评估反馈式护理管理在食管癌开胸术后患者中的应用效果
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摘要
目的研究评估反馈式护理管理在食管癌开胸术后患者中的应用效果。方法将82例食管癌开胸术后患者按照随机数字表法分为对照组和研究组,各41例。对照组实施常规护理,研究组在对照组基础上给予评估反馈式护理管理。比较两组的护理效果。结果研究组留置引流管时间、留置尿管时间、开始进食时间及住院时间均明显短于对照组(P<0.05)。研究组术后7 d并发症总发生率明显低于对照组(P<0.05)。研究组的护理满意度明显高于对照组(P<0.05)。结论评估反馈式护理管理应用于食管癌开胸术后患者可显著缩短其术后恢复时间,减少术后并发症的发生,提高护理满意度,值得临床推广。
Objective To study the application effect of evaluation feedback nursing management in patients with esophageal cancer after thoracotomy. Methods Eighty-two patients with esophageal cancer undergoing thoracotomy were divided into control group and study group by random number table method, with 41 cases in each group. The control group was given routine nursing, while the study group was given evaluation feedback nursing management on the basis of the control group. The nursing effects of the two groups were compared. Results The time of indwelling drainage tube,indwelling urinary catheter, starting eating and hospitalization in the study group were significantly shorter than those in the control group(P<0.05). The total incidence of complications at 7 days after operation in the study group was significantly lower than that in the control group(P<0.05). The nursing satisfaction of the study group was significantly higher than that of the control group(P<0.05). Conclusion Evaluation feedback nursing management applied in patients with esophageal cancer after thoracotomy can significantly shorten their postoperative recovery time, reduce the incidence of postoperative complications and improve nursing satisfaction, which is worthy of clinical promotion.
Objective To study the application effect of evaluation feedback nursing management in patients with esophageal cancer after thoracotomy. Methods Eighty-two patients with esophageal cancer undergoing thoracotomy were divided into control group and study group by random number table method, with 41 cases in each group. The control group was given routine nursing, while the study group was given evaluation feedback nursing management on the basis of the control group. The nursing effects of the two groups were compared. Results The time of indwelling drainage tube,indwelling urinary catheter, starting eating and hospitalization in the study group were significantly shorter than those in the control group(P<0.05). The total incidence of complications at 7 days after operation in the study group was significantly lower than that in the control group(P<0.05). The nursing satisfaction of the study group was significantly higher than that of the control group(P<0.05). Conclusion Evaluation feedback nursing management applied in patients with esophageal cancer after thoracotomy can significantly shorten their postoperative recovery time, reduce the incidence of postoperative complications and improve nursing satisfaction, which is worthy of clinical promotion.
引文
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[2]姜玲君,黄甫晓彤.食管癌术后居家康复患者链式管理护理干预模式应用实践研究[J].山西医药杂志,2016,45(17):2082-2085.
[3]中国抗癌协会食管癌专业委员会编.食管癌规范化诊疗指南[M]北京:中国协和医科大学出版社,2013:20-23.
[4]董翠萍,汪晖,潜艳.格林模式促进食管癌患者自我管理研究[J].护理学杂志,2016,31(22):27-29.
[5]黄丽,王晓霞,张娟.回馈教学对食管癌开胸手术患者呼吸功能锻炼依从性的研究[J].中华护理杂志,2016,51(1):26-28.
[6]廖光容,肖唯,甘泽英.延续性护理干预在食管癌术后患者应用效果的系统评价[J].护士进修杂志,2017,32(20):1830-1835.
[7]肖婷.食管癌开胸术后癌因性疲乏的护理干预[J].临床与病理杂志,2017,37(2):271-276.
[8]许庆珍,何静,宋瑰琦,等.规范化疼痛护理管理体系对食管癌患者围手术期焦虑及疼痛的影响[J].安徽医学,2016,37(2):206-209.