护理干预对食管癌根治术患者术中相关护理并发症的影响.docVIP

护理干预对食管癌根治术患者术中相关护理并发症的影响 　　【摘要】 目的：探讨护理干预对食管癌根治术患者术中相关护理并发症的影响。方法：通过对2012年2月-2014年2月在本院进行食管癌根治术治疗的92例患者，随机数字表法分为对照组和实验组，每组46例。对照组患者仅给予常规护理，实验组患者给予在常规护理基础上实施护理干预，主要包括预防低体温护理、预防压疮和臂丛神经损伤护理、预防电刀灼伤护理、预防眼角膜炎的护理、预防静脉套管液体外渗护理。观察比较两组患者术中并发症发生情况和患者满意度差异。结果：实验组患者低体温、压疮、电刀灼伤、眼角膜炎、臂丛神经损伤、静脉套管液体外渗并发症发生率分别为4.35%、4.35%、2.17%、0、2.17%、4.35%较对照组患者明显降低，比较差异具有统计学意义（P0.05）；实验组患者的满意率为97.83%，明显高于对照组患者80.44%，比较差异具有统计学意义（P0.05）。结论：针对食管癌根治术患者术中并发症给予干预护理，降低术中并发症发生率，提高手术质量和患者满意度。护理干预对降低食管癌根治术患者术中相关护理并发症发生率具有重要意义，临床值得推广应用。 　　【关键词】 护理干预； 食管癌根治术； 术中护理并发症 　　【Abstract】 Objective： To investigate the effects of nursing intervention in patients undergoing radical surgery-related complications of esophageal cancer care. Method： 92 cases from 2012 February to 2014 February in our hospital were esophageal cancer radical surgery patients， who were randomly divided into experimental group and control group， each group contained 46 cases. The control group was only given routine nursing care， the experimental group received nursing intervention based on routine nursing care， including prevention of hypothermia nursing， pressure ulcers and brachial plexus injury nursing， electric knife burn care， corneal inflammation， venous cannula nursing fluid extravasation nursing. Difference and the satisfaction of patients complications were compared between the two groups. Result： The experimental group’s low body temperature， pressure sores， electric knife burns， eye keratinize， brachial plexus injury， intravenous canola liquid leakage complication rates was 4.35%， 4.35%， 2.17%， 0， 2.17%， 4.35%， which was significantly lower than that of the control group respectively， with significant differences （P0.05）. Patient satisfaction rate of the experimental group was 97.83%， which was higher than 80.44% of the control group （P0.05）. Conclusion： To give nursing intervention for patients with complications in radical resection of esophageal cancer， reduce the incidence of complications； improve operation quality and