责任制分组管理在胸腔镜下肺癌根治术患者中的应用效果

目的探讨责任制分组管理在胸腔镜下肺癌根治术患者中的应用效果。方法依据管理方法的不同将96例胸腔镜下肺癌根治术患者分为观察组和对照组,每组48例,对照组患者接受常规管理模式,观察组患者接受责任制分组管理模式。比较两组的护理技能、术前1天和术后1天患者的心理状态及护理满意度。结果观察组病历书写、物品管理、消毒隔离、健康宣教、专业技能和基础护理评分均明显高于对照组(P﹤0.05)。术后1天,两组患者的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均较本组术前1天降低,且观察组患者的SAS、SDS评分均低于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的护理满意度为93.75%(45/48),高于对照组的72.92%(35/48),差异有统计学意义(P﹤0.05)。结论对于胸腔镜下肺癌根治术患者,责任制分组管理模式相较于传统管理模式能够提高护理技能,减轻患者应激反应,提高患者护理满意度,值得临床推广应用。

Application of grouping responsibility system in patients with lung cancer undergoing thoracoscopic radical surgery

Objective To analyze the effect of grouping responsibility system in patients undergoing thoracoscopic surgery for radical resection of lung cancer.Method A retrospective analysis on 96 patients with thoracoscopic radical resection of lung cancer was performed,and patients were divided into study group and control group,with 48 patients in each.In control group,routine nursing management was given,while grouping responsibility system was followed for the nursing care of patients in study group.The nursing skills,psychological status one day before and one day after surgery,as well as the satisfaction level towards nursing were compared between the two groups.Result In study group,the medical record writing,nursing supplies management,disinfection and quarantine,health education,professional skills and basic nursing scores were significantly higher than those in the control group(P<0.05).In 1 day after surgery,the scores of self-rating depression scale(SDS)and self-rating anxiety scale(SAS)were significantly reduced compared to those rated one day before surgery,with significantly lower scores observed in study group than in control group(P<0.05).The satisfaction level of patients towards nursing care in study group was 93.75%(45/48),which was significantly higher than that in the control group at 72.92%(35/48),and the difference was statistically significant(P<0.05).Conclusion Compared with the routine nursing care,the grouping responsibility system applied in lung cancer patients receiving thoracoscopic surgery significantly improves the nursing skills,reduces the stress response of patients,meanwhile,the nursing approach improves the satisfaction level of patients.