首页|以症状管理理论为导向的强化护理干预对胸中下段食管癌患者的影响

以症状管理理论为导向的强化护理干预对胸中下段食管癌患者的影响

扫码查看
目的 研讨以症状管理理论为导向的强化护理干预对胸中下段食管癌患者术后康复及并发症风险的影响。方法 选择洛阳伊洛医院在 2021 年 2 月至 2022 年 12 月期间收治的 64 例行胸中下段食管癌手术患者,按随机数字表法分成两组,各 32 例。对照组实施常规护理方法,观察组在此基础上实施以症状管理理论为导向的强化护理干预,比较两组心理状态、康复情况、生活质量、并发症发生率及营养指标。结果 护理后,两组心理状态评分(焦虑、抑郁、外向性激惹、内向性激惹)均有所降低,且观察组低于对照组,差异有统计学意义(P<0。05)。观察组术后首次排气时间、术后进食时间、术后首次下床活动时间及住院时长均短于对照组,镇痛药使用次数少于对照组,差异有统计学意义(P<0。05)。护理后,两组生活质量评分(角色功能、躯体功能、社会功能、情绪功能、总体生活质量)均有所提高,且观察组高于对照组,差异有统计学意义(P<0。05)。观察组并发症发生率(3。12%)低于对照组(18。75%),差异有统计学意义(P<0。05)。护理后,两组白蛋白(ALB)、血红蛋白(Hb)值均有所提高,且观察组高于对照组,差异有统计学意义(P<0。05)。结论 以症状管理理论为导向的强化护理干预用于胸中下段食管癌患者术后能改善其心理状态和营养指标,使康复速度加快,使并发症发生的更少,提升生活质量。
Effect of intensified Nursing Intervention guided by Symptom Management Theory on Patients with middle and lower thoracic esophageal Cancer
Objective To explore the impact of symptom management theory guided intensified nursing intervention on postoperative recovery and risk of complications in patients with middle and lower thoracic esophageal cancer.Methods A total of 64 patients with middle and lower thoracic esophageal cancer who underwent surgery at Luoyang Yiluo Hospital from February 2021 to December 2022 were selected and divided into two groups using a random number table method,with 32 patients in each group.The control group received routine nursing methods,while the observation group received intensified nursing interventions guided by symptom management theory.The psychological status,rehabilitation status,quality of life,incidence of complications,and nutritional indicators were compared between the two groups.Results After nursing,the psychological state scores(anxiety,depression,extraversion,introversion)of both groups decreased,and the observation group was lower than the control group,with a statistically significant difference(P<0.05).The time of first exhaust,the time of eating,the time of getting out of bed and the time of hospitalization in the observation group were shorter than those in the control group,and the times of using analgesics in the observation group were less than those in the control group(P<0.05).After nursing,the quality of life scores(role function,physical function,social function,emotional function,and overall quality of life)of both groups improved,and the observation group was higher than the control group,with statistical significance(P<0.05).The incidence of complications in the observation group(3.12%)was lower than that in the control group(18.75%),and the difference was statistically significant(P<0.05).After nursing,both groups showed an increase in albumin(ALB)and hemoglobin(Hb)values,and the observation group was higher than the control group,with a statistically significant difference(P<0.05).Conclusion Intensive nursing interventions guided by symptom management theory can improve the psychological status and nutritional indicators of patients with lower thoracic esophageal cancer after surgery,accelerate recovery speed,reduce the occurrence of complications,and improve quality of life.

esophageal cancersymptom management theoryintensified nursing interventionrehabilitationrisk of complications

邹玉阁

展开 >

洛阳伊洛医院 肿瘤科,河南 洛阳 471000

食管癌 症状管理理论 强化护理干预 康复 并发症风险

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(3)
  • 15