首页|基于赋能理论的多维护理对腹腔镜结直肠癌根治术患者术后疼痛程度及恢复进程的影响

基于赋能理论的多维护理对腹腔镜结直肠癌根治术患者术后疼痛程度及恢复进程的影响

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目的 探讨基于赋能理论的多维护理对腹腔镜结直肠癌根治术患者术后疼痛程度及恢复进程的影响.方法 选取 2020 年 10 月至 2022 年 9 月收治的 128 例结直肠癌患者,将其随机分为传统护理组(行常规围手术期护理干预)和赋能理论组(行基于赋能理论的多维护理干预),每组 64 例.所有患者行腹腔镜结直肠癌根治术治疗,比较 2 组术后恢复进程、疼痛情况以及并发症发生率;比较干预前后 2 组心理状况变化;比较 2 组对护理工作的满意度.结果 赋能理论组术后首次排气及排便恢复时间、首次下床活动时间及住院时长均短于传统护理组(P<0.05);赋能理论组术后 1d、3d时视觉模拟法评分均低于传统护理组(P<0.05);干预后 2 组汉密尔顿焦虑量表和抑郁量表评分较干预前均有降低,且赋能理论组低于传统护理组(P<0.05);赋能理论组术后切口感染、肠梗阻、尿潴留、吻合口瘘等并发症总发生率低于传统护理组(P<0.05);赋能理论组对护理工作的满意度评分高于传统护理组(P<0.05).结论 基于赋能理论的多维护理能显著降低结直肠癌患者腹腔镜根治术术后疼痛水平,减少其术后并发症发生率,加快其生理功能的恢复,同时能帮助患者缓解不良情绪,其对护理工作的满意度更高.
Effects of multi-dimensional nursing based on empowerment theory on pain level and recovery process of patients after laparoscopic radical resection of colorectal cancer
Objective To explore the effects of multi-dimensional nursing based on empowerment theory on pain level and recovery process of patients after laparoscopic radical resection of colorectal cancer.Methods A total of 128 patients with colorectal cancer admitted to the hospital between October 2020 and September 2022 were enrolled.They were randomly divided into conventional nursing group(routine perioperative nursing,n = 64)and empowerment theory group(multi-dimensional nursing based on empowerment theory,n = 64).All recruited colorectal cancer patients were treated with laparoscopic radical resection.The postoperative recovery process,pain level,incidence of complications,changes of psychological status before and after intervention,and nursing satisfaction were compared between the two groups.Results The recovery time of postoperative first exhaust and defecation,the first time of off-bed activities and length of stay in empowerment theory group were significantly shorter than those in conventional nursing group(P<0.05).At 1 d and 3 d after surgery,the Visual Analogue Scale(VAS)scores in empowerment theory group were significantly lower than those in conventional nursing group(P<0.05).After interventions,scores of Hamilton Anxiety Rating Scale(HAMA)and Hamilton Depression Rating Scale(HAMD)decreased in both groups,which were significantly lower in empowerment theory group than those in conventional nursing group(P<0.05).The total incidence of postoperative complications(incision infection,intestinal obstruction,urinary retention,anastomotic fistula)in empowerment theory group was significantly lower than that in conventional nursing group(P<0.05),and the nursing satisfaction score was significantly higher(P<0.05).Conclusion Multi-dimensional nursing based on empowerment theory can significantly relieve pain and negative emotions,reduce the incidence of postoperative complications,and accelerate recovery of physiological function after laparoscopic radical resection of colorectal cancer,with a high nursing satisfaction.

empowerment theorymulti-dimensional nursinglaparoscopic radical resection of colorectal cancerpostoperativepain levelrecovery process

王勤、贾筱娴、吴孝姐

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239000 安徽省滁州市,安徽医科大学附属滁州医院(安徽省滁州市第一人民医院)普外一科

赋能理论 多维护理 腹腔镜结直肠癌根治术 术后 疼痛程度 恢复进程

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(4)
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