摘要
为探讨个性化护理干预在结肠癌手术患者围手术期的应用效果,将2008年9月至2012年9月在我院进行手术治疗的58例结肠癌患者随机分为观察组和对照组,各29例,对照组围手术期给予常规护理,观察组围手术期给予个性化护理干预。并对两组患者手术情况、术后主要生命体征、心理状态以及人工肛门并发症发生率进行比较分析。结果显示,两组患者手术时间、术中出血量差异均无统计学意义,P〉0.05;观察组住院时间及术后肛门排气时间均明显短于对照组,P〈0.05;两组患者术后当天心率、呼吸、血压均在正常范围内,但观察组各指标较对照组低,差异有统计学意义,P〈0.05;观察组术后SAS评分明显低于对照组,P〈0.05。结果表明,围手术期进行个性化护理干预可明显改善结肠癌患者术后生命体征和心理状态,并促进患者术后康复、缩短住院时间。
This study was to investigate the efficacy of performing individual nursing intervention on pa- tients with colonic carcinoma at perioperation. The 58 patients with colonic carcinoma who received surgery in authors' hospital(2008-09--2012-09) were randomly divided into observation group and control group, 29 cases per group; control group was given with conventional nursing, observation group with individualnursing intervention, then, the status on operation, postoperative main vital signs, psychological situation, and incidence of complication from artificial anus were compared and analyzed between both groups. As re- sults,in the time for operation, intraoperative bleeding volume there was no statistical differences( P〉 0.05) ;in hospital stay,the time for anus tO return flatus observation group was all shorter than control group( P 〈0.05);the postoperative intraday heart rate,respiratory situation and blood pressure of both groups were all in normal range,but above indexes of observation group lower than that of control group( P 〈0.05) ;the post operative self-rating anxiety scale(SAS) score rating of observation group was signifi- cantly lower than that of control group( P 〈0.05). Above results show that individual nursing interven- tion at perioperation can significantly improve patient's postoperative physiological signs and psychological situation, promote recovery, shorten hospital stay.
出处
《中国肛肠病杂志》
2013年第4期35-37,共3页
Chinese Journal of Coloproctology
关键词
结肠癌
围手术期
个性化护理
疗效
Colonic carcinoma
Perioperation
Individual nursing
Therapeutic effect