优质护理对胃癌患者心理状态及术后并发症的影响

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目的探讨优质护理对胃癌患者心理状态、术后并发症及满意度的影响。方法选取2012年6月至2015年6月间收治的110例胃癌手术患者,按随机数字表法分为观察组和对照组,每组55例。观察组患者接受优质护理,对照组患者接受常规护理。根据焦虑自评量表(SAS)和抑郁自评量表(SDS),评估两组患者护理前后心理状态,并比较两组术后并发症及满意度。结果与对照组比较,观察组患者护理后SAS和SDS评分均明显降低,差异有统计学意义(P<0.05)。与对照组比较,观察组患者肺部感染、吻合口瘘和胃排空延迟、胃出血等并发症发生率均显著降低,差异有统计学意义(P<0.05)。与对照组比较,观察组患者对护理服务满意度明显提高,差异有统计学意义(P<0.05)。结论优质护理能够明显改善胃癌手术患者的负面情绪,降低术后并发症发生率,提高患者对护理服务的满意度。 Objective To investigate the effect of quality nursing on psychological status, postoperative complications and satisfaction of gastric cancer patients. Methods A total of 110 gastric cancer patients who were admitted between June 2012 and June 2015 were divided into observation group and control group according to random number table method, with 55 cases in each group. Patients in the observation group received high-quality care while patients in the control group received routine care. According to self-rating anxiety scale (SAS) and self-rating depression scale (SDS), the psychological status of both groups before and after nursing were evaluated, and postoperative complications and satisfaction were compared between the two groups. Results Compared with the control group, the scores of SAS and SDS in the observation group were significantly decreased after the nursing, the difference was statistically significant (P <0.05). Compared with the control group, the complication rates of lung infection, anastomotic fistula, delayed gastric emptying and gastric hemorrhage in the observation group were significantly decreased (P <0.05). Compared with the control group, the patients in the observation group were significantly more satisfied with the nursing service, the difference was statistically significant (P <0.05). Conclusion High-quality nursing can significantly improve the negative emotions in patients with gastric cancer surgery, reduce the incidence of postoperative complications and improve patient satisfaction with nursing services.
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