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目的探讨对行内镜下黏膜切除术患者实施医护一体化护理干预,对患者并发症及心理状态的影响。方法选择2015年10月至2016年6月进行内镜下黏膜切除术治疗的58例胃息肉患者作为研究对象,根据随机数字表法将其分为观察组与对照组,各29例。对照组患者采用常规护理干预,观察组患者予以医护一体化护理干预。比较两组患者心理状态、术后恢复情况、并发症发生情况及护理满意度评分。结果干预前两组患者焦虑自评量表(SAS)和抑郁自评量表(SDS)评分相比,差异无统计学意义(P均>0.05);干预后两组SAS评分与SDS评分均显著低于干预前,且观察组显著低于对照组(P均<0.01);观察组患者术后肠鸣音恢复时间、首次排气时间、首次排便时间及住院时间均显著短于对照组(P均<0.01);对照组患者术后并发症总发生率显著高于观察组(20.69%vs 0,P<0.05);与对照组患者相比,观察组及时性、连续性、全面性、适宜性等护理满意度评分均较高,差异有统计学意义(P均<0.01)。结论医护一体化护理干预可显著改善行内镜下黏膜切除术患者的心理状态,促进患者术后恢复,减少术后并发症的发生,提高患者对护理工作的满意度。
Objective To investigate the effect of integrated medical care and nursing intervention on patients with complications and psychological status undergoing endoscopic mucosal resection. Methods Fifty-eight patients with gastric polyps treated by endoscopic mucosal resection from October 2015 to June 2016 were selected as study subjects and divided into observation group and control group according to random number table method, with 29 cases in each group. Patients in the control group were treated with routine nursing intervention and patients in the observation group were treated with integrated health care intervention. The mental status, postoperative recovery, complications and nursing satisfaction scores of two groups were compared. Results There was no significant difference in self-rating anxiety scale (SAS) and depression self-rating scale (SDS) between the two groups before intervention (all P> 0.05). SAS scores and SDS scores were significantly different after intervention (P <0.01). The recovery time of bowel sounds, initial exhaust time, first defecation time and hospital stay in the observation group were significantly shorter than those in the control group (P The average incidence of postoperative complications in the control group was significantly higher than that in the observation group (20.69% vs 0, P <0.05). Compared with the control group, the observation group was more timely, continuous, comprehensive and appropriate Sexual nursing satisfaction scores were higher, the difference was statistically significant (P all <0.01). Conclusion Nursing intervention can significantly improve the psychological status of patients undergoing endoscopic mucosal resection, promote postoperative recovery, reduce postoperative complications and improve patient satisfaction with nursing work.