舒适护理在腹部肿瘤患者围手术期的应用(精选).docVIP

舒适护理在腹部肿瘤患者围手术期的应用 张秀卿 山东省千佛山医院肝胆外科，山东，济南 250014 The application of comfortable nursing in perioperative period of abdominal neoplasm patients Zhang Xiuqing Department of Hepatobiliary Surgery, Qianfoshan Hospital of Shandong Province, Jinan Shandong 250014,China 【摘要】目的：探讨腹部肿瘤患者围手术期实施舒适护理的效果。方法：选择100 例腹部肿瘤患者随机分为观察组和对照组各50 例,对照组采用常规护理模式,观察组采用舒适护理模式。分别观察并比较两组的护理效果。结果：观察组患者对手术相关知识的知晓度、术后疼痛程度以及对护理工作的满意度较对照组明显提高，相比差异有统计学意义(P0.05)。结论：舒适护理运用于腹部肿瘤手术患者,可明显增加患者手术相关知识的知晓度和护理的满意度，减低患者不愉快的程度，减少并发症的发生，确保患者的安全，提高了护理工作质量。 ［A］:O: To investigate the effects of implementation of comfortable nursing in the perioperative period of Abdominal Neoplasm patients .METHODS: 100 patients with Abdominal Neoplasm were randomly divided into experimental group and control group with 50 examples respectively, the first group was received comfortable nursing and the second routine care model. Postoperative painful degree and satisfaction degree were observed in the two groups. RESULTS: The cognition about the operation information, postoperative painful degree and satisfaction degree in the experimental group have obviously improved compared with the control group and the disparation has statistical significance.(P0.05). CONCLUSIONS: To apply comfortable nursing in patients with abdominal neoplasm can improve the cognition about the operation information and satisfaction degree of patients , reduce their unhappiness degree and the complications ,assure the safety of patients and improve the quality of nursing care. 【关键词】:舒适护理；腹部肿瘤；围手术期 ［KEYWORDS］: comfortable nursing；abdominal neoplasm ；perioperative period 手术作为一种应激源会使患者产生一系列心理、生理的应激反应，腹部肿瘤围手术期是患者的一个特殊阶段，手术创伤大，恢复期长，患者处于不舒适状态。过度的不舒适会影响患者的术后康复。舒适护理是一种整体的、个体化的;有效的护理模式,使病人在生理、心理、社会方面达到或尽可能达到舒适状态[1 ]。根据这一模式,我院肝胆外科在腹部肿瘤围手术期实施整体护理的同时融入舒适护理,取得了满意的效果，现报告如下。 1 资料与方法 1.1 一般资料 选择2008年7月—2010年7月在我科住院的腹部肿瘤患者100例，男69例,女31例; 年龄28～80岁,平均年龄55岁，其中肝癌48例，胆囊癌8例，胆管癌20例，胰腺癌16例，其它8例，均行手术治疗。随机分为观察组和对照组,每组50例。两组在一般情况、文化程度、手术种类、麻醉方式、病情轻重程度等基本情况经统计学检验,差异无显著性(P0.05) ,具