全程系统化护理对腹腔镜下肾癌根治术患者临床疗效、心理状态及自我管理效能的影响(1)
[摘要] 目的 觀察全程系统化护理对腹腔镜下肾癌根治术患者临床疗效、心理状态及自我管理效能的影响。 方法 采用回顾性分析方法，选取2016年7月～2018年7月于内蒙古医科大学附属医院接受腹腔镜肾癌根治术的98例患者，按不同护理方案分为两组，每组49例。对照组行常规护理，观察组行全程系统化护理，比较两组恢复情况、并发症、心理状态及自我管理效能。 结果 观察组护理后排气时间、尿管留置时间、下床活动时间、住院时间均短于对照组，睡眠时间长于对照组，差异有高度统计学意义(P < 0.01)。观察组护理后术后并发症发生率低于对照组，差异有高度统计学意义(P < 0.01)。两组护理后焦虑自评量表、抑郁自评量表评分均低于护理前，且观察组低于对照组，差异有高度统计学意义(P < 0.01)。观察组护理后正性态度、自我决策、压力减轻及自我管理效能总分均高于对照组，差异有高度统计学意义(P < 0.01)。 结论 腹腔镜下肾癌根治术患者应用全程系统化护理能显著加快术后康复，并降低术后并发症风险，减轻负面心理情绪，增强自我管理效能，效果显著。
[关键词] 肾癌;腹腔镜肾癌根治术;全程系统化护理;心理状态;自我管理效能
[中图分类号] R737.11 [文献标识码] A [文章编号] 1673-7210(2019)07(b)-0172-05
Effect of whole-process systemic nursing on clinical efficacy， psychological state and self-management efficacy for patients after laparoscopic radical nephrectomy
YAN Caiyan YUE Genquan SUN Ting
Department of Urology， Affiliated Hospital of Inner Mongolia Medical University， Inner Mongolia Autonomous Regjon， Hohhot 010110， China
[Abstract] Objective To observe the effect of whole-process systemic nursing on clinical efficacy， psychological state and self-management efficacy of patients after laparoscopic radical nephrectomy. Methods Total 98 patients underwent laparoscopic radical nephrectomy in Affiliated Hospital of Inner Mongolia Medical University from July 2016 to July 2018 were divided into two groups according to the different nursing options， with 49 cases in each group， by retrospective analysis. The control group received routine nursing， while the observation group received whole-process systemic nursing. The recoveries， complications， psychological status and self-management efficacy of patients in two groups were compared. Results After nursing， the exhaust time， indwelling time of urinary catheter， getting out of bed activity time and hospitalization time of observation group were shorter than those of control group， and the sleep time of observation group was longer than that of control group， with highly statistically significant difference (P < 0.01). The incidence of postoperative complications in observation group was lower than that in control group， with highly statistically significant difference(P < 0.01). The scores of self-rating anxiety scale and self-rating depression scale in two groups after nursing were lower than those before nursing， and those in observation group were lower than those in control group， with highly statistically significant difference (P < 0.01). The total scores of positive attitude， self-decision-making， stress relief and self-management efficacy of observation group after nursing were higher than those of control group， and the difference was highly statistically significant (P < 0.01). Conclusion For patients undergoing laparoscopic radical nephrectomy， the application of whole-process systemic nursing can significantly accelerate their postoperative rehabilitation and reduce the risk of postoperative complications， alleviate their negative psychological emotions and enhance their self-management efficacy., 百拇医药(闫彩艳 岳根全 孙婷)
[关键词] 肾癌;腹腔镜肾癌根治术;全程系统化护理;心理状态;自我管理效能
[中图分类号] R737.11 [文献标识码] A [文章编号] 1673-7210(2019)07(b)-0172-05
Effect of whole-process systemic nursing on clinical efficacy， psychological state and self-management efficacy for patients after laparoscopic radical nephrectomy
YAN Caiyan YUE Genquan SUN Ting
Department of Urology， Affiliated Hospital of Inner Mongolia Medical University， Inner Mongolia Autonomous Regjon， Hohhot 010110， China
[Abstract] Objective To observe the effect of whole-process systemic nursing on clinical efficacy， psychological state and self-management efficacy of patients after laparoscopic radical nephrectomy. Methods Total 98 patients underwent laparoscopic radical nephrectomy in Affiliated Hospital of Inner Mongolia Medical University from July 2016 to July 2018 were divided into two groups according to the different nursing options， with 49 cases in each group， by retrospective analysis. The control group received routine nursing， while the observation group received whole-process systemic nursing. The recoveries， complications， psychological status and self-management efficacy of patients in two groups were compared. Results After nursing， the exhaust time， indwelling time of urinary catheter， getting out of bed activity time and hospitalization time of observation group were shorter than those of control group， and the sleep time of observation group was longer than that of control group， with highly statistically significant difference (P < 0.01). The incidence of postoperative complications in observation group was lower than that in control group， with highly statistically significant difference(P < 0.01). The scores of self-rating anxiety scale and self-rating depression scale in two groups after nursing were lower than those before nursing， and those in observation group were lower than those in control group， with highly statistically significant difference (P < 0.01). The total scores of positive attitude， self-decision-making， stress relief and self-management efficacy of observation group after nursing were higher than those of control group， and the difference was highly statistically significant (P < 0.01). Conclusion For patients undergoing laparoscopic radical nephrectomy， the application of whole-process systemic nursing can significantly accelerate their postoperative rehabilitation and reduce the risk of postoperative complications， alleviate their negative psychological emotions and enhance their self-management efficacy., 百拇医药(闫彩艳 岳根全 孙婷)