首页|中医情志护理联合中医护理适宜技术对卵巢癌患者术后恢复及并发症的影响

中医情志护理联合中医护理适宜技术对卵巢癌患者术后恢复及并发症的影响

扫码查看
目的 探讨中医情志护理联合中医护理适宜技术对卵巢癌患者术后恢复及并发症的影响。方法 回顾性分析2021年4月至2023年4月68例卵巢癌根治术患者的临床资料,按照护理方式不同,分为观察组(n=40)与对照组(n=28)。对照组给予专病特色护理,观察组在对照组基础上联合中医情志护理。观察两组患者在术后6 h、12 h、24 h、3 d、5 d的视觉模拟评分(VAS);观察术后首次肛门排气时间、胃肠功能恢复时间、首次排便时间、开始进食时间、下床活动时间;观察护理前后一般自我效能感量表(GSES)评分,SAS评分,出院时测评护理满意度以及并发症发生情况。结果 与对照组相比,观察组术后各个时间段的VAS评分,明显偏低,首次肛门排气排便、胃肠功能恢复、下床活动、开始进食的时间,明显缩短,差异有统计学意义(P<0。05)。护理前观察组患者的SAS评分、GSES评分与对照组相比,差异无统计学意义(P>0。05);护理后两组患者的SAS评分明显降低,GSES评分明显升高,且观察组与对照组相比,GSES评分升高明显,SAS评分降低明显,差异有统计学意义(P<0。05)。与对照组相比,观察组满意率明显偏高,并发症总发生率明显偏低,有统计学意义(P<0。05)。结论 中医情志护理联合专病特色护理能够有效改善卵巢癌患者术后恢复情况,降到并发症发生率,值得临床推广应用。
Objective To explore the effect of combining traditional Chinese medicine emotional nursing with appropriate techniques of traditional Chinese medicine nursing on postoperative recovery and complications of ovarian cancer patients.Methods Retrospectively analysed 68 patients with ovarian cancer who underwent radical surgery in the obstetrics and gynecology department of our hospital from April 2021 to April 2023,according to different nursing methods,all patients were divided into a study group(n=40)and a control group(n=28).The control group received specialized disease specific nursing care,the study group received combined traditional Chinese medicine emotional nursing care on the basis of the control group.Observe the visual analogue scale(VAS)of two groups of patients at 6 hours,12 hours,24 hours,3 days,and 5 days after surgery.The time of first anal discharge,recovery of gastrointestinal function,first bowel movement,start of eating,and time of getting out of bed after surgery were observed,the General Self Efficacy Scale(GSES)score and self-rating anxiety scale(SAS)score before and after nursing care were observed.Nursing satisfaction and incidence of complications upon discharge were assessed.Results The VAS scores of the study group patients at 6 hours,12 hours,24 hours,3 days,and 5 days after surgery were significantly lower than those of the control group patients,with statistical significance(P<0.05).The time for the first anal discharge,first bowel movement,recovery of gastrointestinal function,getting out of bed activity,and start of eating in the research group was significantly shortened compared to the control group,with statistical significance(P<0.05).The SAS score and GSES score of the pre nursing study group patients were not statistically significant compared to the control group(P>0.05).After nursing,the SAS scores of the two groups of patients significantly decreased,and the GSES scores significantly increased,the GSES scores of the study group increased significantly compared to the control group,and the SAS scores decreased,the satisfaction level of nursing in the research group was significantly higher than that in the control group,the total incidence of complications in the study group was significantly lower than that in the control group,with statistical significance(P<0.05).Conclusion The combination of traditional Chinese medicine emotional nursing and specialized disease characteristic nursing can effectively improve the postoperative recovery of ovarian cancer patients,reduce the incidence of complications,and is worthy of clinical promotion and application.

Ovarian cancerEmotional careSatisfaction

陈恒

展开 >

321100 浙江省兰溪市人民医院

卵巢癌 情志护理 满意度

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(10)