目标干预法在食管癌术后护理中的临床观察

目的探究目标干预法在食管癌术后护理中的应用价值。方法选取2017年6月至2019年6月我院收治的90例食管癌患者作为研究对象,依据随机数表法分为观察组和对照组各45例。对照组患者采用常规护理干预,观察组患者在对照组的基础上采用目标干预法进行干预,观察两组患者术前和术后12周时心理健康[症状自评量表(SCL-90)]评分变化,比较两组患者术后康复状况及并发症发生情况。结果术后12周时,观察组患者SCL-90中躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖和偏执评分均较术前显著降低且明显低于同一时间对照组(均P<0.05);对照组患者SCL-90中躯体化、强迫症状、人际关系敏感、抑郁、焦虑和敌对评分均较术前无明显差异(均P>0.05),恐怖和偏执评分均较术前显著降低(均P<0.05);两组患者SCL-90中精神病性评分均较术前无明显差异,且组间比较无明显差异(均P>0.05)。观察组患者术后首次排气、排便时间及住院时间均短于对照组(均P<0.05)。观察组患者术后并发症总发生率明显低于对照组(P<0.05)。结论目标干预法利于食管癌患者术后康复,缩短住院时间,可有效帮助患者缓解不良情绪,可提升患者的心理健康水平,对预后有利,且可降低术后并发症发生率,具有一定临床应用价值。

Clinical Observation of Targeted Intervention in Postoperative Nursing of Esophageal Cancer

Objective To explore the application value of targeted intervention in the postoperative nursing of esophageal cancer.Methods 90 patients with esophageal cancer in our hospital were selected and divided into observation group(45 cases)and control group(45 cases)randomly.Patients in control group were treated with routine nursing intervention,and patients in observation group were treated with targeted intervention on the basis of control group.The psychological health(SCL-90)was observed in the two groups before and 12 weeks after operation.The postoperative rehabilitation status and complications were compared between the two groups.Results 12 weeks after surgery,the scores of somatization,obsessive-compulsive symptoms,interpersonal sensitivity,depression,anxiety,hostility,terror and paranoia of SCL-90 scale in observation group were significantly lower than those before operation and were significantly lower than those in control group at the same time point(totally,P<0.05).There were no significant differences in the scores of somatization,obsessive-compulsive symptoms,interpersonal sensitivity,depression,anxiety and hostility of SCL-90 scale after operation in control group compared with those before operation(totally,P>0.05),and the postoperative scores of horror and paranoia were significantly lower than those before surgery(totally,P<0.05).The postoperative psychosis scores of SCL-90 in the two groups were not significantly different from those before operation,and there was no significant difference between the groups(totally,P>0.05).The first exhaust time,defecation time and hospital stay in experimental group were shorter than those in control group(totally,P<0.05).The total incidence rate of postoperative complications in experimental group was significantly lower than that in control group(P<0.05).Conclusion Targeted intervention is beneficial to the postoperative rehabilitation and can shorten the hospital stay of patients with esophageal cancer.It can effectively help patients relieve the adverse emotions and can improve psychological health level,and it is beneficial to the prognosis,and it can reduce the incidence rates of postoperative complications,with a certain clinical application value.