摘要
目的探讨精细化护理对结直肠息肉患者康复期胃肠道恢复的影响效果。方法选取海南省人民医院2016年5月至2017年9月收治的结直肠息肉患者106例,采用数字化列表将患者分为对照组和观察组,每组各53例。对照组采用常规的护理方法,观察组实施精细化护理,观察并比较两组患者的临床疗效、护理满意度、护理前后的焦虑自评量表(SAS)及抑郁自评量表(SDS)评分变化情况、胃肠道恢复时间、平均住院时间及并发症发生率等相关指标。结果观察组的总满意度高于对照组,差异具有统计学意义(X^2=4.711,P=0.03);护理前,两组患者的SAS、SDS评分差异不明显,差异无统计学意义(SAS:t=-0.67,P=0.504;SDS:t=0.85,P=0.397),护理后,观察组的SAS、SDS评分低于对照组,差异具有统计学意义(SAS:t=12.165,P <0.001;SDS:t=12.581,P <0.001);观察组患者的胃肠道恢复时间低于对照组(t=9.069,P <0.001),且平均住院时间也低于对照组(t=9.899,P <0.001);观察组并发症的发生率低于对照组,差异具有统计学意义(X^2=4.296,P=0.038)。结论精细化护理对结直肠息肉患者康复期胃肠道恢复的影响效果显著,能提高患者的护理满意度,降低并发症的发生率,减少患者的胃肠道恢复时间和平均住院时间,降低并发症的发生率,值得临床上推广使用。
ObjectiveTo investigate the effect of meticulous fine nursing on the recovery of gastrointestinal tract in the convalescent period of colorectal polyps. Methods106 cases of colorectal polyps in Hainan Genergy Hospital from May 2016 to September 2017 were divided into control group and observation group by digital list, fifty-three cases in each group. The control group used the routine nursing, and the observation group carried out fine care. To observe and compare he clinical effects, the recovery of gastrointestinal tract, the adverse reaction and the average time of hospitalization between the two groups. Observe and compare the nursing efficacy of two groups of patients satisfaction, the change of the Self-rating anxiety Scale （SAS） and Self-rating depression scale （SDS） score before and after nursing, recovery time of gastrointestinal tract, the average time of hospitalization, complications of gastrointestinal recovery and related indicators between the two groups. ResultsThe total satisfaction of the observation group was higher than that of the control group, and the difference was statistically significant （χ2=4.711, P=0.03）. Before nursing, there was no significant difference in SAS and SDS scores between the two groups （SAS： t=-0.67, P=0.504; SDS： t=0.85, P=0.397）. After nursing, the scores of SAS and SDS in the observation group were lower than those in the control group, the difference was statistically significant （SAS： t=12.165, P 〈 0.001; SDS： t=12.581, P 〈 0.001）. The gastrointestinal recovery time and the average hospitalization time of the patients in the observation group were lower than that in the control group （t=9.069, P 〈 0.001）,so was the average hospitalization time and the difference was statistically significant （t=9.899, P 〈 0.001）. The incidence of complications in the observation group was lower than that of the control group, and the difference was statistically significant （χ2=4.296, P=0.038）. ConclusionThe effect of meticulous nursing on the recovery of gastrointestinal tract in patients with colorectal polyps is significant, which can improve the satisfaction degree of patients, reduce the recovery time of gastrointestinal tract and the average hospitalization time, and reduce the incidence of complications, which is worthy of clinical promotion.
作者
王玲
钟薇
潘俊玲
李斌
Wang Ling;Zhong Wei;Pan Junling;Li Bin(Department of The Fourth Area of Health Care Center,Hainan Genergy Hospital,Haikou 570311,China;Department of Nursing,Hainan Genergy Hospital,Haikou 570311,China)
出处
《中华结直肠疾病电子杂志》
2018年第6期584-588,共5页
Chinese Journal of Colorectal Diseases(Electronic Edition)
关键词
护理工作
息肉
结肠
直肠
精细化护理
结直肠息肉患者
胃肠道恢复
Nursing services
Polyps
Colon
Rectum
Meticulous nursing care
Patients with colorectal polyps
Recovery of gastrointestinal tract
