人性化护理在结肠癌围手术期中的应用效果观察

Effect of Humanized Nursing in Perioperative Period of Colon Cancer

目的:探讨结肠癌围手术期中应用人性化护理的应用效果。方法:选取2020年9—12月中山大学肿瘤防治中心收治的118例结肠癌患者作为研究对象,按照随机数表法分为对照组和研究组,每组各59例。对照组采用常规护理干预,研究组采用人性化护理干预。比较两组患者干预后的肠胃功能恢复情况、心理状况、术后并发症发生情况及护理满意度情况。结果:研究组肛门初次排气时间、肛门初次排便时间均短于对照组,腹胀发生率低于对照组,差异有统计学意义(t=28.912、19.468;χ2=7.779,P<0.05)。研究组SCL-90量表各项目评分均低于对照组,差异有统计学意义(t=5.200、7.292、2.926、8.774、4.729、9.669、3.744、6.214、3.565、5.430,P<0.05)。研究组术后并发症发生率为5.1%,明显低于对照组的16.9%,差异有统计学意义(χ2=7.354,P<0.05)。研究组护理满意度为93.2%,明显高于对照组的77.9%,差异有统计学意义(χ2=9.074,P<0.05)。结论:对处于结肠癌围手术期的患者应用人性化护理干预,能够有效促进患者康复,改善患者不良情绪,降低术后并发症发生率,提高护理满意度。

Objective:To explore the application of humanized care in the perioperative period of colon cancer.Methods:118 colon cancer patients admitted to the center from September to December 2020 were selected as study subjects and divided into control and study groups according to the random number table method,with 59 cases in each group.The control group used con⁃ventional nursing interventions and the study group used humanized nursing interventions.The recovery of gastrointestinal function,psychological status,postoperative complications and nursing satisfaction of the two groups were compared after the intervention.Results:The time to first anal discharge and time to first anal bowel movement were shorter in the study group than in the control group,and the incidence of abdominal distension was lower than in the control group,with statistically significant differences(t=28.912,19.468,χ2=7.779,P<0.05).The study group had lower scores on all items of the SCL-90 scale than the control group,with statistically significant differences(t=5.200,7.292,2.926,8.774,4.729,9.669,3.744,6.214,3.565,5.430,P<0.05).The inci⁃dence of postoperative complications in the study group was 5.1%,which was significantly lower than 16.9%in the control group,with a statistically significant difference(χ2=7.354,P<0.05).The nursing satisfaction rate of the study group was 93.2%,which was significantly higher than 77.9%of the control group,and the difference was statistically significant(χ2=9.074,P<0.05).Con⁃clusion:Applying humanized nursing interventions to patients in the perioperative stage of colon cancer can effectively promote pa⁃tients’recovery,improve their bad mood,reduce the incidence of postoperative complications and improve nursing satisfaction.