舒适护理在食管癌手术后的应用.docVIP

精品论文 参考文献 舒适护理在食管癌手术后的应用 福建医科大学附属漳州市医院胸心外科 363000 【摘要】目的：探讨舒适护理在食管癌手术后的应用效果。方法：将 164例行胸腔镜下食管癌切除术的患者作为研究对象，随机分为观察组和对照组，对照组采用常规护理，观察组在常规护理基础上对其施行个性化的舒适护理，观察两组患者术后平均住院天数，并发症发生率，早期下床活动时间，住院费用及护理满意度。结果：采取舒适护理措施后观察组住院时间缩短，并发症发生率更低，下床活动时间更早，住院费用降低，护理满意度提高，两组对比差异具有统计学意义 (Plt;0.05)。结论：实施舒适护理干预对食管癌术后预防并发症具有重要的意义，能更好地提高生活质量，促进早期康复，值得临床广泛应用。 【关键词】舒适护理；食管癌；手术；应用效果 【Abstract】 Objective: To investigate the application effecte of comfortable nursing on esophageal cancer patietnts postoperatively. Methods: 164 patients with esophageal cancer underwent VATS routine as research subjects were randomly divided into observation group and the control group. The control group received usual care, while the observation group received individual comfot care based on usual care.We observed the average postoperative hospital stay, morbidity, early ambulation time, hospital costs and nursing satisfaction. Results: After taking comfort care measures, we observed that the group had shorter hospital stay, less incidence of complications, earlier ambulation time, lower hospital costs and improved satisfaction .The difference between two groups was statistically significant (P lt;0.05) . Conclusion: The implementation of comfortable nursing intervention has important implications for the prevention of postoperative complications, can better improve the quality of life, promote early rehabilitation and is worthy of wider application. 【Key words】 comfort nursing; esophageal cancer; surgery; application effect 【中图分类号】R473.73 【文献标识码】A 【文章编号】2096-0867（2016）-06-209-02 食管癌是常见的一种消化道肿瘤，为严重危害人类健康的恶性肿瘤之一，且我国为高发密集区，男性发病多于女性，多发生于中老年【1??。胸腔镜下食管癌切除术（VATS）是近年来治疗食管癌较理想的手术方法。但由于手术创伤大，并发症高，患者一般术前恶液质，术后伴随的饥饿感及留置多条引流管的刺激又让患者痛苦不堪，故手术后护理工作的重要性及难度尤为重要，我们在护理工作中逐步引入舒适护理的工作理念，针对食管癌患者手术后特点制定相应的护理改良技术。本研究旨在探讨舒适护理在食管癌手术后患者中的应用效果。 1 资料与方法 1.1 一般资料 选取某三级甲等医院胸心外科2014 年 1 月 ~2015 年 7月164 例由同一高年资主任医师主刀行胸腔镜下食管癌切除术的患