人性化护理干预在预防肝门部胆管癌患者根治性切除术后并发症的应用

Application of humanistic nursing care in prevention of complications after radical resection of hilar cholangiocarcinoma

目的探讨人性化护理干预在预防肝门胆管癌患者根治性切除术后并发症的应用价值。方法选取在本院接受根治性切除术治疗的肝门胆管癌患者80例,根据随机数表法分为对照组和观察组各40例,对照组接受监测生命体征、维持呼吸道通畅、雾化吸入等常规护理干预;观察组在对照组护理基础上接受人性化护理干预。比较2组患者护理后并发症发生率,并比较2组患者护理前后心理健康水平、疼痛水平变化。结果术后观察组患者并发症总发生率低于对照组(P<0.05);护理后2组患者焦虑、抑郁评分均低于护理前,且观察组低于对照组(P<0.05);护理后2组患者疼痛评分均低于护理前,且观察组低于对照组(P<0.05)。结论肝门胆管癌患者根治性切除术后实施人性化护理干预能有效预防或减少并发症发生,改善患者心理健康,减轻疼痛。

Objective To study the value of humanistic nursing intervention in the prevention of complications after radical resection of hilar cholangiocarcinoma. Methods Eighty patients with hi- lar cholangiocarcinoma who underwent radical resection in our hospital were selected as study subjects, and were divided into control group and observation group according to random number table method, the control group with 40 patients was given conventional care intervention such as monitoring of vital signs, airway patency maintainance, atomization, and 40 patients in observation group were given hu- manistic care intervention. The incidence of complications, and the mental health level and pain level were compared between the two groups after nursing. Results The overall incidence of complications in the observation group was significantly lower than that in the control group （ P 〈 0.05） ; The scores of anxiety and depression, and pain scores in the two groups were lower than nursing before, and the indices in the observation group were lower than that the control group, the differences were statistically significant （P 〈 0.05）. Condusion Humanistic care intervention can effectively prevent the occurrence of complications, improve the patient＇s mental health, reduce pain.