首页|全面系统护理对无痛ESD治疗消化道早癌老年患者的护理效果

全面系统护理对无痛ESD治疗消化道早癌老年患者的护理效果

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  • 国家科技期刊平台
  • NETL
  • NSTL
  • 万方数据
目的 观察分析全面系统护理对无痛内镜黏膜下剥离术(ESD)治疗消化道早癌老年患者的护理效果.方法 选择 2021 年 4 月至 2023 年 4 月期间在南京同仁医院接受无痛ESD治疗的消化道早癌患者 100 例,采用随机数字表法分为两组,实验组 50 例,接受全面系统护理;对照组 50 例,接受常规护理.对比两组负性情绪、疼痛、自我效能感、围手术期指标、术后并发症发生率及护理满意度.结果 护理前,两组SAS、SDS、VAS 及GSES评分对比,P>0.05;护理后,实验组SAS、SDS、VAS 评分均明显低于对照组,GSES评分明显高于对照组,P<0.05.实验组手术时间、术后下床活动时间、术后排气时间、术后首次排便时间、术后饮食恢复时间、住院时间均明显少于对照组,P<0.05.实验组术后并发症发生率明显低于对照组,P<0.05.实验组护理满意度明显高于对照组,P<0.05.结论 对接受无痛ESD治疗的消化道早癌患者采取全面系统护理效果显著,可改善患者负性情绪与自我效能感,减轻生活疼痛,患者治疗过程中并发症少,康复效果好,患者对于护理服务的满意度也相对较高,值得推广.
Evaluation of the Nursing Effect of Comprehensive And Systematic Nursing on Elderly Patients with Early Gastrointestinal Cancer Treated with Painless ESD
Objective:To observe and analyze the nursing effect of comprehensive and systematic nursing on elderly patients with early cancer of digestive tract treated by painless endoscopic submucosal dissection(ESD).Methods:100 patients with early cancer of digestive tract who received painless ESD treatment in Nanjing Tongren Hospital from April 2021 to April 2023 were randomly divided into two groups,the experimental group 50 cases,received comprehensive and systematic nurs-ing.50 cases in the control group,received routine nursing.The negative emotions、pain、self-efficacy、perioperative indica-tors、postoperative complications and nursing satisfaction were compared between the two groups.Results:Before nursing,the scores of SAS,SDS,VAS and GSES in the two groups were compared,P>0.05;After nursing,the scores of SAS、SDS and VAS in the experimental group were significantly lower than those in the control group,while the scores of GSES were significantly higher than those in the control group,P<0.05.The operation time,postoperative ambulation time、postoperative exhaust time、postoperative first defecation time、postoperative food recovery time and hospitalization time in the experimental group were significantly shorter than those in the control group,P<0.05.The incidence of postoperative complications in experimental group was significantly lower than that in control group,P<0.05.The nursing satisfaction of the experimental group was significantly higher than that of the control group,P<0.05.Conclusion:Comprehensive and systematic nursing for patients with early gastrointestinal cancer receiving painless ESD treatment has significant effects,which can improve patients'negative emotions and self-efficacy,reduce life pain,reduce complications in the treatment process,achieve good rehabilitation effect,and patients'satisfaction with nursing services is relatively high,which is wor-thy of promotion.

Comprehensive and systematic nursingPainless ESD treatmentEarly gastrointestinal cancer

郑秀娜、陈琳

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南京同仁医院,江苏南京 211100

全面系统护理 无痛ESD治疗 消化道早癌

2024

10.11967/2024220674

生命科学仪器
北京市北分仪器技术公司

生命科学仪器

影响因子：0.305
ISSN：1671-7929
年,卷(期)：2024.22(3)
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