摘要
目的明确医护一体化干预方案在食管早期癌患者内镜黏膜下剥离术(ESD)围术期的应用效果。方法选取2020年4月至2024年4月河南科技大学第一附属医院收治的进行ESD治疗的200例食管早期癌患者为研究对象,以随机数字表法分为对照组与观察组,分别接受常规护理和医护一体化护理。对比观察两组术后恢复情况、患者情绪变化与护理满意度。结果观察组术后恢复时间、下床活动时间、住院时间均短于对照组,且观察组术后并发症发生率低(P<0.05);观察组经干预后疾病不确定评分、焦虑、抑郁评分均低于对照组(P<0.05);观察组护理满意度高于对照组(P<0.05)。结论食管早期癌患者接受ESD治疗过程中,围术期开展医护一体化护理干预,有助于加快患者术后康复进程,且能帮助调节控制患者情绪压力,有助于提升临床护理质量。
Objective To determine the effect of integrated medical care intervention in the perioperative period of endoscopic submucosal dissection(ESD)in patients with early esophageal cancer.Methods Two-hundred patients with early-stage esophageal cancer admitted to our hospital for ESD treatment from April 2020 to April 2024 were selected and divided randomly into control group and observation group,and received routine care and integrated medical care,respectively.The postoperative recovery,emotional changes and nursing satisfaction changes of 2 groups were observed and compared.Results The postoperative recovery time,time to get out of bed and hospital stay in the observation group were shorter than those in the control group,and the incidence of postoperative complications in the observation group was lower(P<0.05);the scores of disease indeterminity,anxiety and depression in the observation group were lower than those in the control group(P<0.05);the nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion The process of ESD treatment for patients with earl-ystage esophageal cancer,the integrated nursing intervention of medical care in the perioperative period can help speed up the postoperative rehabilitation process of patients,and regulate and control the emotional pressure of patients,which is helpful to improve the quality of clinical care.
作者
罗亚利
贾金芳
杨桦
LUO Yali;JIA Jinfang;YANG Hua(The First Affiliated Hospital,College of Clinical Medicine of Henan University of Science and Technology,Luoyang,China,471003)
出处
《食管疾病》
2025年第2期157-160,共4页
Journal of Esophageal Diseases
关键词
食管早期癌
内镜黏膜下剥离术
医护一体化护理
围术期
early esophageal cancer
endoscopic submucosal dissection
integrated medical and nursing care
perioperative period
