五位一体护理对胸外科手术患者护理满意度的影响及安全性分析

Influence and Safety Analysis of Five-in-one Nursing on Nursing Satisfaction of Patients with Thoracic Surgery

目的探讨五位一体护理对胸外科手术患者护理满意度的影响及安全性。方法方便选取该院2020年2月—2021年2月收治的行胸外科手术治疗的80例肺癌患者为研究对象,随机分为对照组和观察组,各40例。术后对对照组患者进行常规护理,对观察组进行五位一体护理,两组患者均连续进行3个月护理干预。对比两组患者干预后护理满意度及术后并发症发生情况,干预前后生存质量。结果相较于干预前,干预后两组患者疲倦、恶心呕吐、疼痛、气促、失眠、食欲减退、腹泻、便秘各项评分均降低,且观察组较对照组处于更低水平;社会功能、躯体功能、情绪功能、角色功能、总体健康水平、认知功能各项评分均升高,且观察组较对照组处于更高水平,差异有统计学意义(t=6.032、13.661、8.175、9.295、7.320、4.187、15.257、16.081、8.311、6.903、9.400,11.229、6.469、21.183,P<0.05)。干预后,观察组患者总满意度(90.00%)高于对照组的70.00%,差异有统计学意义(χ^(2)=5.000,P<0.05)。干预后,观察组患者的并发生总发生率(7.50%)低于对照组(27.50%),差异有统计学意义(χ^(2)=5.541,P<0.05)。结论五位一体护理可提高胸外科手术患者术后生存质量与护理满意情况,减少患者术后并发症的发生。

Objective To investigate the effect and safety of five-in-one nursing on nursing satisfaction of patients undergoing thoracic surgery.Methods It is convenient to select 80 patients with lung cancer who underwent thoracic surgery in the hospital from February 2020 to February 2021 as the research objects,and were randomly divided into the control group and the observation group,with 40 cases in each..The patients in the control group were given routine nursing,while the observation group received five-in-one nursing after operation.Both groups received nursing intervention for 3 consecutive months.The nursing satisfaction,postoperative complications after the intervention,and quality of life before and after the intervention were compared between the two groups of patients.Results Compared with before the intervention,the scores of fatigue,nausea and vomiting,pain,shortness of breath,insomnia,loss of appetite,diarrhea,and constipation in the two groups were decreased after the intervention,and the observation group was at a lower level than the control group,and the scores of social function,physical function,emotional function,role function,overall health level;cognitive function all increased,and the observation group was at a higher level than the control group,the difference was statistically significant(t=6.032,13.661,8.175,9.295,7.320,4.187,15.257,16.081,8.311,6.903,9.400,11.229,6.469,21.183,P<0.05).After the intervention,the total satisfaction of patients in the observation group was 90.00%higher than that in the control group 70.00%,the difference was statistically significant(χ^(2)=5.000,P<0.05).After intervention,the total incidence of complications in the observation group(7.50%)was lower than that in the control group(27.50%),the difference was statistically significant(χ^(2)=5.541,P<0.05).Conclusion Five-in-one nursing can improve the postoperative quality of life and nursing satisfaction of patients undergoing thoracic surgery,and reduce the incidence of postoperative complications.