奥马哈系统在内镜下黏膜剥离术治疗结直肠癌前病变出院后延续护理中的应用

发布时间：2019-06-12 01:50

【摘要】：目的观察奥马哈系统在内镜下黏膜剥离术(ESD)治疗结直肠癌前病变患者出院后延续护理中的应用。方法选择108例行ESD治疗的结直肠癌前病变患者,随机分成两组,观察组采用基于奥马哈系统的延续护理,对照组行常规护理模式。比较两组干预效果。结果干预后,观察组SAS、SDS评分较对照组明显下降[(22.11±8.54)分vs(30.11±7.28)分,(34.85±8.89)分vs(39.73±9.87)分],差异有统计学意义(P0.05);观察组患者生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能及精神健康评分均优于对照组[(75.92±20.03)分vs(64.39±22.31)分,(62.00±18.18)分vs(49.31±21.69)分,(92.41±19.60)分vs(81.64±13.48)分,(58.20±10.79)分vs(50.84±9.22)分,(67.36±12.90)分vs(59.11±14.48)分,(79.33±17.33)分vs(67.40±23.16)分,(59.72±19.20)分vs(45.90±23.49)分,(68.63±12.31)分vs(61.15±15.63)分],差异有统计学意义(P0.05);观察组患者ESCA量表总分、自我概念、自我责任感、健康知识水平及自我护理技能方面评分均优于对照组[(162.25±17.17)分vs(122.29±17.02)分,(24.11±4.16)分vs(18.35±4.00)分,(25.78±4.80)分vs(19.77±4.20)分,(56.04±6.90)分vs(49.52±7.43)分,(35.09±4.51)分vs(29.17±4.42)分],差异有统计学意义(P0.05);观察组满意度高于对照组(87.04%vs 66.67%),差异有统计学意义(P0.05)。结论医护同组责任制护理模式应用于ESD治疗结直肠癌前病变出院后延续护理中效果满意,值得推广应用。
[Abstract]:Objective to observe the application of Omaha system in continuous nursing care of patients with colorectal cancer precancerous lesions treated with (ESD) under endoscope. Methods 108 patients with colorectal cancer precancerous lesions treated with ESD were randomly divided into two groups. The observation group was treated with continuous nursing based on Omaha system, and the control group was treated with routine nursing mode. The intervention effects of the two groups were compared. Results after intervention, the SAS,SDS score of the observation group was significantly lower than that of the control group [(22.11 卤8.54) vs (30.11 卤7.28), (34.85 卤8.89) vs (39.73 卤9.87)], the difference was statistically significant (P 0.05). The scores of physiological function, physical pain, overall health, vitality, social function, emotional function and mental health in the observation group were better than those in the control group [(75.92 卤20.03) vs (64.39 卤22.31), (62.00 卤18.18) vs (49.31 卤21.69), (92.41 卤19.60) vs (81.64 卤13.48), (58.20 卤10.79) vs (50.84 卤9.22), respectively. (67.36 卤12.90) vs (59.11 卤14.48), (79.33 卤17.33) vs (67.40 卤23.16), (59.72 卤19.20) vs (45.90 卤23.49), (68.63 卤12.31) vs (61.15 卤15.63), the difference was statistically significant (P 0.05). The total score of ESCA scale, self-concept, self-responsibility, health knowledge level and self-nursing skills in the observation group were better than those in the control group [(162.25 卤17.17) vs (122.29 卤17.02), (24.11 卤4.16) vs (18.35 卤4.00), (25.78 卤4.80) vs (19.77 卤4.20), (56.04 卤6.90) vs (49.52 卤7.43). (35.09 卤4.51) vs (29.17 卤4.42), the difference was statistically significant (P 0.05). The satisfaction of the observation group was higher than that of the control group (87.04%vs 66.67%), the difference was statistically significant (P 0.05). Conclusion the nursing model of the same group responsibility system is effective in the continuous nursing of patients with colorectal cancer treated with ESD after discharge from hospital, and it is worth popularizing and applying.
【作者单位】：海口市人民医院护理部;海口市人民医院胃肠外科;
【分类号】：R473.73

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