首页|激励式护理联合快速康复外科护理在食管癌患者围手术期的应用

激励式护理联合快速康复外科护理在食管癌患者围手术期的应用

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目的 探讨激励式护理联合快速康复外科(ERAS)护理在食管癌患者围手术期的应用效果.方法 选取 2020年 9 月至 2022 年 9 月在镇平县人民医院接受食管癌择期手术治疗的 100 例患者,以随机数字表法分成干预组(n=50,激励式护理联合ERAS护理)与对照组(n=50,常规围手术期护理),比较两组营养状况、疼痛程度、心理状态、并发症.结果 干预后,两组血清白蛋白(ALB)、前白蛋白(PA)、转铁蛋白(TRF)水平均提高,且干预组ALB、PA、TRF水平高于对照组,差异有统计学意义(P<0.05);术后 48 h,两组疼痛数字评分量表(NRS)评分均降低,且干预组疼痛NRS评分低于对照组,差异有统计学意义(P<0.05);干预后,两组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分均降低,且干预组HAMA、HAMD评分低于对照组,差异有统计学意义(P<0.05);干预组并发症发生率(4.00%)低于对照组(20.00%),差异有统计学意义(P<0.05).结论 食管癌围手术期患者采用激励式护理联合ERAS护理干预,能够调节患者营养水平,缓解疼痛,改善患者心理状态以及降低术后并发症发生率,值得应用.
Incentive Nursing Combined with Enhanced Recovery After Surgery Protocol in the Perioperative Period of Esophageal Cancer Patients
Objective To explore the application effect of incentive nursing combined with Enhanced Recovery After Surgery(ERAS)protocol in the perioperative period of esophageal cancer patients.Methods A total of 100 patients who underwent elective surgery for esophageal cancer at Zhenping County People's Hospital from September 2020 to September 2022 were selected.They were randomized into an intervention group(n=50,incentive nursing combined with ERAS protocol)and a control group(n=50,conventional perioperative nursing).The nutritional status,pain level,psychological state,and complications of the two groups were compared.Results After the intervention,the levels of serum albumin(ALB),prealbumin(PA),and transferrin(TRF)increased in both groups,with the intervention group showing significantly higher levels of ALB,PA,and TRF than the control group(P<0.05).At 48 hours postoperatively,the pain scores measured by the Numerical Rating Scale(NRS)decreased in both groups,and the intervention group had significantly lower pain NRS scores compared to the control group(P<0.05).Following the intervention,the scores of the Hamilton Anxiety Scale(HAMA)and the Hamilton Depression Scale(HAMD)decreased in both groups,with the intervention group having significantly lower HAMA and HAMD scores than the control group(P<0.05).Additionally,the complication rate in the intervention group(4.00%)was significantly lower than that in the control group(20.00%)(P<0.05).Conclusion The application of incentive nursing combined with ERAS protocol in the perioperative care of esophageal cancer patients can effectively regulate nutritional levels,alleviate pain,improve psychological status,and reduce the incidence of postoperative complications,making it worthy of clinical application.

esophageal cancerperioperative periodincentive nursingenhanced recovery after surgery protocol

韩万会、杨雪娇、魏彬彬

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镇平县人民医院 普外科二病区,河南 南阳 474250

镇平县人民医院 妇科病区,河南 南阳 474250

食管癌 围手术期 激励式护理 快速康复外科护理

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(12)