个性化术前访视对行胃癌根治术患者康复的效果观察.docVIP

个性化术前访视对行胃癌根治术患者康复的效果观 李想王彬 中国人民解放军总医院北京100853 【 】目的：探讨外科重症监护室(SICU)护士行个性化术前访视对胃癌 根治术后患者康复的效果。方法：将100例行胃癌根治术患者采用随机对照的方 法分为观察组和对照组，每组50例。对照组给予常规术前访视，观察组在对照 组的基础上再加上个性化的术前访视，比较两组患者术后的焦虑程度、遵医行为、 护理满意度及下床时间、排气时间。结果：观察组的心理护理、服务态度、健康 教育等护理满意度评分显著高于对照组，差异有统计学意义(Plt;0.05)。结论： SICU护丄?个性化术前访视可增强患者术前的情绪情感水平，缓解不良负性心理 状态，提高遵医行为及护理满意度。 【关键词】个性化术前访视；胃癌术后康复；效果观察 【 】R473 【 】B 【 】1674-8999 (2015) 8-0092-02 Observe the rehabilitative effect of personalization preoperative visits for gastric cancer patients Li Xiang Wang Bin General Hospital of PLA, Belling 100853 【Abstract】 Objective: To investigate the rehabilitation effect of personalization preoperative visits for gastric cancer patients.The visit was performed by the nurse of surgical intensive care unit (SICU).Methods: 100 gastric cancer patients treated with radical resections were randomly divided into two groups including observation group and the control group,50 cases in each group.The control group received routine preoperative visit,the observation group plus personalized preoperative visit on the basis of the control group.The degree of anxiety,the compliance behavior, nursing satisfaction and bed time,exhaust time in the two groups were compared. Results:The health care satisfaction scores including the psychological care, service attitude,health education in the observation group were significantly higher than control group （Plt;0.05）.Conclusion:SICU nursersquo;s personalized preoperative visit can enhance the level of emotion preoperative patients, ease the adverse negative mental state,and improve compliance behavior and nursing satisfaction. 【Key words］ personalization preoperative visits； gastric postoperative rehabilitation； efficacy 术前访视是将人文学、社会学、心理学及沟通技巧等多领域知识综合运用于 患者围手术期护理的实践过程，是外科重症监护室实施整体护理的切入点，是围 手术期护理的重要环节［1】。常规术前健康宣教，内容涉及较少。由于大多患者 常常对手术缺乏了解，导致患者术前产生焦虑、恐惧或消极的心理状态，术后容 易出现并发症，如肺部感染、下肢深静脉血栓形成、褥疮等，甚至会出现躁动、 强行起床、企图拔管等，因而影响了术后康复效果［2】。为此，本文对胃癌根治 术患者进行了个性化访视以观察康复效果，以评估对患者进行系统的护理宣教的 重要性。 1资料与方法 1.1 一般资料 选取2012年11月一2