All colorectal surgeons are faced from time to time with anastomotic leakage after colorectal surgery. This complication has been studied extensively without a significant reduction of incidence over the last 30 years...All colorectal surgeons are faced from time to time with anastomotic leakage after colorectal surgery. This complication has been studied extensively without a significant reduction of incidence over the last 30 years. New techniques of prevention, by innovative anastomotic techniques should improve results in the future, but standardization and "teachability" should be guaranteed. Risk scoring enables intra-operative decision-making whether to restore continuity or deviate. Early detection can lead to reduction in delay of diagnosis as long as a standard system is used. For treatment options, no firm evidence is available, but future studies could focus on repair and saving of the anastomosis on the one hand or anastomotical breakdown and definitive colostomy on the other hand.展开更多
目的探究纽曼护理模式联合预警性预防护理模式在乳腺旋切患者围术期中的应用。方法方便选取2020年10月—2022年10月在解放军第七十三集团军医院实施乳腺旋切手术治疗的患者89例作为本研究对象。以随机数表法将其分组,对照组(44例)接受...目的探究纽曼护理模式联合预警性预防护理模式在乳腺旋切患者围术期中的应用。方法方便选取2020年10月—2022年10月在解放军第七十三集团军医院实施乳腺旋切手术治疗的患者89例作为本研究对象。以随机数表法将其分组,对照组(44例)接受常规围术期护理;观察组(45例)在对照组的基础上接受纽曼护理模式联合预警性预防护理模式。比较两组护理前后心理状态评估量表(Mental Status Scale in Nonpsychiatric Settings,MSSNS)评分、纽卡斯尔护理满意度量表(Newcastle Nursing Satisfaction Scale,NSNS)及术后并发症发生率。结果两组护理前MSSNS中焦虑、抑郁、愤怒、孤独评分对比,差异无统计学意义(P>0.05);观察组护理后MSSNS中焦虑、抑郁、愤怒、孤独评分低于对照组,差异有统计学意义(P均<0.05)。观察组NSNS评分为(81.75±3.86)分,高于对照组的(78.89±4.13)分,差异有统计学意义(t=3.373,P<0.05)。观察组术后并发症发生率为2.22%,低于对照组的18.18%,差异有统计学意义(P<0.05)。结论对乳腺旋切患者围术期中实施纽曼护理模式联合预警性预防护理模式可以有效调节其心理状态,减少术后并发症,并提高患者满意程度。展开更多
文摘All colorectal surgeons are faced from time to time with anastomotic leakage after colorectal surgery. This complication has been studied extensively without a significant reduction of incidence over the last 30 years. New techniques of prevention, by innovative anastomotic techniques should improve results in the future, but standardization and "teachability" should be guaranteed. Risk scoring enables intra-operative decision-making whether to restore continuity or deviate. Early detection can lead to reduction in delay of diagnosis as long as a standard system is used. For treatment options, no firm evidence is available, but future studies could focus on repair and saving of the anastomosis on the one hand or anastomotical breakdown and definitive colostomy on the other hand.
文摘目的探究纽曼护理模式联合预警性预防护理模式在乳腺旋切患者围术期中的应用。方法方便选取2020年10月—2022年10月在解放军第七十三集团军医院实施乳腺旋切手术治疗的患者89例作为本研究对象。以随机数表法将其分组,对照组(44例)接受常规围术期护理;观察组(45例)在对照组的基础上接受纽曼护理模式联合预警性预防护理模式。比较两组护理前后心理状态评估量表(Mental Status Scale in Nonpsychiatric Settings,MSSNS)评分、纽卡斯尔护理满意度量表(Newcastle Nursing Satisfaction Scale,NSNS)及术后并发症发生率。结果两组护理前MSSNS中焦虑、抑郁、愤怒、孤独评分对比,差异无统计学意义(P>0.05);观察组护理后MSSNS中焦虑、抑郁、愤怒、孤独评分低于对照组,差异有统计学意义(P均<0.05)。观察组NSNS评分为(81.75±3.86)分,高于对照组的(78.89±4.13)分,差异有统计学意义(t=3.373,P<0.05)。观察组术后并发症发生率为2.22%,低于对照组的18.18%,差异有统计学意义(P<0.05)。结论对乳腺旋切患者围术期中实施纽曼护理模式联合预警性预防护理模式可以有效调节其心理状态,减少术后并发症,并提高患者满意程度。
