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预见性护理在结直肠息肉切除术后患者中的应用效果

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目的:观察预见性护理在结直肠息肉切除术后患者中的应用效果.方法:选取 2019 年 1 月至 2021 年 12 月该院收治的120 例结直肠息肉切除术后患者进行前瞻性研究,按照随机数字表法分为观察组与对照组各 60 例.对照组采用常规护理,观察组在对照组基础上采用预见性护理,比较两组并发症发生率、肠鸣音恢复时间、肛门排气时间、住院时间、抑郁-焦虑-压力量表(DASS-21)评分、健康行为能力自评量表(SRAHP)评分和护理满意度.结果:观察组并发症发生率为 6.67%,低于对照组的 31.67%,差异有统计学意义(P<0.05);观察组肠鸣音恢复时间、肛门排气时间、住院时间均短于对照组,差异有统计学意义(P<0.05);护理后,观察组DASS-21各维度评分低于对照组,SRAHP各维度评分高于对照组,差异均有统计学意义(P<0.05);观察组护理满意度为 98.33%,高于对照组的85.00%,差异有统计学意义(P<0.05).结论:在常规护理基础上采用预见性护理可提高结直肠息肉切除术后患者SRAHP评分和护理满意度,缩短肠鸣音恢复时间、肛门排气时间和住院时间,以及降低DASS-21 评分和并发症发生率,效果优于单纯常规护理.
Effects of predictive nursing on patients after colorectal polypectomy
Objective:To observe effects of predictive nursing on patients after colorectal polypectomy.Methods:A prospective study was conducted on 120 patients after colorectal polypectomy admitted to the hospital from January 2019 to December 2021.According to the random number table method,they were divided into observation group and control group,60 cases in each group.The control group was given routine nursing,while the observation group was given the predictive nursing on the basis of that of the control group.The incidence of complications,the recovery time of bowel sounds,the anal exhaust time,the hospitalization time,the depression-anxiety-stress scale(DASS-21)score,the self-rated abilities for health practices scale(SRAHP)score,and the nursing satisfaction were compared between the two groups.Results:The incidence of complications in the observation group was 6.67%,which was significantly lower than 31.67%in the control group,the difference was statistically significant(P<0.05).The recovery time of bowel sounds,the anal exhaust time and the hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of each dimension of DASS-21 in the observation group were lower than those in the control group,the scores of each dimension of SRAHP were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 98.33%,which was significantly higher than 85.00%of the control group,the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the predictive nursing can improve the SRAHP scores and the nursing satisfaction of the patients after colorectal polypectomy,shorten the recovery time of bowel sounds,the anal exhaust time and the hospitalization time,and reduce the DASS-21 scores and the incidence of complications.Moreover,it is superior to single routine nursing.

Colorectal polypectomyPredictive nursingComplicationDepression-anxiety-stress scaleSelf-rated abilities for health practices scaleNursing satisfaction

黄石华

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赣州市赣县区人民医院消化感染科,江西 赣州 341100

结直肠息肉切除术 预见性护理 并发症 抑郁-焦虑-压力量表 健康行为能力自评量表 护理满意度

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(3)
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