标准化护理模式对早期胃癌患者内镜黏膜下剥离术治疗效果及并发症的影响

Influence of standardized nursing mode on the therapeutic effect and complications of endoscopic submucosal dissection in patients with early gastric cancer

目的探讨标准化护理模式对早期胃癌(EGC)患者内镜黏膜下剥离术(ESD)治疗效果及并发症的影响。方法选择2020年1月至2021年12月于新乡医学院第三附属医院接受ESD治疗的EGC患者80例为研究对象,根据护理方式将患者分为观察组(n=41)和对照组(n=39),对照组患者给予常规护理措施,观察组患者给予标准化护理模式。对2组患者的手术效果、手术时间、术后禁食时间、术后排气时间、肠鸣音恢复时间、住院时间、腹胀发生率、并发症发生率及护理满意度进行比较。结果观察组患者的治愈性切除率、相对治愈性切除率和非治愈性切除率分别为85.37%(35/41)、14.63%(6/41)、0.00%(0/41),对照组患者的治愈性切除率、相对治愈性切除率和非治愈性切除率分别为82.05%(32/39)、2.56%(1/39)、15.38%(6/39);2组患者的治愈性切除率、相对治愈性切除率比较差异无统计学意义(P>0.05),观察组患者的非治愈性切除率显著低于对照组(P<0.05)。观察组患者的手术时间、术后禁食时间、术后住院时间、术后排气时间、肠鸣音恢复时间均显著短于对照组(P<0.05)。观察组和对照组患者术后腹胀发生率分别为4.88%(2/41)、23.08%(9/39),观察组患者术后腹胀发生率显著低于对照组(χ^(2)=5.582,P<0.05)。观察组和对照组患者并发症发生率分别为9.76%(4/41)、33.33%(13/39),观察组患者并发症发生率显著低于对照组(χ^(2)=6.639,P<0.05)。观察组和对照组患者的护理满意度分别为95.12%(39/41)、76.92%(30/39),观察组患者的护理满意度显著高于对照组(χ^(2)=5.582,P<0.05)。结论标准化护理模式能够提高EGC患者的ESD治疗效果,促进术后患者胃肠功能恢复,降低并发症发生率,提高患者对护理质量的满意度。

Objective To investigate the influence of standardized nursing mode on the therapeutic effect and complications of endoscopic submucosal dissection(ESD)in patients with early gastric cancer(EGC).Methods A total of 80 EGC patients who received ESD in the Third Affiliated Hospital of Xinxiang Medical University from January 2020 to December 2021 were selected as the research subjects.The patients were divided into observation group(n=41)and control group(n=39)according to the nursing method,the patients in the control group were given routine nursing,while the patients in the observation group were given standardized nursing model.The operation effect,operation time,postoperative fasting time,postoperative exhaust time,bowel sound recovery time,hospitalization time,abdominal distension rate,incidence of complications and nursing satisfaction were compared between the two groups.Results The curative resection rate,relative cure resection rate and non-curative resection rate of patients in the observation group were 85.37%(35/41),14.63%(6/41)and 0.00%(0/41),respectively;while the curative resection rate,relative cure resection rate and non-curative resection rate of patients in the control group were 82.05%(32/39),2.56%(1/39)and 15.38%(6/39),respectively.There was no significant difference in the curative resection rate and the relative curative resection rate of patients between the two groups(P>0.05).The non-curative resection rate of patients in the observation group was significantly lower than that in the control group(P<0.05).The operation time,postoperative fasting time,postoperative hospitalization time,postoperative exhaust time and bowel sound recovery time of patients in the observation group were significantly shorter than those in the control group(P<0.05).The incidence of postoperative abdominal distension in the observation group and the control group was 4.88%(2/41)and 23.08%(9/39),respectively.The incidence of postoperative abdominal distension in the observation group was significantly lower than that in the control group(χ^(2)=5.582,P<0.05).The incidence of complications in the observation group and the control group was 9.76%(4/41)and 33.33%(13/39),respectively.The incidence of complications in the observation group was significantly lower than that in the control group(χ^(2)=6.639,P<0.05).The nursing satisfaction of patients in the observation group and the control group was 95.12%(39/41)and 76.92%(30/39),respectively.The nursing satisfaction of patients in the observation group was significantly higher than that in the control group(χ^(2)=5.582,P<0.05).Conclusion The standardized nursing mode can improve the ESD treatment effect,promote the recovery of gastrointestinal function,reduce the incidence of complications,and improve the nursing satisfaction of patients with EGC.