前瞻性护理干预在胸腹腔镜联合食管癌根治术围术期的应用效果

Application effect of prospective nursing intervention in perioperative period of thoracoscopic laparoscopic combined with esophageal cancer radical operation

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术期的应用效果。方法选取2014年1月~2017年12月于深圳市第二人民医院行胸腹腔镜联合食管癌根治术的50例患者,按随机数字表法分为研究组与参照组,每组各25例。参照组患者围术期给予常规护理干预,研究组患者围术期在常规护理基础上给予前瞻性护理干预。比较两组患者的相关临床指标、生活质量评分、护理满意度及术后并发症发生情况。结果两组患者的术中出血量、手术时间和淋巴结清扫数比较,差异无统计学意义(P>0.05);研究组患者的胃肠恢复时间、拔管时间和住院时间均明显短于参照组,生活质量评分明显高于参照组,差异有统计学意义(P<0.05)。研究组患者的护理总满意度为96.00%,明显高于参照组的72.00%,差异有统计学意义(P<0.05)。研究组患者的术后并发症总发生率为4.00%,明显低于参照组的32.00%,差异有统计学意义(P<0.05)。结论胸腹腔镜联合食管癌根治术围术期中采用前瞻性护理干预,可以有效加快患者恢复速度,提高生活质量和护理满意度,还能减少术后并发症的发生。

Objective To explore the effect of prospective nursing intervention in the perioperative period of thoracoscopic laparoscopic combined with esophageal cancer radical surgery. Methods A total of 50 patients undergoing thoracoscopic laparoscopic combined with esophageal cancer radical surgery from January 2014 to December 2017 treated in Shenzhen Second People′s Hospital were divided into study group and reference group according to the random number table method,with 25 cases in each group. The reference group received routine nursing intervention during the perioperative period,and the study group gave prospective nursing intervention on the basis of routine nursing during the perioperative period. The relevant clinical indicators,quality of life scores,nursing satisfaction and postoperative complications were compared between the two groups. Results There was no significant difference in the amount of intraoperative blood loss,operation time and lymph node dissection between the two groups (P>0.05). The gastrointestinal recovery time,extubation time and hospitalization time of the study group were significantly shorter than the reference group,and the quality of life score was significantly higher than the reference group,the differences were statistically significant (P<0.05). The total nursing satisfaction of the study group was 96.00%,which was significantly higher than that of the reference group (72.00%),and the difference was statistically significant (P<0.05). The total incidence of postoperative complications in the study group was 4.00%,which was significantly lower than that in the reference group (32.00%),and the difference was statistically significant (P<0.05). Conclusion Thoracic laparoscopic combined with esophageal cancer radical surgery in the perioperative period using prospective nursing intervention can effectively speed up the recovery of patients,improve quality of life and satisfaction of care,and reduce postoperative complications.