介入治疗妇科中晚期恶性肿瘤的优质护理

Quality nursing care of interventional therapy for advanced gynecologic malignancies

目的探讨中晚期妇科恶性肿瘤患者介入治疗中优质护理的操作方法,并分析其应用效果。方法选取2015年4月~2017年4月收治的实施介入治疗的中晚期妇科恶性肿瘤患者共74例,分为优质组与参考组,每组37例。在围术期优质组与参考组分别给予优质护理+常规护理、常规护理。对比治疗后2 h、4 h、8 h、12 h的疼痛程度,术后开始进食时间、下床活动时间和住院时间,住院期间并发症发生率和出院时患者对服务的满意度评价。结果疼痛程度评分时间、组间、交互作用对比差异均有统计学意义(P<0.05),两组疼痛程度评分均随着时间的延长显著降低(P<0.05),且优质组评分均远低于参考组(P<0.05);优质组术后开始进食时间、下床活动时间和住院时间均短于参考组(P<0.05),总并发症发生率低于参考组(P<0.05);优质组对服务的满意度评价分级与参考组对比可见差异统计学意义(P<0.05),但前者总满意率远高于后者(P<0.05)。结论对中晚期妇科恶性肿瘤患者介入治疗中采用优质护理能够显著减轻疼痛程度,促进术后恢复,减少并发症,提升护理满意度。

Objective To explore the operation method of high quality nursing in patients with gynecologic malignant tumor in middle and late stage, and to analyze its application effect. Methods A total of 74 patients with advanced gynecologic malignancies who underwent interventional therapy from April 2015 to April 2017 were selected, who were divided into high quality group and reference group. During the perioperative period,the high quality group and the reference group were given high quality nursing plus routine nursing and routine nursing respectively. The pain degree of 2 h, 4 h, 8 h and 12 h after treatment, the time of beginning eating, the timeof beginning out of bed and hospitalization, the incidences of complications during hospitalization and the satisfaction evaluation of the patients at the dischargewere compared. Results Pain scores in time, group and interaction were statistically different（P〈0.05）, of which the 2 groups weredecreased significantly with time（P〈0.05）. The score of high quality group were much lower thanthe reference group（P〈0.05）. The time of beginning eating, the timeof beginning out of bed and hospitalization were shorter than the reference group（P〈0.05）. The incidence of total complications was lower thanthe reference group（P〈0.05）. There was a significant difference in the satisfaction rating between the high quality group and the referencegroup（P〈0.05）, andthe total satisfaction rate of the former was much higher than that of the latter（P〈0.05）. Conclusion The use of high quality nursing in patients with middle and advanced gynecologic malignant tumor can significantly reduce the degree of pain, promote postoperative recovery, reduce complications and improve nursing satisfaction.