首页|预见性护理联合多元化康复护理在食管早癌食管ESD术后患者中的应用

预见性护理联合多元化康复护理在食管早癌食管ESD术后患者中的应用

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目的:探讨预见性护理联合多元化康复护理在食管早癌食管内镜下黏膜剥离术(ESD)术后患者中的应用效果。方法:选取 2022 年 1 月 1 日~12 月 31 日行食管ESD治疗的 100 例食管早癌患者为研究对象,依据抽签法分为两组,常规组采用一般护理方法,观察组在常规组基础上给予预见性护理联合多元化康复护理。比较两组术后不良反应,围术期一般情况,心理状态[采用焦虑自评量表(SAS)和抑郁自评量表(SDS)],护理满意度。结果:护理后,观察组不良反应发生率低于常规组(P<0。05);观察组术后苏醒时间、自主呼吸恢复时间均短于常规组(P<0。05),苏醒期躁动程度评分低于常规组(P<0。05);两组护理后SAS、SDS评分均低于护理前(P<0。05),且观察组低于常规组(P<0。05);观察组护理满意度高于常规组(P<0。05)。结论:预见性护理联合多元化康复护理能够减少ESD术后不良反应,缩短恢复时间,减轻苏醒期躁动程度,缓解不良情绪,提高护理满意度。
Application of Predictive Nursing Combined with Diversified Rehabilitation Nursing in Esophageal ESD Patients with Early Esophageal Cancer
Objective:To explore the application effect of predictive nursing combined with diversified rehabilitation nursing in postoper-ative patients with early esophageal cancer undergoing endoscopic submucosal dissection(ESD).Methods:From January 1 to December 31,2022,100 early esophageal cancer patients who underwent ESD in our hospital′s anesthesia department were selected as the research objects.They were divided into two groups by drawing lots,and the control group received general nursing care,while the observation group received predictive nursing combined with diversified rehabilitation nursing on the basis of the conventional group.The adverse reactions,perioperative general conditions,psychological status[Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)],and nurs-ing satisfaction of the two groups were compared and analyzed.Results:After nursing,the incidence of adverse reactions in the observation group was lower than that in the control group(P<0.05).The postoperative recovery time and spontaneous breathing recovery time of the observation group were shorter than those of the control group(P<0.05),the restlessness score during the awakening period was lower than that of the control group(P<0.05).The SAS and SDS scores after nursing in both groups were lower than before nursing(P<0.05),and the observation group was lower than the control group(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion:The combination of predictive nursing and diversified rehabilitation nursing can reduce the inci-dence of postoperative adverse reactions in ESD,shorten the recovery time,alleviate restlessness during the recovery period,alleviate nega-tive emotions,and improve nursing satisfaction.

Early esophageal cancerEndoscopic mucosal dissectionAnticipatory careDiversified rehabilitation nursing

曾晓曼、吴丽、贾利军、贺亚楠

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郑州大学第一附属医院 河南郑州 450000

食管早癌 内镜下黏膜剥离术 预见性护理 多元化康复护理

2024

齐鲁护理杂志
山东省护理学会

齐鲁护理杂志

影响因子:1.452
ISSN:1006-7256
年,卷(期):2024.30(6)
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