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人性化护理在腹腔镜胃癌根治术中的应用效果探讨
基金项目:浙江省宁波市科技计划项目(2015C50017)
摘    要:目的探讨人性化护理在腹腔镜胃癌根治术中的应用效果。方法选取2016年1月~2017年1月我院收治的行腹腔镜胃癌根治术患者90例,根据护理方法不同随机分为干预组和对照组,对照组行常规护理,干预组行人性化护理,比较两组患者干预前后的SAS、SDS评分及护理满意度、并对患者干预前后的生活质量评分进行比较分析。结果干预前两组患者的SAS、SDS评分比较无明显差异(P0.05),干预后两组患者的SAS、SDS评分分别明显低于干预前及对照组,差异具有显著性(P0.05),干预组患者干预后的护理满意度达97.8%,显著高于对照组,差异具有显著性(P0.05),干预前两组患者的生活质量各项评分比较,无明显差异(P0.05),干预后两组患者的生活质量各项评分分别明显高于干预前,且干预组患者干预后的躯体、心理、社会及精神评分显著高于对照组,差异具有显著性(P0.05)。结论对腹腔镜胃癌根治术患者围术期通过实施人性化护理,有利于提高患者的配合度,减轻患者的焦虑心理,提高护理质量和护理满意度。

关 键 词:腹腔镜胃癌根治术  人性化护理  护理满意度  生活质量

Discussion on the application effect of humanized nursing in laparoscopic radical surgery for gastric cancer
Abstract:Objective To investigate the application effect of humanized nursing in laparoscopic radical surgery forgastric cancer. Methods From January 2016 to January 2017, 90 patients underwent laparoscopic radical surgery for gastric cancer in our hospital were selected. According to different nursing methods, the patients were randomly divided into intervention group and control group. The control group was given routine care, and the intervention group was given humanized care. The SAS and SDS scores and nursing satisfaction were compared between the two groups before and after intervention, and the quality of life scores of patients before and after intervention were compared and analyzed. Results There was no significant difference in SAS and SDS scores between the two groups before treatment (P>0.05). After intervention, the SAS and SDS scores of the two groups were significantly lower than those before intervention and in the control group respectively. The differences were significant (P<0.05). The nursing satisfaction in the intervention group after intervention was up to 97.8%, significantly higher than that in the control group, and the difference between groups was significant (P<0.05). There was no significant difference in the quality of life scores between the two groups before treatment(P>0.05). After intervention, the quality of life scores of two groups of patients were significantly higher than the scores before intervention. The physical, psychological, social and mental scores in the intervention group after intervention were significantly higher than those in the control group, and the differences were significant(P<0.05). Conclusion The implementation of humanized nursing care during perioperative period in the patients undergoing laparoscopic radical surgery for gastric cancer is beneficial to improving patient''s compliance, alleviating anxiety, and improving nursing quality and satisfaction.
Keywords:Laparoscopic radical surgery for gastric cancer   Humanized nursing care   Satisfaction degree   Quality of life
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