摘要
目的探究与分析基于量化评估策略护理表在结肠癌手术患者围手术期的影响。方法选取福建省肿瘤医院2020年3月—2022年2月收治的120例结肠癌手术患者,采取随机数字表法分为对照组与观察组,每组各60例,对照组给予常规围手术期护理,观察组在其基础上增加基于量化评估策略护理表,比较两组术后康复指标、心理状态、视觉模拟评分法(visual analogue scale,VAS)以及中国癌症患者化学生物治疗生活质量量表(quality of life questionnaire for Chinese cancer patients with chemobiotherapy,QLQ-CCC)评分,同时观察两组患者术后并发症发生率。结果观察组首次排气时间、首次排便时间、首次下床时间短于对照组,总住院费用少于对照组,差异有统计学意义(P<0.05)。两组干预后与干预前比较,焦虑自评量表(self-rating anxiety scale,SAS)评分和抑郁自评量表(self-rating depression scale,SDS)评分降低,观察组干预后SAS评分、SDS评分低于对照组,差异有统计学意义(P<0.05)。观察组VAS评分低于对照组,QLQ-CCC评分高于对照组,术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论基于量化评估策略护理表在结肠癌手术患者中的应用可获得较好的围手术期指标,心理状态得到有效改善,生活质量得以提高,术后并发症发生率较低,安全性较高。
Objective To explore and analyze the perioperative effect of nursing table based on quantitative evaluation strategy in patients undergoing colon cancer surgery.Methods A total of 120 patients with colon cancer surgery admitted to Fujian Cancer Hospital from March 2020 to February 2022 were selected and divided into control group and observation group by random number table,with 60 cases in each group.The control group was given routine perioperative nursing,and the observation group was added nursing table based on quantitative evaluation strategy.Postoperative rehabilitation indexes,mental state,visual analog scale(VAS)and quality of life questionnaire for Chinese cancer patients with chemobiotherapy(QLQCCC)scores were compared between the two groups,and the incidence of postoperative complications was observed between the two groups.Results The first exhaust time,first defecation time and first getting out of bed time in the observation group were shorter than those in the control group,and the total hospitalization cost was less than that in the control group,the difference was statistically significant(P<0.05).Compared with before intervention,self-rating anxiety scale(SAS)and self-rating depression scale(SDS)of the two groups decreased after intervention,and SAS and SDS of the observation group were lower than those of the control group after intervention,the difference was statistically significant(P<0.05).VAS score of observation group was lower than control group,QLQ-CCC score was higher than control group,incidence of postoperative complications was lower than control group,the difference was statistically significant(P<0.05).Conclusion The application of nursing table based on quantitative evaluation strategy in patients with colon cancer surgery can obtain better perioperative indicators,effectively improve the psychological state,improve the quality of life,lower the incidence of postoperative complications,high safety.
作者
郑休嘉
吴晓丹
黄志成
官申
ZHENG Xiujia;WU Xiaodan;HUANG Zhicheng;GUAN Shen(Operating Room,Clinical Oncology School of Fujian Medical University/Fujian Cancer Hospital,Fuzhou Fujian 350014,China;Department of Gastrointestinal Surgery,Clinical Oncology School of Fujian Medical University/Fujian Cancer Hospital,Fuzhou Fujian 350014,China)
出处
《中国卫生标准管理》
2023年第11期179-183,共5页
China Health Standard Management
基金
2022年福建省医学创新课题(2020CXB006)。
关键词
量化评估策略护理表
结肠癌手术
围手术期
生活质量
心理状态
并发症
quantitative evaluation strategy nursing table
colon cancer surgery
perioperative period
quality of life
mental state
complication
