摘要
目的探讨腹膜后肿瘤患者肿瘤切除术术后出血的护理。方法选取2016年12月至2018年11月间湖北省武汉市中西医结合医院收治的72例行腹膜后肿瘤切除术患者作为研究对象。根据采用的护理方法不同进行分组,采用常规护理的36例患者纳入对照组,在常规护理基础上采用针对性护理的36例患者纳入观察组,观察两组患者术后出血发生率、住院时间及护理前后焦虑和抑郁评分情况,并观察两组患者对护理的满意程度。结果观察组护理总满意度为94. 4%,高于对照组的63. 9%,差异有统计学意义(P <0. 05)。护理前,两组患者焦虑和抑郁评分比较,差异无统计学意义(P> 0. 05)。护理后,两组患者的焦虑和抑郁评分均低于护理前,且观察组焦虑和抑郁评分显著低于对照组,差异均有统计学意义(均P <0. 05)。观察组术后出血发生率少于对照组,差异有统计学意义(P <0. 05)。观察组住院时间短于对照组,差异有统计学意义(P <0. 05)。结论针对性观察与护理可改善患者负面情绪,减少术后出血发生率,提高患者对护理的满意度。
Objective To study the nursing for risk for hemorrhage after resection of retroperitoneal tumors. Methods From December 2016 to November 2018,72 patients undergoing retroperitoneal tumor resection at Wuhan Hospital of Integrated Traditional Chinese and Western Medicine selected. They were randomly divided into an observation group and a control group with 36 patients in each group. The observation group was given targeted nursing besides conventional nursing and the control group was given conventional nursing. The incidence of postoperative bleeding,length of hospital stay,anxiety and depression scores before and after nursing and patient satisfaction with nursing care were observed in the two groups.Results The overall satisfaction rate was 94. 4% in the observation group,which was significantly higher than 63. 9% of the control group( P < 0. 05). Before nursing,there was no significant difference in scores of anxiety and depression between the two groups( P > 0. 05). After nursing,scores of anxiety and depression were lower in the observation group than in the control group( all P < 0. 05). The incidence of postoperative hemorrhage was lower in the observation group than in the control group( P < 0. 05). Length of hospital stay was significantly lower in the observation group than in the control group( P < 0. 05). Conclusion Targeted observation and nursing can reduce negative emotion and incidence of postoperative bleeding,and improve the patient satisfaction with the nursing.
作者
张文歆
叶达夫
万君兰
高晨
匡品品
ZHANG Wen-xin;YE Da-fu;WAN Jun-lan;GAO Chen;KUANG Pin-pin(Department of Critical Medicine,Wuhan Hospital of Integrated Traditional Chinese and Western Medicin e,Wuhan 430000,China;Department of Oncology,People's Hospital of Hubei Province,Wuhan 430060,China;Hemodialysis Room,Wuhan Hospital of Integrated Traditional Chinese and Western Medicine,Wuhan 430000,China)
出处
《中国肿瘤临床与康复》
2020年第7期881-884,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
腹膜后肿瘤
手术出血
护理
焦虑
抑郁
护理满意度
Retroperitoneal tumors
Surgical bleeding
Nursing
Anxiety
Depression
Nursing satisfaction
