医护一体化模式在胸腹腔镜联合食管癌根治术围手术期的应用

发布时间：2018-08-27 06:16

【摘要】：目的探讨医护一体化护理模式在胸腹腔镜联合食管癌根治术患者围手术期的干预效果。方法选取接受联合腔镜食管癌根治术患者102例,分为对照组40例,采用常规流程进行围手术期诊疗护理;观察组62例,在对照组基础上围手术期采用医护一体化护理模式干预处理。比较分析两组患者的护理效果。结果在医护工作满意度方面:观察组入院接待、健康教育、康复指导得分均高于对照组,差异有统计学意义(P0.05),两组患者对服务态度、护理技术得分差异无统计学意义。在术后恢复及主要并发症方面:观察组术后排气或排便时间、拔除胸腔引流管时间、住院时间较对照组明显减少,且均差异有统计学意义(P0.05),两组患者术后胃肠减压引流量差异无统计学意义;观察组和对照组术后主要并发症的发生率分别为9.7%和25.0%,差异有统计学意义(P0.05)。结论实施医护一体化工作模式在胸腹腔镜联合食管癌根治术患者中有利于提高患者对医护工作的满意度,实现快速康复,降低术后并发症发生率。
[Abstract]:Objective to explore the effect of nursing care model in perioperative period of thoracic laparoscopy combined with radical resection of esophageal carcinoma. Methods 102 patients undergoing radical resection of esophageal carcinoma were divided into control group (n = 40) and observation group (n = 62). On the basis of the control group, the nursing intervention was adopted in the perioperative period. The nursing effect of the two groups was compared and analyzed. Results the scores of admission reception, health education and rehabilitation guidance in the observation group were significantly higher than those in the control group (P0.05). There was no significant difference in the scores of service attitude and nursing technology between the two groups. In terms of postoperative recovery and major complications, the time of exhaust or defecation, the time of pulling out thoracic drainage tube, and the length of hospitalization in the observation group were significantly reduced compared with those in the control group. And the difference was statistically significant (P0.05), there was no significant difference in postoperative gastrointestinal decompression discharge between the two groups; the incidence of major postoperative complications in the observation group and control group were 9.7% and 25.0, respectively, the difference was statistically significant (P0.05). Conclusion the implementation of integrated medical and nursing work mode in patients with thoracic laparoscopy combined with radical resection of esophageal cancer is beneficial to improve the patients' satisfaction with nursing care, to achieve rapid recovery and to reduce the incidence of postoperative complications.
【作者单位】：安徽医科大学第一附属医院普胸外科;
【基金】：国家自然科学基金(81302028)
【分类号】：R473.73

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