摘要
目的 探讨全程系统化护理对腹腔镜肾癌根治术合并高血压患者的术后康复影响。方法 随机选取2021年1月—2023年1月在福建省立医院南院接受腹腔镜肾癌根治术治疗的80例原发性肾癌合并高血压患者为研究对象,随机数表法分为对照组、观察组,每组40例。对照组接受围术期常规护理干预,观察组接受全程系统化护理。对比两组患者的术后负面情绪、自我效能感、康复进度。结果 干预后观察组总住院时间、下床活动时间、首次肛门排气时间均短于对照组,差异有统计学意义(P<0.05)。术后1周,观察组患者的自我效能感评分高于对照组,差异有统计学意义(P<0.05)。观察组患者的SDS评分(42.08±4.95)分、SAS评分(41.74±6.20)分低于对照组,差异有统计学意义(t=2.550、2.571,P<0.05)。结论 腹腔镜肾癌根治术合并高血压患者接受全程系统化护理,有助于术后康复进度加速以及患者的自我效能感增强、负面情绪减轻,是一种优质的护理模式。
Objective To explore the effect of whole-process systematic nursing on postoperative rehabilitation of patients with hypertension after laparoscopic radical nephrectomy.Methods A total of 80 patients with primary renal cell carcinoma complicated with hypertension who underwent laparoscopic radical nephrectomy in the South Hospital of Fujian Provincial Hospital from January 2021 to January 2023 were randomly selected as the research objects.They were divided into control group and observation group by random number table method,with 40 cases in each group.The control group received perioperative routine nursing intervention,and the observation group received whole-course systematic nursing.The postoperative negative emotions,self-efficacy and rehabilitation progress of the two groups were compared.Results After intervention,the total hospitalization time,the time of getting out of bed and the time of first anal exhaust in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).One week after operation,the self-efficacy score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The SDS score(42.08±4.95) points and SAS score(41.74±6.20) points of the observation group were lower than those of the control group,and the differences were statistically significant(t=2.550,2.571,P<0.05).Conclusion Laparoscopic radical nephrectomy for patients with hypertension who receive full-process systematic nursing can help to accelerate postoperative recovery,enhance patients' self-efficacy,and reduce negative emotions.It is a high-quality nursing mode.
作者
俞梦玲
林丹
翁美文妹
叶显凤
YU Menging;LIN Dan;WENG Meiwenmei;YE Xianfeng(South Hospital of Fujian Provincial Hospital,Fuzhou,Fujian Province,350001 China)
出处
《中外医疗》
2023年第21期164-168,共5页
China & Foreign Medical Treatment
关键词
腹腔镜肾癌根治术
高血压
全程系统化护理
康复
Laparoscopic radical nephrectomy
Hypertension
Whole-process systematic nursing
Rehabilitation
