舒适护理干预在食管癌围手术期患者中的应用价值

Application Value of Comfort Nursing Intervention in Patients with Esophageal Cancer During Perioperative Period

目的探讨舒适护理干预在食管癌围手术期患者中的应用价值。方法选取2017年9月至2020年9月安阳市肿瘤医院食管癌围手术期患者84例,按入院时间分为研究组(n=42)和常规组(n=42),常规组接受常规护理干预,研究组在常规组基础上接受舒适护理干预。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评估患者干预前后负性情绪,视觉模拟评分(VAS)评估疼痛程度。比较两组术后相关指标、并发症发生率。结果干预后,研究组SAS、SDS评分较常规组低(P<0.05);干预后,研究组VAS较常规组低(P<0.05);研究组静脉输液时间、首次进食时间、术后排气时间、住院时间较常规组短(P<0.05);研究组并发症发生率(7.14%)与常规组(16.67%)相比,差异无统计学意义(P>0.05)。结论舒适护理干预应用于食管癌围手术期患者中可改善其负性情绪,减轻疼痛程度,并能预防并发症,加快患者术后恢复。

Objective To explore the application value of comfort nursing intervention in perioperative patients with esophageal cancer.Methods Eighty-four patients with esophageal cancer during perioperative period in Anyang City Cancer Hospital from September 2017 to September 2020 were selected,and divided into study group(n=42) and routine group(n=42) according to the admission time.The routine group received routine nursing intervention,and the research group received comfort nursing intervention on the basis of the routine group.Self-rating anxiety scale(SAS) and self-rating depression Scale(SDS) were used to evaluate the negative emotions of patients before and after intervention.Visual analog scale(VAS) was used to assess pain.Postoperative related indicators,incidence of complications before and after intervention were compared between the two groups.Results After intervention,SAS and SDS scores in the study group were lower than those in the conventional group(P<0.05).After intervention,the VAS of the study group was lower than that of the conventional group(P<0.05).The duration of intravenous infusion,first feeding time,postoperative exhaust time and hospital stay in the study group were shorter than those in the conventional group(P<0.05).There was no significant difference in the complication rate between the study group and the conventional group(7.14% vs.16.67%,P>0.05).Conclusion The application of comfort nursing intervention in patients with esophageal cancer during perioperative period can improve negative emotions,relieve pain,prevent complications and speed up postoperative recovery.