术前针对性护理联合血压调控对食管癌合并高血压患者手术耐受性的影响

Effect of preoperative nursing intervention combined with blood pressure regulation on surgical tolerance of patients with esophageal cancer complicated with hypertension

目的:探究术前针对性护理联合血压调控对食管癌合并高血压患者手术耐受性的干预效果。方法:选取2015年5月至2018年6月陆军军医大学第一附属医院收治的食管癌合并高血压患者92例,按随机数字表法分研究组和对照组,每组46例。所有患者均行食管癌根治术治疗,对照组给予常规术前护理,研究组在常规护理基础上给予术前针对性护理联合血压调控。观察两组入院时(干预前)、术前2h(干预后)负性情绪、人格行为特征评分,入院时、术前2h、术后2h的收缩压、心率以及手术耐受度。结果:干预前,两组汉密尔顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)及艾森克人格问卷简式量表(EPQ-RSC)评分比较,差异均无统计学意义(均P>0.05);干预后,研究组HAMA、HAMD及EPQ-RSC评分均明显低于对照组(均P<0.05)。入院时,两组收缩压、心率比较,差异无统计学意义(P>0.05);术前2h、术后2h,研究组收缩压、心率均低于对照组(均P<0.05)。研究组手术耐受度优于对照组(P<0.05)。结论:术前针对性护理联合血压调控有助于改善食管癌合并高血压患者术前负性情绪及人格行为特征,提高手术耐受性。

Objective:To explore the effect of preoperative nursing combined with blood pressure regulation on intervention effect and operation tolerance of patients with esophageal cancer complicated with hypertension.Methods:From May 2015 to June 2018,92 patients with esophageal cancer and hypertension in our hospital were selected and randomly divided into a study group and a control group,with 46 cases in each group.All patients were treated with radical esophagectomy.The patients in the control group received conventional preoperative nursing care,and those in the study group were treated as the control group with addition of preoperative targeted nursing intervention and blood pressure control.The scores of negative emotion,personality and behavior,systolic pressure and heart rate at admission,2 h pre-operation and 2 h post-operation as well as the operation tolerance were observed and compared.Results:There was no significant difference in the scores of Hamilton anxiety scale(HAMA),Hamilton depression rating scale(HAMD)and Eysenck personality questionnaire-revised short scale(EPQ-RSC)between the two groups before intervention(P>0.05),and the scores of HAMA,HAMD and EPQ-RSC after intervention were significantly lower in the study group than those in the control group(P<0.05).There was no significant difference in systolic blood pressure and heart rate between the two groups at admission(P>0.05),and the systolic blood pressure and heart rate of the study group were lower than those of the control group at 2 hours before operation and 2 hours after operation(P<0.05).The operation tolerance of the study group was better than that of the control group(P<0.05).Conclusion:Preoperative nursing care combined with blood pressure regulation could improve preoperative negative emotions,operation tolerance and personality characteristics of patients with esophageal cancer complicated with hypertension.