首页|基于量化外科护理评估策略的差异化护理模式在结直肠癌腹腔镜手术患者中的应用

基于量化外科护理评估策略的差异化护理模式在结直肠癌腹腔镜手术患者中的应用

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目的 探究基于量化外科护理评估策略的差异化护理模式对结直肠癌腹腔镜手术患者预后恢复、并发症发生率、疼痛程度、舒适度、自护能力及生活质量的影响.方法 选取2021年2月至2022年12月于郑州大学第二附属医院就诊的102例拟接受腹腔镜根治术的结直肠患者为研究对象,按照随机数字表法分为对照组和观察组,各51例.对照组接受常规护理,观察组基于前者,接受基于量化外科护理评估策略的差异化护理模式.对比两组预后恢复情况、并发症发生情况及干预前后住院舒适状况量表(GCQ)评分、视觉模拟法(VAS)评分、自我护理能力测定量表(ESCA)评分、欧洲癌症研究与治疗组织生活质量核心问卷(EORTC QLQ-C30)评分.结果 观察组首次下床活动时间、首次进食时间、首次排气时间、首次排便时间、住院时间均短于对照组(P<0.05);观察组并发症发生率低于对照组(P<0.05);干预7 d后观察组VAS评分低于对照组(P<0.05);干预后观察组ESCA、GCQ评分高于对照组(P<0.05);干预后观察组EORTC QLQ-C30中功能领域评分、总体生活质量评分高于对照组,症状领域评分低于对照组(P<0.05).结论 基于量化外科护理评估策略的差异化护理模式应用于腹腔镜结直肠术后患者中,可降低并发症发生风险,缓解疼痛感,增强自护能力,进而促进生活质量改善及患者病情好转.
Application of Differentiated Nursing Model Based on Quantitative Surgical Nursing Evaluation Strategy in Patients Undergoing Laparoscopic Surgery for Colorectal Cancer
Objective To explore the effect of differentiated nursing model based on quantitative surgical nursing evaluation strategy on prognosis,complication rate,pain degree,comfort level,self-care ability and quality of life of patients undergoing laparoscopic surgery for colorectal cancer.Methods A total of 102 colorectal patients who planned to undergo laparoscopic radical surgery at the Second Affiliated Hospital of Zhengzhou University from February 2021 to December 2022 were selected as the study subjects.They were randomly divided into a control group and an observation group,with 51 cases in each group,using a random number table method.The control group received routine nursing,while the observation group received differentiated nursing mode based on quantitative surgical nursing evaluation strategy based on the former.The prognosis recovery,incidence of complications,pre-and post intervention hospitalization comfort scale(GCQ)scores,visual analogue scale(VAS)scores,self-care ability assessment scale(ESCA)scores,and European organization for research and treatment of cancer quality of life questionnaire core 30(EORTC QLQ-C30)scores were compared between two groups.Results The first time of getting out of bed,the first time of eating,the first time of exhaust,the first time of defecation and the length of hospitalization in the observation group were shorter than those in the control group(P<0.05).The complication rate of the observation group was lower than that of the control group(P<0.05).The VAS scores of the observation group were lower than those of the control group(P<0.05).After intervention,the ESCA and GCQ scores of the observation group were higher than those of the control group(P<0.05).After intervention,the EORTC QLQ-C30 functional field score and overall quality of life score in the observation group were higher than those in the control group,and symptom area score was lower than that of the control group(P<0.05).Conclusion The application of differentiated nursing model based on quantitative surgical nursing evaluation strategy in patients with laparoscopic colorectal surgery can reduce the risk of complications,reduce the degree of pain,enhance self-care ability,and promote the improvement of patients'quality of life and condition.

colorectal cancerquantitative surgical nursing evaluation strategiesdifferentiationnursinglaparoscopypain

刘晓燕、韩斌、徐鹏飞

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郑州大学第二附属医院外科门诊,河南郑州 450000

郑州市第一人民医院肝胆胰甲乳外科,河南郑州 450000

结直肠癌 量化外科护理评估策略 差异化 护理 腹腔镜 疼痛

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(11)