食管癌患者开胸术后拔管期的护理方法研究与效果观察

目的 探讨食管癌患者开胸手术后拔管期的护理方法研究及其临床效果的观察.方法 选取浙江省江山市人民医院2010年1月～2012年12月收治的食管癌行开胸术患者60例,随机分为观察组及对照组,每组各30例.对照组在拔管期采用常规的护理模式进行护理,而观察组在此基础上采用优质的护理模式进行护理,观察两组患者拔管期并发症发生情况、生活质量评分以及患者满意度及舒适度的评价.结果 观察组不良反应发生率为3.3％,低于对照组的23.3％,差异有统计学意义（P＜0.05）.治疗前,两组患者生活质量总分分别为（72.18±5.59）、（71.59±5.48）分,差异无统计学意义（P＞0.05）;出院时,观察组患者生活质量总分为（78.11±4.36）分,明显高于对照组[（78.11±4.36）分],差异有统计学意义（P＜0.05）.观察组患者护理满意度为100.00％（30/30）,明显高于对照组的86.67％ （25/30）,差异有统计学意义（P＜0.05）.结论 在食管癌患者开胸术后拔管期进行优质的护理,对于降低患者的并发症和提高患者的生活质量及满意度有较好的作用.

Nursing methods and effect observation of esophageal cancer patients undergoing thoracic surgery during extubation period

Objective To explore the nursing methods and effect observation of esophageal cancer patients undergoing thoracic surgery during extubation period.Methods 60 patients with esophagus cancer and treated by thoracic surgery in People＇s Hospital of Jiangshan City from January 2010 to December 2012 were selected and randomly divided into two groups with 30 cases in each,the control group was given the conventional extubation care,the observation group was given the quality nursing on the basis of the conventional extubation care,the occurrence of complications,the evaluation of the quality of life scores and patient satisfaction and comfort were observed.Results The incidence of adverse reactions in patients was 3.3％,it was lower than that of the control group （23.3％）,the differences were statistically significant （P ＜ 0.05）.The quality of life scores before the treatment of the two groups were （72.18±5.59） and （71.59±5.48） points respectively,the difference was not statistically significant （P ＞ 0.05）; the quality of life scores out of the hospital in observation group were （78.11 ±4.36）scores,it was higher than that in control group [（78.11±4.36） scores],the differences were statistically significant （P ＜ 0.05）.Patient care satisfaction was 100.00％ in the observation group,it was obviously higher than that of the control group （86.67％）,the differences were statistically significant （P ＜ 0.05）.Conclusion The quality care of esophageal cancer patients undergoing thoracic surgery during extubation period can reduce patient complications and improve the patient＇s quality of life and satisfaction.