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中华结直肠疾病电子杂志 ›› 2018, Vol. 07 ›› Issue (06) : 584 -588. doi: 10.3877/cma.j.issn.2095-3224.2018.06.016

所属专题: 文献

护理天地

精细化护理对结直肠息肉患者康复期胃肠道恢复的影响
王玲1, 钟薇1, 潘俊玲1, 李斌2,()   
  1. 1. 570311 海口,海南省人民医院医疗保健中心保健四区
    2. 570311 海口,海南省人民医院护理部
  • 收稿日期:2018-06-23 出版日期:2018-12-25
  • 通信作者: 李斌

Effect of meticulous fine nursing on the recovery of gastrointestinal tract in patients with colorectal polyps during the recovery period

Ling Wang1, Wei Zhong1, Junling Pan1, Bin Li2,()   

  1. 1. Department of The Fourth Area of Health Care Center, Hainan Genergy Hospital, Haikou 570311, China
    2. Department of Nursing, Hainan Genergy Hospital, Haikou 570311, China
  • Received:2018-06-23 Published:2018-12-25
  • Corresponding author: Bin Li
  • About author:
    Corresponding author: Li Bin, Email:
引用本文:

王玲, 钟薇, 潘俊玲, 李斌. 精细化护理对结直肠息肉患者康复期胃肠道恢复的影响[J/OL]. 中华结直肠疾病电子杂志, 2018, 07(06): 584-588.

Ling Wang, Wei Zhong, Junling Pan, Bin Li. Effect of meticulous fine nursing on the recovery of gastrointestinal tract in patients with colorectal polyps during the recovery period[J/OL]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2018, 07(06): 584-588.

目的

探讨精细化护理对结直肠息肉患者康复期胃肠道恢复的影响效果。

方法

选取海南省人民医院2016年5月至2017年9月收治的结直肠息肉患者106例,采用数字化列表将患者分为对照组和观察组,每组各53例。对照组采用常规的护理方法,观察组实施精细化护理,观察并比较两组患者的临床疗效、护理满意度、护理前后的焦虑自评量表(SAS)及抑郁自评量表(SDS)评分变化情况、胃肠道恢复时间、平均住院时间及并发症发生率等相关指标。

结果

观察组的总满意度高于对照组,差异具有统计学意义(χ2=4.711,P=0.03);护理前,两组患者的SAS、SDS评分差异不明显,差异无统计学意义(SAS:t=-0.67,P=0.504;SDS:t=0.85,P=0.397),护理后,观察组的SAS、SDS评分低于对照组,差异具有统计学意义(SAS:t=12.165,P<0.001;SDS:t=12.581,P<0.001);观察组患者的胃肠道恢复时间低于对照组(t=9.069,P<0.001),且平均住院时间也低于对照组(t=9.899,P<0.001);观察组并发症的发生率低于对照组,差异具有统计学意义(χ2=4.296,P=0.038)。

结论

精细化护理对结直肠息肉患者康复期胃肠道恢复的影响效果显著,能提高患者的护理满意度,降低并发症的发生率,减少患者的胃肠道恢复时间和平均住院时间,降低并发症的发生率,值得临床上推广使用。

Objective

To investigate the effect of meticulous fine nursing on the recovery of gastrointestinal tract in the convalescent period of colorectal polyps.

Methods

106 cases of colorectal polyps in Hainan Genergy Hospital from May 2016 to September 2017 were divided into control group and observation group by digital list, fifty-three cases in each group. The control group used the routine nursing, and the observation group carried out fine care. To observe and compare he clinical effects, the recovery of gastrointestinal tract, the adverse reaction and the average time of hospitalization between the two groups. Observe and compare the nursing efficacy of two groups of patients satisfaction, the change of the Self-rating anxiety Scale (SAS) and Self-rating depression scale (SDS) score before and after nursing, recovery time of gastrointestinal tract, the average time of hospitalization, complications of gastrointestinal recovery and related indicators between the two groups.

