精细化护理模式下的引导式放松训练对食管癌术后患者心理状态及不良事件发生率的影响

Effect of Guided Relaxation Training under Refined Care Mode on Psychological Status and Incidence of Adverse Events in Patients after Esophageal Cancer Surgery

目的探究精细化护理模式下的引导式放松训练对食管癌术后患者心理状态及不良事件发生率的影响。方法选取南阳医学高等专科学校第一附属医院2020年6月至2021年6月食管癌术后患者88例,以随机数字表法分为观察组、对照组,各44例。对照组给予常规护理,观察组在此基础上给予精细化护理模式下的引导式放松训练护理。观察两组术后恢复情况、护理前后焦虑自评量表(SAS)、抑郁自评量表(SDS)、生活质量(QLQ-30)、疼痛程度(VAS)评分及不良事件发生率。结果与对照组相比,观察组首次下床时间、住院时间均较短,差异有统计学意义(P<0.05);护理后观察组QLQ-30评分高于对照组,SAS、VAS、SDS评分低于对照组,差异有统计学意义(P<0.05);观察组不良事件发生率4.55%低于对照组20.45%,差异有统计学意义(P<0.05)。结论在常规护理基础上,采用精细化护理模式下的引导式放松训练可有效改善食管癌术后患者的负性情绪,减少不良事件的发生,促进术后恢复,提高患者生存质量。

Objective To explore the influence of guided relaxation training under refined nursing mode on the psychological state and the incidence of adverse events after esophageal cancer surgery.Methods A total of 88 postoperative patients with esophageal cancer in our hospital from June 2020 to June 2021 were selected and divided into observation group and control group according to the random digital table method,with 44 cases in each group.The control group was given routine care,and the observation group was given the guided relaxation training care under the refined care mode on this basis.The postoperative recovery,pre-and post-care anxiety self-rating scale(SAS),depression self-rating scale(SDS),quality of life(QLQ-30),pain degree(VAS)score and incidence of adverse events were observed in the 2 groups.Results Compared with the control group,the observation group had shorter time to get out of bed and hospital stay(P<0.05);After nursing,the QLQ-30 score of the observation group was higher than that of the control group,and the scores of SAS,VAS and SDS were significantly lower than those of the control group(P<0.05);The incidence of adverse events in the observation group was 4.55%significantly lower than that in the control group 20.45%(P<0.05).Conclusion On the basis of routine nursing,the guided relaxation training care under the refined care mode can effectively improve the negative emotions of patients after esophageal cancer surgery,reduce the occurrence of adverse events,promote postoperative recovery,and improve the quality of life of patients.