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目的分析结肠癌患者在围手术期进行护理干预的临床疗效。方法将天津市第四医院2014年1月-2016年1月手术治疗的52例结肠癌患者,随机分为观察组和对照组各26例。观察组采用心理辅导、并发症治疗、饮食宣教、术后指导等系统护理干预,对照组采用外科常规护理。比较两组住院时间、术后并发症、护理满意度。结果观察组住院时间约为11 d,诊治期间有2例患者出现伤口红肿渗出,使用头孢替唑抗炎3~5 d后好转,感染率为7.69%;对照组住院时间约为15 d,诊治期间有4例患者出现伤口红肿渗出,感染率为15.38%,经同样抗生素抗炎4~6 d后好转。采用调查问卷形式对患者进行护理满意度调查,观察组护理满意率为97.53%高于对照组的90.35%,差异均有统计学意义(P<0.05)。结论在结肠癌患者围手术期采用护理干预效果满意,值得在临床推广应用。
Objective To analyze the clinical effect of nursing intervention in patients with colon cancer during perioperative period. Methods Twenty-two patients with colon cancer who underwent surgery in the Fourth Hospital of Tianjin from January 2014 to January 2016 were randomly divided into observation group (n = 26) and control group (n = 26). Observation group using psychological counseling, complications, diet education, postoperative guidance and other system intervention, the control group using surgical routine care. The hospitalization time, postoperative complications and nursing satisfaction were compared between the two groups. Results The observation group was hospitalized for about 11 days. During the diagnosis and treatment period, 2 patients developed erythematous exudation. After 3 to 5 days of ceftezole treatment, the infection rate was 7.69%. In the control group, the length of stay was about 15 days, During the diagnosis and treatment of 4 patients with wound infiltration of erythema, the infection rate was 15.38%, by the same antibiotic anti-inflammatory 4 ~ 6 d improved. The survey of patients’ satisfaction with nursing was conducted by questionnaire. The satisfaction rate of nursing in observation group was 97.53%, which was higher than that of control group (90.35%), the differences were statistically significant (P <0.05). Conclusion The results of nursing intervention in perioperative patients with colon cancer are satisfactory and worthy of clinical application.