循证护理在经肛门微创外科直肠肿瘤切除术患者中的应用效果

Application Effect of Evidence-Based Nursing in Patients Undergoing Transanal Minimally Invasive Surgery for Rectal Tumor Resection

目的:探究循证护理在经肛门微创外科直肠肿瘤切除手术患者中的应用效果。方法:选取2011年1月—2022年12月于巴彦淖尔市医院行经肛门微创外科直肠肿瘤切除术的患者70例作为研究对象,按照随机数字表法分为观察组和对照组,各35例。对照组实施常规护理,观察组实施循证护理。比较两组手术时间、术中出血量、住院时间、护理满意度、负面情绪。结果:观察组手术时间和住院时间短于对照组,术中出血量少于对照组(P<0.001)。观察组护理满意度高于对照组(P=0.046)。护理前,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);护理后,两组SAS、SDS评分均低于护理前,且观察组较对照组低(P<0.05)。结论:循证护理在经肛门微创外科直肠肿瘤切除术患者中的应用效果较好,能够缩短手术时间和住院时间,减少术中出血量,减轻患者的负面情绪,提高护理满意度。

Objective:To explore the application effect of evidence-based nursing in patients undergoing transanal minimally invasive surgery for rectal tumor resection.Methods:A total of 70 patients who underwent transanal minimally invasive surgery for rectal tumor resection in Bayannur Hospital from January 2011 to December 2022 were selected as the study subjects.They were divided into observation group and control group according to random number table method,with 35 cases in each group.The control group was given routine nursing,and the observation group was given evidence-based nursing.The operation time,intraoperative blood loss,length of hospital stay,nursing satisfaction,and negative emotions were compared between the two groups.Results:The operation time and length of hospital stay in the observation group were shorter than those in the control group,and the intraoperative blood loss in the observation group was less than that in the control group(P<0.001).The nursing satisfaction in the observation group was higher than that in the control group(P=0.046).Before nursing,there was no significant difference in the scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)between the two groups(P>0.05).After nursing,the SAS and SDS scores in two groups were lower than those before nursing,and the scores in the observation group were lower than those in the control group(P<0.05).Conclusion:The application effect of evidence-based nursing in patients undergoing transanal minimally invasive surgery for rectal tumor resection is good,which can shorten the operation time and length of hospital stay,reduce the amount of intraoperative blood loss,alleviate the negative emotions of patients,and improve nursing satisfaction.