柔性护理在ESD治疗消化道早癌中的应用及对患者不良反应发生的影响
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摘要
目的探讨柔性护理在ESD治疗消化道早癌中的应用及对患者不良反应发生的影响效果。方法方便选取2017年2月—2018年3月该院进行消化道早癌的患者62例,对照组采用常规护理,研究组进行柔性护理在ESD治疗消化道早癌中的治疗效果研究。比较两组患者各手术的指标及不良反应的发生率以及患者的满意度。结果对照组患者的手术时间为(100.9±21.9)min,研究组为(60.5±15.2)min;对照组出血量(112.5±20.3)mL,研究组(50.1±11.2)mL;住院时间对照组(9.3±2.2)d,研究组(12.1±2.3)d;各手术指标高于对照组(t=12.487,13.375,15.156,P<0.05);研究组腹痛没有,对照组有3例;腹胀对照组为2例,研究组为1例;出血对照组为4例,研究组1例;各不良反应的发生率均低于对照组;对照组患者的护理满意度中满意为10例,研究组为14例;基本满意为15例,研究组16例;不满意为6例,研究组1例。研究组均优于对照组。结论 ESD治疗消化道早癌的过程当中,柔性护理的治疗效果理想,临床上应当进一步推广应用。
Objective To investigate the application of flexible nursing in the treatment of early digestive tract cancer with ESD and its effect on adverse reactions. Methods Convenient select a total of 62 patients with early digestive tract cancer were enrolled in our hospital from February 2017 to March 2018. The control group received routine nursing care. The study group conducted a flexible nursing study on the therapeutic effect of ESD in the treatment of early digestive tract cancer.The indexes of each operation and the incidence of adverse reactions and patient satisfaction were compared between the two groups of patients. Results The operation time of the control group was(100.9 ±21.9)min, the study group was(60.5 ±15.2)min; the control group was(112.5±20.3)mL, the study group was(50.1±11.2)mL; the hospitalization time was(9.3±2.2)d,the study group(12.1±2.3)d; each surgical index was higher than the control group(t=12.487, 13.375, 15.156, P<0.05); the research group had no abdominal pain, 3 cases in the control group; 2 cases in the abdominal distension control group and1 case in the research group; there were 4 cases in the bleeding control group and 1 in the study group. The incidence of adverse reactions was lower than that in the control group; 10 cases of the nursing satisfaction, 14 cases in the study group,15 cases in the basic satisfaction, 16 cases in the study group, 6 in the dissatisfaction, and 1 in the study group. The study group was superior to the control group. Conclusion In the process of ESD treatment of early digestive tract cancer, the therapeutic effect of flexible nursing is ideal, and it should be further promoted and applied clinically.
Objective To investigate the application of flexible nursing in the treatment of early digestive tract cancer with ESD and its effect on adverse reactions. Methods Convenient select a total of 62 patients with early digestive tract cancer were enrolled in our hospital from February 2017 to March 2018. The control group received routine nursing care. The study group conducted a flexible nursing study on the therapeutic effect of ESD in the treatment of early digestive tract cancer.The indexes of each operation and the incidence of adverse reactions and patient satisfaction were compared between the two groups of patients. Results The operation time of the control group was(100.9 ±21.9)min, the study group was(60.5 ±15.2)min; the control group was(112.5±20.3)mL, the study group was(50.1±11.2)mL; the hospitalization time was(9.3±2.2)d,the study group(12.1±2.3)d; each surgical index was higher than the control group(t=12.487, 13.375, 15.156, P<0.05); the research group had no abdominal pain, 3 cases in the control group; 2 cases in the abdominal distension control group and1 case in the research group; there were 4 cases in the bleeding control group and 1 in the study group. The incidence of adverse reactions was lower than that in the control group; 10 cases of the nursing satisfaction, 14 cases in the study group,15 cases in the basic satisfaction, 16 cases in the study group, 6 in the dissatisfaction, and 1 in the study group. The study group was superior to the control group. Conclusion In the process of ESD treatment of early digestive tract cancer, the therapeutic effect of flexible nursing is ideal, and it should be further promoted and applied clinically.
引文
[1]杜静,韩勇,吴伟权,等.内镜黏膜下剥离术治疗消化道早期癌及癌前病变长期疗效的单中心回顾性队列分析[J].中国内镜杂志,2017,23(8):13-17.
