延续性护理在食管癌术后患者居家护理中的应用效果分析

Analysis on Application Effect of Continuing Care in Home Care of Postoperative Patients with Esophageal Cancer

目的:分析延续性护理在食管癌术后患者居家护理中的应用效果。方法:选取2021年4月—2022年5月于南京医科大学附属无锡人民医院胸外科行手术治疗的食管癌患者80例作为研究对象,随机分为试验组与对照组,各40例。对照组实施常规随访护理,试验组实施延续性护理。比较两组并发症发生情况、营养状况、营养指标。结果:试验组胃食管反流、腹胀腹泻、呕吐、吻合口狭窄发生率均低于对照组,差异有统计学意义(P<0.05)。试验组总营养不良率低于对照组,差异有统计学意义(P=0.039)。护理前,两组白蛋白、总蛋白水平比较,差异无统计学意义(P>0.05);护理后,两组白蛋白、总蛋白水平高于护理前,且试验组高于对照组,差异有统计学意义(P<0.05)。结论:延续性护理在食管癌术后患者居家护理中的应用效果显著,可降低并发症及营养不良发生率,改善患者营养状况。

Objective:To analyze the application effect of continuing care in home care of postoperative patients with esophageal cancer.Methods:A total of 80 patients with esophageal cancer who underwent surgical treatment in the Department of Thoracic Surgery of Nanjing Medical University Affiliated Wuxi People's Hospital from April 2021 to May 2022 were selected as the study subjects.They were randomly divided into the experimental group and the control group,with 40 cases in each group.The control group was given routine follow-up care,and the experimental group was given continuing care.The incidence of complications,nutritional status and nutritional indicators were compared between the two groups.Results:The incidences of gastroesophageal reflux,abdominal distension and diarrhea,vomiting and anastomotic stoma in the experimental group were lower than those in the control group,and the difference was statistically significant(P<0.05).The total malnutrition rate in the experimental group was lower than that in the control group,and the difference was statistically significant(P=0.039).Before nursing,there was no significant difference in the levels of albumin and total protein between the two groups(P>0.05).After the treatment,the levels of albumin and total protein in the two groups were higher than those before nursing,the levels in the experimental group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:The application of continuing care in home care of postoperative patients with esophageal cancer has a significant effect,which can reduce the incidence of complications and malnutrition,and improve the nutritional status of patients.