優質護理在胸腔鏡治療食管癌中的應用

DOI：10.16662/j.cnki.1674-0742.2016.29.177

優質護理在胸腔鏡治療食管癌中的應用

吳清清

福建醫科大學附屬協和醫院呼吸科，福建福州 350001

[摘要] 目的 探討優質護理在胸腔鏡治療食管癌術中的應用效果。方法 方便選擇該院2013年8月—2015年12月收治的行胸腔鏡治療的食管癌患者136例作為研究對象，隨機分為優質組和常規組，每組68例，常規組采用常規外科護理措施，優質組實施優質護理措施，比較兩組的術后并發癥發生率以及護理滿意度，并采用焦慮自評量表（SAS）和抑郁自評量表（SDS）評價兩組護理前后的心理狀態，采用視覺模擬評分法（VAS）評價術后兩組患者的疼痛程度。 結果 優質組術后并發癥發生率較常規組的明顯降低（4.41% Vs 16.18%），護理滿意度顯著提高（98.53% Vs 82.35%），差異有統計學意義（P<0.05）；優質組治療后的SAS評分為（34.69±2.85）分，而常規組為（59.32±3.77）分，兩組比較差異有統計學意義（P<0.05）。優質組治療后的SDS評分為（42.51±3.17）分，而常規組的評分為（60.27±4.73）分，兩組比較差異有統計學意義（P<0.05）。優質組患者術后疼痛程度顯著低于常規組，優質組無痛的有55例，常規組無痛的有33例，優質組輕度疼痛有9例，常規組有21例，差異有統計學意義（P<0.05）。 結論 優質護理服務應用于胸腔鏡治療食管癌手術患者，可以明顯的降低術后并發癥發生率，改善患者的心理狀態和疼痛程度，提高護理滿意度，改善護患關系，值得進行廣泛的推廣。

[關鍵詞] 優質護理；胸腔鏡；食管癌；應用效果

[中圖分類號] R473 [文獻標識碼] A [文章編號] 1674-0742（2016）10（b）-0177-04

Application of High Quality Nursing in the Treatment of Esophageal Cancer

WU Qing-qing

Department of Respiration， Union Hospital Affiliated to Fujian Medical University， Fuzhou， Fujian Province， 350001 China

[Abstract] Objective To investigate the quality of care in the treatment of thoracic esophageal carcinoma application effect. Methods Convenient our hospital in August 2013 - December 2015 esophageal cancer patients treated VATS treatment of 136 cases as routine surgical nursing subjects were randomly divided into groups of high-quality and conventional groups of 68 patients using conventional group ， high-quality care group to implement the measures， two groups were compared incidence of postoperative complications and nursing satisfaction and self-rating anxiety scale （SAS） and self-Rating depression scale （SDS） evaluate the psychological state of the two groups before and after care ， the degree of pain using a visual analog scale （VAS） were evaluated two groups of patients. Results Significantly reduce high rates of postoperative complications than the conventional group （4.41% Vs 16.18%）， treatment satisfaction improved significantly （98.53% Vs 82.35%）， the difference was statistically significant （P <0.05）； Quality group after treatment， the SAS score was （34.69 ± 2.85） points， while the conventional group was （59.32 ± 3.77） points， the difference between the two groups was statistically significant（P<0.05）. Quality group after treatment， the SDS score was（ 42.51± 3.17）points， while the conventional group score was（60.27 ± 4.73）points， the difference between the two groups was statistically significant （P<0.05）. Quality groups of patients with postoperative pain was significantly lower than that of normal group， group of high-quality painless with 55 cases， conventional analgesia group with 33 cases， high-quality group of mild pain have 9 cases， conventional group with 21 cases， the difference was statistically significant （P < 0.05）. Conclusion Quality care applied to patients with thoracic esophageal cancer surgery can significantly reduce the incidence of postoperative complications， improve mental state and degree of pain patients and improve nursing satisfaction， improve nurse-patient relationship， deserves widespread promotion.

[Key words] Quality care； Thoracic； Esophageal cancer； Application effect

食管癌是常見的惡性腫瘤之一，主要的治療方法是手術治療。常規的開胸手術對患者的損傷較大，患者術后并發癥發生率較高，術后恢復較慢[1]。……