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[5]陈相波,许婷婷,吴秋丽,等.橡皮圈牵引与牙线牵引辅助内镜黏膜下剥离术治疗消化道肿瘤的临床对比研究[J].上海交通大学学报:医学版,2017,37(7):1010-1014.
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[9]王保健,顾文芬,胡忠卓,等.内镜下黏膜切除术与内镜黏膜下剥离术治疗消化道神经内分泌肿瘤的对比研究[J].中国内镜杂志,2017,23(9):75-78.
[10]张卫,王维利,章新琼.化疗期消化道癌症患者症状群及影响因素研究[J].中国全科医学,2016,19(1):59-62.
[11]郭绍红,Sami M Shimi.胆囊切除术与消化道癌症的风险:一项系统性综述[J].中国微创外科杂志,2017,17(1):27-32.
[12]王芹,章新琼,王秋萍,等.消化道癌症患者化疗期的症状群及其与心理一致感的关系[J].中国心理卫生杂志,2017,31(9):685-689.
[13]佚名.相聚初冬金陵,共话早癌整合——2016金陵消化道早癌整合医学论坛暨消化道早期癌多学科协同诊治研讨会会况[J].医学研究生学报,2017(2):42-86.
[14]Nasir J A, Dang C. Solving a More Flexible Home Health Care Scheduling and Routing Problem with Joint Patient and Nursing Staff Selection[J].Sustainability,2018,10(1):148.
[15]Schindler J S. Meeting Education Needs of Flexible Staffing:Begin With the End in Mind[J].Journal of Continuing Education in Nursing,2016,47(9):390.
[2]陈丽娟,缪林,郭志国,等.胃早癌患者内镜下黏膜剥离术后二次内镜检查的临床影响[J].中国内镜杂志,2017,23(6):87-91.
[3]曹耀丹,文黎明,李林艳.内镜治疗消化道早期癌及高级别上皮内瘤变的效果评估[J].中华消化内镜杂志,2018,35(7):524-526.
[4]高杰,安薇,施新岗,等.蓝激光成像结合放大内镜对内镜医生诊断上消化道早癌的价值研究[J].中华消化内镜杂志,2016,33(11):747-750.
[5]陈相波,许婷婷,吴秋丽,等.橡皮圈牵引与牙线牵引辅助内镜黏膜下剥离术治疗消化道肿瘤的临床对比研究[J].上海交通大学学报:医学版,2017,37(7):1010-1014.
[6]邝胜利,白冰,李修岭,等.圈套器联合橡皮圈辅助内镜黏膜下剥离术在治疗上消化道早癌中的应用[J].中华消化内镜杂志,2018(3):12-35.
[7]彭旸,李鹏,张澍田.重视内镜在消化道早期癌诊治中的作用[J].中华消化内镜杂志,2017,34(3):153-154.
[8]邵丹彤,魏文强.上消化道癌及其癌前病变微生物菌群研究进展[J].中华流行病学杂志,2018,39(3):382-386.
[9]王保健,顾文芬,胡忠卓,等.内镜下黏膜切除术与内镜黏膜下剥离术治疗消化道神经内分泌肿瘤的对比研究[J].中国内镜杂志,2017,23(9):75-78.
[10]张卫,王维利,章新琼.化疗期消化道癌症患者症状群及影响因素研究[J].中国全科医学,2016,19(1):59-62.
[11]郭绍红,Sami M Shimi.胆囊切除术与消化道癌症的风险:一项系统性综述[J].中国微创外科杂志,2017,17(1):27-32.
[12]王芹,章新琼,王秋萍,等.消化道癌症患者化疗期的症状群及其与心理一致感的关系[J].中国心理卫生杂志,2017,31(9):685-689.
[13]佚名.相聚初冬金陵,共话早癌整合——2016金陵消化道早癌整合医学论坛暨消化道早期癌多学科协同诊治研讨会会况[J].医学研究生学报,2017(2):42-86.
[14]Nasir J A, Dang C. Solving a More Flexible Home Health Care Scheduling and Routing Problem with Joint Patient and Nursing Staff Selection[J].Sustainability,2018,10(1):148.
[15]Schindler J S. Meeting Education Needs of Flexible Staffing:Begin With the End in Mind[J].Journal of Continuing Education in Nursing,2016,47(9):390.
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