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护理干预在食管癌患者围手术期中的应用研究

郝玉英

四川医学2015,Vol.36Issue(8):1202-1204,3.
四川医学2015,Vol.36Issue(8):1202-1204,3.DOI:10.16252/j.cnki.issn1004-0501-2015.08.046

护理干预在食管癌患者围手术期中的应用研究

Application of Nursing Intervention in Patients with Esophageal Carcinoma During Perioperation

郝玉英1

作者信息

  • 1. 彭州市人民医院外科,四川 彭州611930
  • 折叠

摘要

Abstract

Objective To investigate the effect of nursing intervention on postoperative pain and complications in patients with esophageal carcinoma. Methods Eighty-five patients who underwent radical surgery for esophageal carcinoma between Octo-ber 2012 and October 2014 were enrolled in this study and randomly divied into observation group ( n=42 ) and control group (n=43) according to their order of hospitalization. Patients in both groups were on routine perioperative nursing of esophageal carcinoma. Additional nursing intervention was given in the observation group. Postoperative pain, recovery of gastrointestinal function and complications were observed for patients in both groups. Results Patients in the observation group had lower VAS scores at 6, 24, 48 and 72 postoperatively compared to controls, with a statistically significant difference (P<0. 05). Frequency of intermittent administration of analgesics at 72 postoperatively was lower in patients in the observation group than in controls (5. 90 ± 0. 41 vs. 11. 34 ± 0. 67), with a statistically significant difference (P<0. 05). Recovery time of postoperative borboryg-mi, initial time of anal exsufflation, and initial defecation time were earlier in patients in the observation group than in controls, with statistically significant differences (all P<0. 05). Postoperative morbidity was lower in the observation group than in controls (16. 67% vs. 34. 88%), with a statistically significant difference (P<0. 05). Conclusion Implementation of nursing interven-tion on patients with esophageal carcinoma during perioperation can effectively ease patient's postoperative pain, reduce dosage of analgesics, promote recovery of gastrointestinal function, lower the morbidity and facilitate patient's postoperative rehabilitation.

关键词

护理干预/食管癌根治术/围手术期/疼痛/并发症

Key words

nursing intervention/radical surgery for esophageal carcinoma/perioperation/pain/complicati

分类

医药卫生

引用本文复制引用

郝玉英..护理干预在食管癌患者围手术期中的应用研究[J].四川医学,2015,36(8):1202-1204,3.

四川医学

OACSTPCD

1004-0501

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