探讨围手术期护理干预对结肠癌手术患者的护理

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1、探讨围手术期护理干预对结肠癌手术患者的护理黑龙江省北安市第一人民医院164000摘要：目的研究分析围手术期护理干预对结肠癌手术患者的护理效果。方法此次研宄的对象是选择我院结肠癌手术患者共60例，将其临床资料进行回顾性分析，上述患者经体格检查、影像学检查、病理组织学检查等确诊。对照组实施结肠癌围手术期常规护理。观察组在实施综合性护理干预：心理护理干预、健康教育、饮食指导、肠道准备、术后护理等。观察两组患者对护理满意程度，记录两组住院时间和并发症发生情况。结果观察组护理满意率为93.3%(28/30),对照组护理满意率为53.3%(16/30)，观察组患者对护理满意率显著高于对照组(P

2、<0.05)；观察组住院时间显著低于对照组(P<0.05)；观察组并发症发生3例，对照组并发症发生10例，观察组并发症发生率显著低于对照组(P<0.05)。结论综合性护理干预有助于结肠癌患者术后恢复，提高患者对护理满意度，减少术后并发症，护理措施值得借鉴。关键词：结肠癌；手术；围手术期；护理[Abstract]ObjectiveTostudythenursingeffectofperioperativenursinginterventiononpatientswithcoloncancersurgery.Methodsthestudywasconductedin6

3、0casesofcoloncancersurgerypatientsinourhospital.Theclinicaldatawereretrospectivelyanalyzed.Thepatientswerediagnosedbyphysicalexamination,imagingexamination,pathologicalexaminationandsoon.Routinenursingcareofcoloncancerduringperioperativeperiodinthecontrolgroup.Observationgroupintheimplementati

4、onofcomprehensivenursingintervention：psychologicalnursingintervention,healtheducation,dietguidance,bowelpreparation,postoperativecare,etc..Thenursingsatisfactiondegreeofthetwogroupswereobserved,thelengthofstayandtheincidenceofcomplicationsintwogroupswererecorded.Resultsintheobservationgroupcar

5、esatisfactionratewas93.3%(28/30)andthecontrolgroupofnursingsatisfactionratewas53.3%(16/30)，theobservationgrouppatientsonnursingsatisfactionratewassignificantlyhigherthanthatofthecontrolgroup(P<0.05)；observationgrouphospitalizationtimewassignificantlylowerthanthatofthecontrolgroup(P<0.05)

6、；observationgroup，complicationsoccurredin3cases,controlgroup，complicationsoccurredin10casesofobservedgroupcomplicationsincidencewassignificantlylowerthanthatofthecontrolgroup(P<0.05).Conclusioncomprehensivenursinginterventioncanhelppatientswithcoloncancerpostoperativerecovery，improvepatient

7、s1satisfactionwithnursing,reducepostoperativecomplications,nursingmeasuresareworthlearningfrom.[Keywords]coloncancer；operation；perioperativeperiod；nursing结肠癌是常见的消化道肿瘤。早期结肠癌多采用手术治疗，但手术创伤及术后排便的问题严重影响到患者预后。奋效的护理干预能够改善患者术后不适及痛苦，提高临床治疗效果。本文观