人性化护理在腹腔镜胃癌根治术围术期护理中的应用效果(1)
[摘要]目的 探讨人性化护理在腹腔镜胃癌根治术围术期护理中的应用效果。方法 选择2015年1～12月来我院行腹腔镜胃癌根治术的患者100例，随机分为对照组和观察组，各50例，对照组行围术期常规护理，观察组在围术期常规护理基础上实施人性化护理，观察并比较两组患者的住院时间、肠鸣音恢复时间、肛门排气时间及术后并发症发生情况。评定两组患者术后的疼痛情况，并对治疗总有效率和满意度进行统计学分析。结果 观察组住院时间、肠鸣音恢复时间及排气时间均短于对照组，差异有统计意义(P<0.05)；观察组患者术后的感觉分、情绪分、PRI总分、PPI、VAS等评分均低于对照组，差异有统计意义(P<0.05)；观察组治疗总有效率、护理总满意度及并发症发生率均优于对照组，差异有统计学意义(P<0.05)。结论 人性化护理在腹腔镜胃癌根治术围术期护理中的应用效果显著，能降低并发症发生率，促进患者肠功能的恢复，值得临床推广。
[关键词]腹腔镜；胃癌根治术；围术期；人性化护理
[中图分类号] R735.2 [文献标识码] A [文章编号] 1674-4721(2016)07(c)-0194-03
[Abstract]Objective To explore the application effects of humanized nursing in perioperative nursing care of patients undergoing laparoscopic radical gastrectomy for gastric cancer.Methods 100 patients，conducted laparoscopic radical gastrectomy，from January 2015 to December 2015 of our hospital were selected and were randomly divided into control group and observation group，each group was 50 cases.Patients in control group were given routine perioperative nursing，and patients in observation group were given humanized nursing on the basis of routine perioperative nursing.The hospital stay，recovery time of bowel sound，anal exhaust time and the incidence of post operative complication in two groups were observed and compared.The postoperative pain in two groups was evaluated，and the total effective rate and satisfaction degree were statistical analyzed.Results The hospital stay，recovery time of bowel sound and anal exhaust time in observation group were lower than that of control group，and the difference was statistical significance (P<0.05)；The postoperative sensory score，emotional points，PRI total score，PPI and VAS in observation group were lower than that of control group，and the difference was statistical significance (P<0.05)；The total effective rate，satisfaction degree and the incidence rate of post operative complication in observation group were better than that of control group，and the difference between two groups was statistical significance (P<0.05).Conclusion The application effects of humanistic nursing in laparoscopic radical gastrectomy perioperative nursing care are obvious，which can decrease the incidence of complications，promote the recovery of intestinal function and is worth to popularize in clinical.
[Key words]Laparoscopic；Radical gastrectomy；Perioperative；Humanized nursing
胃癌是一种常见的恶性肿瘤，尤其是在老年人群中，由于患者本身的免疫力较低，体质较差，并常伴有多种慢性疾病，若不能得到及时的救治和护理，会造成病情加重，极大的影响患者的正常生活[1]。通常在疾病确诊后，要立即实施手术治疗，而且手术多以胃大部分切除术为主。而腹腔镜胃癌根治术前后科学有效的护理对患者的康复、预后显得尤为重要[2]。人性化护理是一种具有创造性的护理方式，它讲求的是护理人员要实现个性化、有效化的护理方式，让患者在治疗的过程中减少不适，在心理和精神上得到满足，从而改善患者预后，因此，我院在腹腔镜胃癌根治术围术期中实施人性化护理，取得满意效果，现报道如下。 (朱林萍 林莉)
[关键词]腹腔镜；胃癌根治术；围术期；人性化护理
[中图分类号] R735.2 [文献标识码] A [文章编号] 1674-4721(2016)07(c)-0194-03
[Abstract]Objective To explore the application effects of humanized nursing in perioperative nursing care of patients undergoing laparoscopic radical gastrectomy for gastric cancer.Methods 100 patients，conducted laparoscopic radical gastrectomy，from January 2015 to December 2015 of our hospital were selected and were randomly divided into control group and observation group，each group was 50 cases.Patients in control group were given routine perioperative nursing，and patients in observation group were given humanized nursing on the basis of routine perioperative nursing.The hospital stay，recovery time of bowel sound，anal exhaust time and the incidence of post operative complication in two groups were observed and compared.The postoperative pain in two groups was evaluated，and the total effective rate and satisfaction degree were statistical analyzed.Results The hospital stay，recovery time of bowel sound and anal exhaust time in observation group were lower than that of control group，and the difference was statistical significance (P<0.05)；The postoperative sensory score，emotional points，PRI total score，PPI and VAS in observation group were lower than that of control group，and the difference was statistical significance (P<0.05)；The total effective rate，satisfaction degree and the incidence rate of post operative complication in observation group were better than that of control group，and the difference between two groups was statistical significance (P<0.05).Conclusion The application effects of humanistic nursing in laparoscopic radical gastrectomy perioperative nursing care are obvious，which can decrease the incidence of complications，promote the recovery of intestinal function and is worth to popularize in clinical.
[Key words]Laparoscopic；Radical gastrectomy；Perioperative；Humanized nursing
胃癌是一种常见的恶性肿瘤，尤其是在老年人群中，由于患者本身的免疫力较低，体质较差，并常伴有多种慢性疾病，若不能得到及时的救治和护理，会造成病情加重，极大的影响患者的正常生活[1]。通常在疾病确诊后，要立即实施手术治疗，而且手术多以胃大部分切除术为主。而腹腔镜胃癌根治术前后科学有效的护理对患者的康复、预后显得尤为重要[2]。人性化护理是一种具有创造性的护理方式，它讲求的是护理人员要实现个性化、有效化的护理方式，让患者在治疗的过程中减少不适，在心理和精神上得到满足，从而改善患者预后，因此，我院在腹腔镜胃癌根治术围术期中实施人性化护理，取得满意效果，现报道如下。 (朱林萍 林莉)