医护共享系统在早期肝癌患者围手术期一体化管理中的应用

Application of medical care sharing system in perioperative integrated management of patients with early liver cancer

目的探讨早期肝癌患者围手术期一体化管理中医护共享系统的应用效果。方法选取拟行肝癌根治术的早期肝癌患者84例,以随机数表分为常规组42例,采用围手术期常规一体化管理,研究组42例,采用构建医护共享系统并将其应用于围术期一体化管理中。对比两组患者焦虑、抑郁情况以及术后康复情况;收集患者术后疼痛评分(VAS)和并发症发生情况。结果各组护理前焦虑自评量表(SAS)与抑郁自评量表(SDS)评分>术前评分>护理后评分(P <0.05),研究组术前、护理后SAS评分与SDS评分均低于常规组(P <0.05);研究组腹腔引流管拔除时间、首次排气时间、首次下床活动时间均短于常规组(P <0.05);两组术后48 h疼痛VAS评分<术后24 h评分<术后12 h评分(P <0.05),研究组术后12 h、术后24 h、术后48 h疼痛VAS评分均低于常规组(P <0.05);研究组总并发症发生率低于常规组(P <0.05)。结论在早期肝癌患者围术期一体化管理中应用医护共享系统效果良好。

ObjectiveTo explore the effect of medical care sharing system in perioperative integrated management of patients with early liver cancer.MethodsA total of 84 patients with early liver cancer who were scheduled for radical resection of liver cancer were selected and randomized into a conventional group(n=42)and a study group(n=42)using random number table.The perioperative routine integrated management was performed on the patients in the conventional group and the perioperative integrated management with established medical care sharing system was performed on the study group.Anxiety,depression and postoperative recovery were compared between the two groups.Postoperative pain score(visual analogue scale,VAS)and complications were collected.ResultsPre-nursing self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores of each group were>preoperative score>post-nursing score(P<0.05).Both preoperative and post-nursing SAS scores and SDS scores were lower in the study group than in the conventional group(P<0.05).The time to extraction of abdominal drainage tube,the time to first exhaust and the time to first out-of-bed activity in the study group were shorter than those in the conventional group(P<0.05).VAS scores 48 h after surgery in both groups were<scores 24 h after surgery<scores 12 h after surgery(P<0.05).VAS scores of the study group at 12 h,24 h and 48 h postoperatively were lower than those of the conventional group(P<0.05).The total complication rate of the study group was lower than that of the conventional group(P<0.05).ConclusionApplication of medical care sharing system in perioperative integrated management of patients with early liver cancer is effective.