基于Snyder希望理论的护理在行食管癌根治术患者中的应用效果OA
Effect of nursing based on Snyder's hope theory on patients undergoing radical surgery of esophageal cancer
目的 探析基于Snyder希望理论的护理在行食管癌根治术患者中的实施效果.方法 回顾性分析 2022 年2～12 月上海交通大学医学院附属仁济医院收治的100 例行食管癌根治术患者的临床资料,按护理方法的不同进行分组,将采用常规围手术期护理的51 例患者纳入对照组,将实施基于Snyder希望理论护理的 49 例患者纳入观察组.比较2 组的希望水平、应激反应、并发症发生率以及术后恢复情况.结果 术前1d及术后3d,2 组Herth希望指数(HHI)量表中的3 个维度评分均较入院时有所升高(P 均<0.05),且观察组均较同期对照组更高(P 均<0.05).术毕及术后1d,观察组的心率均慢于同一时间对照组,收缩压、舒张压均低于同一时间对照组(P 均<0.05).观察组的并发症总发生率为4.08%,明显较对照组的17.65%更低(P<0.05).观察组的术后镇痛药使用次数较对照组更少,术后排气时间、纵隔引流管拔除时间均更早,住院时间更短(P均<0.05).结论 在行食管癌根治术患者中,辅以基于Snyder希望理论的护理,对其希望水平提升、应激反应减轻以及并发症减少均具有显著作用,同时还能加速术后康复进程.
Objective To explore the implementation effect of nursing based on Snyder's hope theory on patients undergoing radical surgery of esophageal cancer.Methods A retrospective analysis was conducted on 100 patients who underwent radical surgery of esophageal cancer at Renji Hospital,Shanghai Jiaotong University School of Medicine from February to December 2022.They were grouped according to different nursing methods.The 51 patients who adopted routine perioperative nursing were included in the control group,while the 49 patients who adopted nursing based on Snyder's hope theory were included in the observation group.The hope level,stress response,incidence of complications,and postoperative recovery of the two groups were compared.Results At 1 day before surgery and 3 days after surgery,the 3 dimension scores of the Herth Hope Index(HHI)in both groups were improved compared with admission(all P<0.05),and the observation group had higher scores than the control group(all P<0.05).After surgery and at 1 day after surgery,the heart rate of the observation group was slower than that of the control group,and the systolic and diastolic blood pressure were lower than those of the control group(all P<0.05).The total incidence of complications in the observation group was 4.08%,which was significantly lower than 17.65%in the control group(P<0.05).The frequency of postoperative analgesics usage in the observation group was less than that in the control group,and the time to postoperative exhaust,time to mediastinal drainage tube removal,and length of hospital stay were shorter(all P<0.05).Conclusion Nursing based on Snyder's hope theory has a positive impact on improving the hope level,alleviating the stress response,reducing the incidence of complications,and accelerating the postoperative recovery in patients undergoing radical surgery of esophageal cancer.
胡林华;倪科春
上海交通大学医学院附属仁济医院,上海,200127
临床医学
食管癌根治术Snyder希望理论希望水平并发症
radical surgery of esophageal cancerSnyder's hope theoryhope levelcomplication
《中西医结合护理（中英文）》 2024 (004)
13-16 / 4
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