论文部分内容阅读
目的探讨护理路径在消化道早癌患者内镜下黏膜剥离术后的应用效果。方法选取2015年6月至2016年10月间江苏省中医院收治的89例消化道早癌患者,采用随机数表法分为观察组和对照组,观察组45例,对照组44例。观察组患者在常规护理基础上采用护理路径进行护理干预,对照组患者采用常规护理。比较两组患者手术时间、在内镜中心时间、治疗情况、术后并发症发生情况及对护理工作的满意度。结果观察组患者术后并发症为创面出血0例,感染1例,腹痛3例,总发生率为8.9%;对照组患者为创面出血2例,感染3例,腹痛4例,总发生率为20.5%,两组比较,差异有统计学意义(P<0.05)。观察组患者手术时间及在内镜中心时间分别为(39.5±5.0)min和(115.0±15.0)min,明显低于对照组的(47.5±5.5)min和(136.0±19.0)min,两组比较,差异均有统计学意义(均P<0.01)。观察组患者护理总满意率97.8%,明显高于对照组患者的86.4%,两组比较,差异有统计学意义(P<0.01)。结论护理路径可以有效缩短内镜下黏膜剥离术治疗消化道早癌患者的手术时间及在内镜中心时间,减少术后并发症,提高护理满意度。
Objective To explore the application of nursing pathway after endoscopic mucosal dissection in patients with early cancer of digestive tract. Methods Eighty-nine patients with early gastrointestinal cancer who were admitted to Jiangsu Provincial Hospital of Traditional Chinese Medicine from June 2015 to October 2016 were divided into observation group and control group by random number table. The observation group was 45 cases and the control group was 44 cases. Patients in the observation group were given nursing interventions on the basis of routine nursing care while patients in the control group were treated with routine nursing care. The operation time, the time of endoscopy, the treatment, the incidence of postoperative complications and the satisfaction with nursing were compared between the two groups. Results The postoperative complication in the observation group was 0 case of wound hemorrhage, 1 case of infection and 3 cases of abdominal pain. The total incidence was 8.9%. In the control group, there were 2 cases of wound hemorrhage, 3 cases of infection and 4 cases of abdominal pain. The total incidence was 20.5%, the difference between the two groups was statistically significant (P <0.05). The operation time and endoscopic time in the observation group were (39.5 ± 5.0) min and (115.0 ± 15.0) min, respectively, which were significantly lower than those in the control group (47.5 ± 5.5) and (136.0 ± 19.0) min respectively , The differences were statistically significant (all P <0.01). The total satisfaction rate in the observation group was 97.8%, significantly higher than that in the control group (86.4%). There was significant difference between the two groups (P <0.01). Conclusion The nursing route can shorten the operation time of endoscopic mucosal dissection in patients with early cancer of the digestive tract and reduce the postoperative complications and improve the satisfaction of nursing in endoscopic center time.