并统计2组护理满意度与术后生活质量。结果观察组住院时间与术后拔管时间明显短于对照组(P<0.05);观察组术后并发症发生率为6.35%,明显低于对照组的17.46%(P<0.05);观察组满意率高于对照组的79.37%(P<0.05);观察组生活质量评分为(89.3±4.2),对照组为(81.3±4.5)(P<0.05)。结论胸腹腔镜联合食管癌根治术围手术期行前瞻性护理干预可有效预防围手术期风险事件的发生率,提高患者生活质量与护理满意度。

Objective To explore the application of prospective nursing intervention in thoracic laparoscopic surgery and esophageal cancer radical operation during perioperation. Methods The 126 patients were all quasi radical resection combined laparoscopic and thoracoscopic esophageal cancer. All patients were randomly divided into nursing group and control group with 63 cases each. The perioperative group received basic nursing measures（II care）, the nursing group received prospective nursing intervention which based on routine nursing. compared with two groups of surgery effects and postoperative complications, and statistics of the two groups of nursing satisfaction and quality of life after surgery. Results But the nursing group hospitalization time and postoperative extubation time was significantly shorter than the control group（P〈0.05）; the incidence of complications was 6.35% nursing group after surgery was significantly lower than the control group 17.46%（P〈0.05）; the nursing group was higher than control group 79.37%（P〈0.05）; the quality of life of patients for nursing score（89.3 ± 4.2）, control group（81.3 ±4.5）, the two comparison has significant difference, P0.05. Conclusion Prospective nursing intervention in thoracic laparoscopic surgery and esophageal cancer radical operation during perioperation reduce the incidence of dangerous events during the perioperative period, to improve the quality of life and nursing satisfaction.