摘要
目的调查循证护理干预措施对于食管癌手术患者进行干预的效果分析。方法该研究研究对象全部选自于该院在2014年10月—2017年1月收治的食管癌患者,供选择患者68例,将所有患者随机方法分为观察组和对照组,每组患者均为34例,对所有患者均选择采用手术方法进行治疗,对照组患者配合常规护理进行干预,观察组患者配合循证护理进行干预,比较两组患者干预以后患者的并发症发生情况,对患者手术以后,患者的疼痛、伤口愈合时间、平均住院时间等进行比较。结果观察组患者干预后的疼痛评分、伤口愈合时间和平均住院时间分别为(3.5±0.50)分,(7.05±1.61)d,(11.3±1.40)d;对照组分别为(6.7±1.20)分,(11.06±2.06)d,(28.5±6.70)d,两组比较,差异有统计学意义(P<0.05);观察组患者的1年生存率为76.47%,3年生存率为41.18%,对照组分别为64.71%和23.53%,两组比较,差异有统计学意义(P<0.05)。结论临床对于食管进行手术治疗的患者,为患者配合循证护理干预进行指导,可以有效缓解患者的疼痛,缩短患者的术后伤口愈合时间和患者的住院时间,能够减少患者并发症的发生率,具有推广使用的价值。
Objective To investigate the application and its effect of evidence-based nursing in patients with esophageal cancer surgery.Methods 68 cases of patients with esophageal cancer admitted and treated in our hospital from October 2014 to January 2017 were selected and randomly divided into two groups with 34 cases in each,all patients were treated with operation,and the control group added the routine nursing on the basis of the operation,the observation group added the evidence-based nursing for intervention on the basis of the operation,and the occurrence of complications of the two groups after intervention,pains,wound healing time and average length of stay were compared between the two groups.Results After intervention,the pains score,wound healing time and average length of stay in the observation group and in the control group were respectively(3.5±0.50)points,(7.05±1.61)d,(11.3±1.40)d and(6.7±1.20)points,(11.06±2.06)d,(28.5±6.70)d,and the differences were obvious with statistical significance(P<0.05),the 1-year survival rate and 3-year survival rate in the observation group and in the control group were respectively 76.47%,41.18%and 64.71%,23.53%,and the differences were statistically significant(P<0.05).Conclusion The evidence-based nursing intervention guidance for patients with esophageal cancer can effectively relieve the pains of patients,shorten the postoperative wound healing and length of stay,and it can reduce the incidence rate of complications,and it is of application and promotion value.
作者
徐华
XU Hua(Department of cardiovascular thoracic surgery,Jiangyin People’s Hospital,Jiangyin,Jiangsu Province,214400 China)
出处
《系统医学》
2017年第17期154-156,共3页
Systems Medicine
关键词
循证护理
食管癌
术后恢复
Evidence-based nursing
Esophageal cancer
Postoperative recovery
