内镜下胃息肉切除术围手术期应用集束化护理的效果分析(1)
【摘要】 目的 观察集束化护理对内镜下胃息肉切除患者围手术期不良应激的改善作用。方法 86例行内镜下胃息肉切除术患者， 随机分为观察组与对照组， 各43例。对照组给予围手术期常规护理干预， 观察组给予围手术期集束化护理干预， 观察两组护理干预后不良应激改善情况[以焦虑自评量表(SAS)、抑郁自评量表(SDS)评分为评价指标]， 同时观察护理干预后两组术后并发症发生情况。结果 观察组术后并发症发生率6.98%明显低于对照组23.26%， 差异具有统计学意义(P<0.05)。两组护理前SAS、SDS评分比较差异无统计学意义(P>0.05)。护理后两组SAS、SDS评分均有所改善， 但仅观察组与护理前比较差异具有统计学意义(P<0.05)， 且观察组护理后SAS、SDS评分(43.42±2.56)、(49.43±3.89)分均明显低于对照组(52.18±2.89)、(51.63±3.43)分(P<0.05)。结论 围手术期应用集束化护理对内镜下胃息肉切除患者不良应激具有较显著的改善作用， 同时可显著降低患者术后并发症发生率。
【关键词】 胃息肉切除；集束化护理；不良应激
DOI：10.14163/j.cnki.11-5547/r.2017.09.079
Analysis of effect by cluster nursing applied in perioperative period of endoscopic gastric polypectomy ZHAO Feng-hua， ZHAO Hai-xia， SONG Xiao-nan. Endoscope Room， Dalian City Fifth People’s Hospital， Dalian 116000， China
【Abstract】 Objective To observe improving effect by cluster nursing for adverse stress in perioperative period of endoscopic gastric polypectomy patients. Methods A total of 86 patients receiving endoscopic gastric polypectomy were randomly divided into observation group and control group， with 43 cases in each group. The control group received conventional nursing intervention in perioperative period， and the observation group received cluster nursing intervention in perioperative period. Observation was made on improvements of adverse reactions after nursing intervention [self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores as evaluation indexes]， and postoperative complications in the two groups. Results The observation group had obviously lower incidence of postoperative complications as 6.98% than 23.26% in the control group， and their difference had statistical significance (P<0.05). There was no statistically significant difference of SAS and SDS scores before nursing between the two groups (P>0.05). After nursing， both groups had improved SAS and SDS scores， and the difference between the observation group and the control group had statistical significance (P<0.05). The observation group had much lower SAS and SDS scores after nursing as (43.42±2.56) and (49.43±3.89) points than (52.18±2.89) and (51.63±3.43) points in the control group (P<0.05). Conclusion Perioperative application of cluster nursing provides excellent improving effect for adverse stress and lowers incidence of postoperative complications in endoscopic gastric polypectomy patients.
【Key words】 Gastric polypectomy； Cluster nursing； Adverse stress
胃息肉是胃黏膜表面突起， 局限性增生而成的腫物， 肿物较小时无显著临床症状[1-6]， 又因为息肉表面腐烂出血现象较为突出， 且癌变率较高， 给患者生命健康带来严重的影响。近年来， 随着内镜技术的快速发展， 其痛苦、创伤较小、术后愈合快等优势逐渐得到认可， 在胃息肉的治疗中具有重要意义， 而胃息肉切除手术与其他外科手术一样， 术前因应激会造成一系列的不良反应， 手术的经济压力以及手术过程中的不确定因素会给患者带来一定的心理负担， 使患者极易出现抑郁、焦虑等不良情绪， 因此将积极的护理干预措施运用到围手术期可降低患者不良情绪[7-10]。现为观察集束化护理对内镜下胃息肉切除患者不良应激的改善作用， 以86例行内镜下胃息肉切除术患者为研究对象， 报告如下。, 百拇医药(赵凤华 赵海霞 宋晓楠)
【关键词】 胃息肉切除；集束化护理；不良应激
DOI：10.14163/j.cnki.11-5547/r.2017.09.079
Analysis of effect by cluster nursing applied in perioperative period of endoscopic gastric polypectomy ZHAO Feng-hua， ZHAO Hai-xia， SONG Xiao-nan. Endoscope Room， Dalian City Fifth People’s Hospital， Dalian 116000， China
【Abstract】 Objective To observe improving effect by cluster nursing for adverse stress in perioperative period of endoscopic gastric polypectomy patients. Methods A total of 86 patients receiving endoscopic gastric polypectomy were randomly divided into observation group and control group， with 43 cases in each group. The control group received conventional nursing intervention in perioperative period， and the observation group received cluster nursing intervention in perioperative period. Observation was made on improvements of adverse reactions after nursing intervention [self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores as evaluation indexes]， and postoperative complications in the two groups. Results The observation group had obviously lower incidence of postoperative complications as 6.98% than 23.26% in the control group， and their difference had statistical significance (P<0.05). There was no statistically significant difference of SAS and SDS scores before nursing between the two groups (P>0.05). After nursing， both groups had improved SAS and SDS scores， and the difference between the observation group and the control group had statistical significance (P<0.05). The observation group had much lower SAS and SDS scores after nursing as (43.42±2.56) and (49.43±3.89) points than (52.18±2.89) and (51.63±3.43) points in the control group (P<0.05). Conclusion Perioperative application of cluster nursing provides excellent improving effect for adverse stress and lowers incidence of postoperative complications in endoscopic gastric polypectomy patients.
【Key words】 Gastric polypectomy； Cluster nursing； Adverse stress
胃息肉是胃黏膜表面突起， 局限性增生而成的腫物， 肿物较小时无显著临床症状[1-6]， 又因为息肉表面腐烂出血现象较为突出， 且癌变率较高， 给患者生命健康带来严重的影响。近年来， 随着内镜技术的快速发展， 其痛苦、创伤较小、术后愈合快等优势逐渐得到认可， 在胃息肉的治疗中具有重要意义， 而胃息肉切除手术与其他外科手术一样， 术前因应激会造成一系列的不良反应， 手术的经济压力以及手术过程中的不确定因素会给患者带来一定的心理负担， 使患者极易出现抑郁、焦虑等不良情绪， 因此将积极的护理干预措施运用到围手术期可降低患者不良情绪[7-10]。现为观察集束化护理对内镜下胃息肉切除患者不良应激的改善作用， 以86例行内镜下胃息肉切除术患者为研究对象， 报告如下。, 百拇医药(赵凤华 赵海霞 宋晓楠)