预见性护理在胸腹腔镜联合治疗食管癌手术中的应用

Application of predictive nursing in thoracoscopy combined with laparoscopy in surgical treatment of esophageal cancer

目的对胸腹腔镜联合治疗食管癌手术中预见性护理的应用效果进行探讨。方法选取我院2016年3月~2018年7月收治的50例食管癌患者进行研究,随机分为观察组与对照组,各25例,对照组采用常规护理,观察组采用预见性护理,对两组护理效果进行比较。结果在术中出血量、手术时间及住院时间方面比较,观察组均明显低于对照组,差异有统计学意义(P<0.05);术后并发症发生率方面,观察组(8.00%)低于对照组(24.00%),差异有统计学意义(P<0.05);生活质量评分方面,护理前两组生理状态、情绪角色、心理状态及社会功能等指标评分比较,差异无统计学意义(P>0.05),护理后,两组生活质量各指标评分均较护理前明显升高,差异有统计学意义(P<0.05),且护理后观察组各指标评分明显高于对照组,差异有统计学意义(P<0.05);护理满意度方面,观察组为96.00%,对照组为68.00%,观察组明显高于对照组,差异有统计学意义(P<0.05)。结论对胸腹腔镜联合治疗食管癌手术患者应用预见性护理干预,可缩短手术时间,可有效减少相关并发症的发生,促进患者术后尽快康复,同时对患者生活质量也有明显改善效果,护理满意度较高,有推广应用的价值。

Objective To explore the application effect of predictive nursing in thoracoscopic and laparoscopic surgery for esophageal cancer. Methods 50 patients with esophageal cancer who were admitted and treated in our hospital from March 2016 to July 2018 were selected and they were randomly divided into the observation group and the control group,with 25 cases in each group.The control group was given routine nursing while the observation group was given predictive nursing.The nursing effects of the two groups were compared. Results Intraoperative bloodloss,operation time and hospital stay of the observation group were all significantly lower than those of the control group(P < 0.05).The incidence of postoperative complications of the observation group(8.00%)was lower than that of the control group(24.00%),and the difference was statistically significant(P < 0.05).There was no significant difference in scores of quality of life such as physiological state,emotional role,psychological state and social function before nursing between two groups(P > 0.05).After nursing,the scores of quality of life in the two groups were significantly higher than those before nursing,and the difference was statistically significant(P < 0.05).The scores of each index in the observation group were significantly higher than those in the control group,and the difference was statistically significant(P < 0.05).The nursing satisfaction of the observation group was 96.00%,significantly higher than68.00% of the control group.The difference was statistically significant(P < 0.05). Conclusion Application of predictive nursing intervention in patients undergoing thoracoscopic and laparoscopic surgery for esophageal cancer can shorten the operation time,effectively reduce the occurrence of related complications,promote the postoperative recovery of patients as soon as possible and also improve the quality of life of patients.The nursing satisfaction is high and it has the value of promotion and application.