首页|基于循证理念的多学科协作护理对行肾部分切除术治疗的肾癌患者术后康复、舒适度的影响

基于循证理念的多学科协作护理对行肾部分切除术治疗的肾癌患者术后康复、舒适度的影响

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目的 探讨基于循证理念的多学科协作护理对行肾部分切除术治疗的肾癌患者术后康复、舒适度的影响.方法 选择 2020年 5 月—2023 年5 月徐州医科大学附属医院收治的 102 例肾癌患者为研究对象,按随机数字表法将其分为对照组和观察组,各 51 例.对照组采用常规护理,观察组实施基于循证理念的多学科协作护理,均于护理 1 周后评估.比较两组患者术后康复指标、负性情绪、舒适度.结果 观察组绝对卧床时间、引流管留置时间、肛门排气时间、住院时间均较对照组短,组间差异有统计学意义(P<0.05).术后 1、7 d,观察组疼痛视觉模拟评分均较对照组低,组间差异有统计学意义(P<0.05).护理前,两组负性情绪、舒适度评分比较,组间差异无统计学意义(P>0.05);护理后,观察组抑郁自评量表评分、焦虑自评量表评分均较对照组低,舒适状况量表中各维度评分均较对照组高,组间差异有统计学意义(P<0.05).结论 基于循证理念的多学科协作护理可减轻行肾部分切除术治疗的肾癌患者负性情绪,提高舒适度,加快康复进程.
The Impact of Evidence-Based Multidisciplinary Collaborative Nursing on Postoperative Recovery and Comfort of Renal Cancer Patients Undergoing Partial Nephrectomy Treatment
Objective To explore the impact of evidence-based multidisciplinary collaborative nursing on postoperative recovery and comfort of renal cancer patients undergoing partial nephrectomy.Methods 102 renal cancer patients admitted to Xuzhou Medical University Affiliated Hospital from May 2020 to May 2023 were selected as the study objects and randomly divided into a control group and an observation group,with 51 patients in each group,using a random number table method.The control group received routine nursing,while the observation group received multidisciplinary collaborative nursing based on evidence-based concepts,both of which were evaluated one week after nursing.Compare postoperative rehabilitation indicators,negative emotions,and comfort levels between two groups of patients.Results The observation group had shorter absolute bed rest time,drainage tube retention time,anal exhaust time,and hospital stay compared to the control group,and the difference between the groups was statistically significant(P<0.05).1、7 days after surgery,the pain Visual Analogue Scores of the observation group were lower than those of the control group,and the difference between the groups was statistically significant(P<0.05).Before nursing,there was no statistically significant difference in negative emotions and General Comfort Qustionnaire scores between the two groups(P>0.05);after nursing,the observation group had lower scores on the Self Rating Depression Scale and the Self Rating Anxiety Scale compared to the control group,and higher scores on all dimensions of the General Comfort Qustionnaire scores compared to the control group,with statistically significant differences between the groups(P<0.05).Conclusion Multidisciplinary collaborative nursing based on evidence-based concepts can alleviate negative emotions,improve comfort,and accelerate the recovery process in renal cancer patients undergoing partial nephrectomy.

Renal cancerPartial nephrectomyEvidence-based conceptMultidisciplinary collaborative nursingPostoperative rehabilitation indicatorsNegative emotionsComfort level

魏哲玉、梁静

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徐州医科大学附属医院泌尿外科,江苏徐州 221000

肾癌 肾部分切除术 循证理念 多学科协作护理 术后康复指标 负性情绪 舒适度

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(6)
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