论文部分内容阅读
目的探讨手术室人文关怀护理服务在直肠癌根治术中应用对患者术后焦虑抑郁情绪的影响。方法直肠癌需行根治术治疗患者200例,按入院先后顺序分为2组,设置为观察组和对照组,每组100例;观察组予以手术室人文关怀护理服务,对照组予以传统手术室护理干预,比较2组护理后生命体征指标(心率、收缩压、舒张压)、术中和术后指标(手术时间、肠道恢复时间、首次肛门排气时间、首次下床活动时间、引流管拔除时间、住院时间)、抑郁自评量表(SDS)、焦虑自评量表(SAS)评分和汉密尔顿焦虑量表(HAMA)评分、并发症以及满意度情况。结果观察组护理后心率、收缩压和舒张压低于对照组,差异有统计学意义(P<0.05);观察组护理后手术时间、肠道恢复时间、首次肛门排气时间、首次下床活动时间、引流管拔除时间和住院时间少于对照组,差异有统计学意义(P<0.05);观察组护理后SDS评分、SAS评分和HAMA评分低于对照组,差异有统计学意义(P<0.05);观察组术后总并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组护理后非常满意率和总满意率高于对照组,差异有统计学意义(P<0.05)。结论手术室人文关怀护理服务在直肠癌根治术中应用临床效果较好,手术时间更短,术后恢复快,焦虑抑郁程度低,并发症少,满意度较高,推荐临床推广应用。
Objective To investigate the effect of operating room human care service on postoperative anxiety and depression in patients undergoing radical resection of rectal cancer. Methods 200 cases of rectal cancer were treated by radical operation. The patients were divided into two groups according to the sequence of hospital admission. The observation group and the control group were set as observation group and control group with 100 cases in each group. The observation group was given care service of humanistic care in operating room, Nursing interventions were conducted. The vital signs (heart rate, systolic pressure and diastolic pressure), postoperative indexes (operation time, intestinal recovery time, first anal exhaust time, initial ambulation time, drainage tube Removal time and hospital stay), SDS, SAS and HAMA scores, complications and satisfaction. Results After treatment, heart rate, systolic blood pressure and diastolic blood pressure in the observation group were lower than those in the control group (P <0.05). The time of postoperative nursing care, recovery time of intestinal tract, time of first anal exhaust, (P <0.05). The scores of SDS, SAS and HAMA in the observation group were lower than those in the control group (P <0.05), and the difference was statistically significant ). The incidence of postoperative complication in the observation group was lower than that in the control group (P <0.05). The satisfaction rate and total satisfaction rate of the observation group were significantly higher than those of the control group (P <0.05). Conclusion The humanistic nursing service in operation room has good clinical effect, shorter operation time, quick recovery after operation, less anxiety and depression, less complications and higher satisfaction. It is recommended for clinical application.