优质护理在胸腔镜治疗食管癌中的应用

目的：探讨优质护理在胸腔镜治疗食管癌术中的应用效果。方法方便选择该院2013年8月-2015年12月收治的行胸腔镜治疗的食管癌患者136例作为研究对象，随机分为优质组和常规组，每组68例，常规组采用常规外科护理措施，优质组实施优质护理措施，比较两组的术后并发症发生率以及护理满意度，并采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评价两组护理前后的心理状态，采用视觉模拟评分法(VAS)评价术后两组患者的疼痛程度。结果优质组术后并发症发生率较常规组的明显降低(4.41%V s 16.18%)，护理满意度显著提高(98.53%V s 82.35%)，差异有统计学意义(P<0.05)；优质组治疗后的SAS评分为(34.69±2.85)分，而常规组为(59.32±3.77)分，两组比较差异有统计学意义(P<0.05)。优质组治疗后的SDS评分为(42.51±3.17)分，而常规组的评分为(60.27±4.73)分，两组比较差异有统计学意义(P<0.05)。优质组患者术后疼痛程度显著低于常规组，优质组无痛的有55例，常规组无痛的有33例，优质组轻度疼痛有9例，常规组有21例，差异有统计学意义(P<0.05)。结论优质护理服务应用于胸腔镜治疗食管癌手术患者，可以明显的降低术后并发症发生率，改善患者的心理状态和疼痛程度，提高护理满意度，改善护患关系，值得进行广泛的推广。

Application of High Quality Nursing in the Treatment of Esophageal Cancer

Objective To investigate the quality of care in the treatment of thoracic esophageal carcinoma application effect. Methods Convenient our hospital in August 2013 - December 2015 esophageal cancer patients treated VATS treatment of 136 cases as routine surgical nursing subjects were randomly divided into groups of high-quality and conventional groups of 68 patients using conventional group , high-quality care group to implement the measures, two groups were compared inci-dence of postoperative complications and nursing satisfaction and self-rating anxiety scale (SAS) and self-Rating depression scale (SDS) evaluate the psychological state of the two groups before and after care , the degree of pain using a visual ana-log scale (VAS) were evaluated two groups of patients. Results Significantly reduce high rates of postoperative complications than the conventional group (4.41%V s 16.18%), treatment satisfaction improved significantly (98.53%V s 82.35%), the dif-ference was statistically significant (P<0.05); Quality group after treatment, the SAS score was (34.69 ± 2.85) points, while the conventional group was (59.32 ± 3.77) points, the difference between the two groups was statistically significant(P<0.05). Quality group after treatment, the SDS score was( 42.51± 3.17)points, while the conventional group score was(60.27 ± 4.73) points, the difference between the two groups was statistically significant (P<0.05). Quality groups of patients with postoper-ative pain was significantly lower than that of normal group, group of high-quality painless with 55 cases, conventional analgesia group with 33 cases, high-quality group of mild pain have 9 cases, conventional group with 21 cases, the differ-ence was statistically significant (P< 0.05). Conclusion Quality care applied to patients with thoracic esophageal cancer surgery can significantly reduce the incidence of postoperative complications, improve mental state and degree of pain pa-tients and improve nursing satisfaction, improve nurse-patient relationship, deserves widespread promotion.