Results

The total satisfaction of the observation group was higher than that of the control group, and the difference was statistically significant (χ2=4.711, P=0.03). Before nursing, there was no significant difference in SAS and SDS scores between the two groups (SAS: t=-0.67, P=0.504; SDS: t=0.85, P=0.397). After nursing, the scores of SAS and SDS in the observation group were lower than those in the control group, the difference was statistically significant (SAS: t=12.165, P<0.001; SDS: t=12.581, P<0.001). The gastrointestinal recovery time and the average hospitalization time of the patients in the observation group were lower than that in the control group (t=9.069, P<0.001), so was the average hospitalization time and the difference was statistically significant (t=9.899, P<0.001). The incidence of complications in the observation group was lower than that of the control group, and the difference was statistically significant (χ2=4.296, P=0.038).

Conclusion

The effect of meticulous nursing on the recovery of gastrointestinal tract in patients with colorectal polyps is significant, which can improve the satisfaction degree of patients, reduce the recovery time of gastrointestinal tract and the average hospitalization time, and reduce the incidence of complications, which is worthy of clinical promotion.

表1 两组患者的护理满意度比较[例(%)]
表2 护理前后两组患者的SAS、SDS评分变化(分,±s
表3 两组患者的胃肠道恢复时间及平均住院时间比较(±s
表4 两组患者并发症发生率(例,%)
[1]
梁义, 方艳霞, 李娜, 等. 预防性护理对开腹结直肠癌根治术后并发症的作用[J].国际护理学杂志, 2014, 33(6): 1319-1320.
[2]
赵永存. 结肠镜下治疗结直肠息肉的围手术期护理监护[J].中国肛肠病杂志, 2017, 37(6): 51-53.
[3]
章亚娣, 潘文胜, 沈虹, 等. 内镜下结直肠息肉摘除术后急诊出血相关危险因素分析[J].中华急诊医学杂志, 2012, 21(1): 74-78.
[4]
刘健培, 黄品婕, 陈图锋, 等. 内镜无法切除的结直肠息肉腹腔镜手术前定位方法对比研究[J].中华消化外科杂志, 2014, 13(8): 621-624.
[5]
于佳妮, 虞敏亚. 内镜黏膜下剥离术治疗28例上消化道肿瘤患者的围术期护理[J].全科护理, 2012, 10(9): 796-797.
[6]
胡煦晨, 杨雪松, 刘艳霞, 等. 结直肠腺瘤382例癌变相关危险因素分析[J].中华消化杂志, 2016, 36(4): 271-274.
[7]
Wdek JK, Kopeeky KJ, Appelbaum FR, et al. A randomized investisation of high-dose versus standard-dose cytosine arabinoside with daunorubicin in patients with previously untreated acute myeloid leukemia: a southwest oncology group study [J].Blood, 1996, 88(8): 2841-2851.
[8]
蒋新香, 陈海燕, 丁岩冰, 等. 内镜黏膜下剥离术治疗广基结直肠息肉的护理配合[J].实用临床医药杂志, 2013, 17(2): 62-64.
[9]
Metz AJ, Bourke MJ, Moss A, et al. Factors that predict bleeding following endoscopic mueosal resection of large colonic lesions [J].Endoscopy, 2011, 43(6): 506-511.
[10]
Salas FP, Goñi HB. Efficacy and safety of endoscopic resection in patients with large non-pedunculated colorectal polyps [J].Rev Gastroenterol Peru, 2017, 37(4): 305-316.
[11]
黄纪媛, 侯晓燕, 诸运青. 健康教育结合舒适护理对阑尾炎手术病人疼痛、负性情绪及身体恢复的影响[J].全科护理, 2017, 15(6): 650-653.
[12]
王晓霞. 护理干预对腹腔镜胆囊切除术患者并发症的影响[J].实用临床医药杂志, 2016, 20(8): 167-168.
[13]
冯秀雪, 令狐恩强, 卢忠生, 等. 内镜下胃黏膜剥离术后出血的相关危险因素分析[J].中华消化内镜杂志, 2012, 29(2): 65-68.
[14]
房敏, 张红弟, 蔡宏宇, 等. 以循证护理为基础的临床护理路径在结直肠癌FOLFOX化疗中的应用[J].护理学杂志, 2012, 27(12): 13-16.
[15]
万海红. 循证护理在肠息肉患者治疗中的应用[J].医学理论与实践, 2015, 28(4): 519-521.
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