个体化综合护理模式辅助内镜下黏膜切除术治疗结肠息肉的效果观察
The effect of personalized comprehensive nursing on endoscopic mucosal resection in patients with colonic polyps
徐瑞霞 1洪燕玲 1江吴霞 1周燕1
作者信息
- 1. 丽水市中心医院消化内科,浙江丽水 323000
- 折叠
摘要
目的 探讨个体化综合护理模式对行内镜下黏膜切除术(EMR)治疗结肠息肉患者的护理效果,分析其对患者住院期间手术相关指标、疼痛和负性情绪、术后并发症发生率及护理满意度的影响.方法 选取丽水市中心医院2021年9月-2022年11月收治的结肠息肉拟行EMR患者118例为研究对象,采用随机数字表法分为对照组(59例)和观察组(59例).对照组采用常规护理,观察组采用个体化综合护理.比较2组患者EMR手术相关指标、疼痛和负性情绪变化、并发症发生率和对护理的满意度.结果 观察组术中出血量、术后首次排气时间、术后首次排便时间、术后首次下床时间、住院时间均低于对照组(P＜0.05).护理后观察组VAS评分[(1.96±0.80)分vs.(3.36±1.37)分]、焦虑自评量表(SAS)评分[(32.61±3.75)分vs.(36.98±4.70)分]和抑郁自评量表(SDS)评分[(30.20±4.23)分vs.(34.50±2.69)分]均低于对照组(P＜0.05).观察组并发症发生率(10.2％,6/59)低于对照组(27.1％,16/59,P＜0.05).观察组护理总满意率(89.8％,53/59)高于对照组(74.6％,44/59,P＜0.05).结论 个体化综合护理模式可以缩短结肠息肉行EMR患者术后恢复时间,缓解术后疼痛,促进患者情绪恢复,减少并发症,提高护理满意度.
Abstract
Objective To investigate the effect of personalized comprehensive nursing on endoscopic mucosal resection(EMR)in patients with colonic polyps and analyze surgical-related indicators,postoperative pain,negative emotions,postoperative complications rate,and nursing satisfaction during hospitalization.Methods A total of 118 colonic polyps patients who underwent EMR at Lishui Central Hospital from September 2021 to November 2022 were selected and divid-ed into a control group(59 cases)and an observation group(59 cases)using the digital table method.The control group received the routine procedure,while the observation group received personalized comprehensive nursing.Surgical-related indicators,postoperative pain,negative emotions,postoperative complications rate,and nursing satisfaction were com-pared between the two groups.Results Compared with the control group,the observation group showed significantly re-duced intraoperative blood loss,time to first exhaust,time to first defecation,time to first activity out of bed,and hospi-talization time(P＜0.05).After nursing,the visual analogue scale(VAS)score[(1.96±0.80)points vs.(3.36±1.37)points],self-rating anxiety scale(SAS)score[(32.61±3.75)points vs.(36.98±4.70)points],and self-rat-ing depression scale(SDS)score[(30.20±4.23)points vs.(34.50±2.69)points]in the observation group were low-er than those in the control group(P＜0.05).Moreover,the observation group had a significantly lower postoperative complications rate[10.2％(6/59)vs.27.1％(16/59)]and higher nursing satisfaction rate[89.8％(53/59)vs.74.6％(44/59)]compared to the control group(P＜0.05).Conclusion Personalized comprehensive nursing model can shorten the postoperative recovery time,reduce postoperative pain,promote emotional recovery,reduce postoperative complications,and enhance nursing satisfaction in colonic polyp patients undergoing EMR.
关键词
个体化综合护理/结肠息肉/内镜下黏膜切除术/疼痛/焦虑/抑郁Key words
Personalized comprehensive nursing/Colon polyps/Endoscopic mucosal resection/Pain/Anxiety/Depres-sion引用本文复制引用
出版年
2024
NETL
NSTL
万方数据