優(yōu)質(zhì)護(hù)理干預(yù)胃癌術(shù)前患者的臨床觀察

孫秀芳

【摘要】 目的 觀察優(yōu)質(zhì)護(hù)理干預(yù)胃癌術(shù)前患者的臨床效果。方法 60例胃癌患者， 隨機(jī)分為試驗(yàn)組和對(duì)照組， 各30例。對(duì)照組采用常規(guī)護(hù)理方法， 試驗(yàn)組在對(duì)照組基礎(chǔ)上采用優(yōu)質(zhì)護(hù)理干預(yù)方案， 觀察兩組患者的護(hù)理滿意度及不同時(shí)間的焦慮自評(píng)量表（SAS）評(píng)分變化。結(jié)果 試驗(yàn)組患者護(hù)理滿意度為83.33%， 明顯高于對(duì)照組的60.00%， 差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。兩組入院時(shí)SAS評(píng)分比較差異無統(tǒng)計(jì)學(xué)意義（P>0.05）；試驗(yàn)組術(shù)前、術(shù)后SAS評(píng)分明顯低于對(duì)照組， 差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。 結(jié)論 優(yōu)質(zhì)護(hù)理干預(yù)可增強(qiáng)醫(yī)患溝通程度， 減少臨床治療及護(hù)理過程中的矛盾及困難， 減輕患者及家屬對(duì)治療的疑慮， 增強(qiáng)治療信心及依從性， 緩解患者緊張、焦慮情緒， 為預(yù)后康復(fù)及臨床效果奠定基礎(chǔ)， 值得廣泛推廣應(yīng)用。

【關(guān)鍵詞】 優(yōu)質(zhì)護(hù)理干預(yù)；胃癌；臨床觀察

DOI：10.14163/j.cnki.11-5547/r.2017.25.092

【Abstract】 Objective To observe the clinical effect of high quality nursing intervention for patients with gastric cancer before operation. Methods A total of 60 patients with gastric cancer were randomly divided into experimental group and control group， with 30 cases in each group. The control group received conventional nursing， and the experimental group received high quality nursing intervention on the basis of the control group. Observation were made on nursing satisfaction degree and self-rating anxiety scale （SAS） score changes at different time and afer nursing in two groups. Results The experimental group had obviously higher nursing satisfaction degree as 83.33% than 60.00% in the control group， and the difference had statistical significance （P<0.05）. Both groups had no statistical significance in SAS score at admission （P>0.05）. The experimental group had obviously lower SAS score before and after nursing than the control group， and the difference had statistical significance （P<0.05）. Conclusion High quality nursing intervention can enhance the doctor-patient communication， reduce the contradictions and difficulties in the process of clinical treatment and nursing， alleviate the concerns of patients and their families on treatment， enhance the treatment confidence and compliance， relieve tension and anxiety， lay foundation for the clinical effect and prognosis of rehabilitation. So it is worthy of wide promotion and application.

【Key words】 High quality nursing intervention； Gastric cancer； Clinical observation

胃癌為臨床常見的消化道腫瘤疾病， 其發(fā)病率在我國(guó)各種惡性腫瘤疾病中居于首位， 與年齡、地域、性別、生活習(xí)慣、遺傳等均有關(guān)， 并呈逐年上升趨勢(shì)[1]。以50歲以上人群高發(fā)， 男女比例2∶1。臨床首選的最有效治療方案為胃癌根治術(shù)， 手術(shù)需要切除大部分或全部胃組織， 對(duì)患者消化功能及精神創(chuàng)傷較大， 由于疾病對(duì)患者造成的心理負(fù)擔(dān)較重， 恐懼、焦慮心理對(duì)手術(shù)治療及術(shù)后康復(fù)預(yù)后均有不同程度影響， 嚴(yán)重影響患者日后生存質(zhì)量。因此， 為提高患者臨床護(hù)理滿意度及穩(wěn)定治療期間情緒波動(dòng)， 降低手術(shù)難度， 提高臨床療效， 臨床急需高效護(hù)理方案[2]。本院為提高臨床護(hù)理滿意度， 改善術(shù)后康復(fù)效果， 降低患者焦慮、恐懼心理負(fù)擔(dān)， 在傳統(tǒng)臨床護(hù)理基礎(chǔ)上應(yīng)用優(yōu)質(zhì)護(hù)理干預(yù)方案， 取得理想成果。具體報(bào)告如下。

1 資料與方法

1. 1 一般資料 選取本院2016年1月～2017年1月在東港市中醫(yī)院外二科收治的胃癌患者60例， 隨機(jī)分為試驗(yàn)組與對(duì)照組， 各30例。……