标题：预见性护理在腹腔镜直肠癌根治术中的应用

      作者：王志敏 1，肖洁 2，唐雯 1，郑琼 3    南华大学附属第二医院康复科 1、泌尿外科 2、神经内科 3，湖南 衡阳 421001

      卷次： 2019年30卷2期

      【摘要】 目的 观察预见性护理干预在腹腔镜直肠癌根治术患者中的应用效果。方法 将南华大学附属第二医院2010年1月至2015年1月收治的200例腹腔镜直肠癌根治术患者作为研究对象，其中2010年1月至2013年1月应用传统护理干预的100例患者作为对照组，2013年2月至2015年1月应用预见性护理干预的100例患者作为观察组，比较两组患者的手术时间、并发症、出血量及住院时间等情况，调查患者对护理满意度及手术医生对护理人员的护理配合满意度。结果 观察组患者的手术时间为(2.38±0.58) h，明显低于对照组的(3.01±0.79) h，手术出血量为(70.22±13.89) mL，明显低于对照组的(81.02±16.11) mL，差异均有统计学意义(P<0.05)；观察组患者的住院并发症发生率为13.00%，明显低于对照组的44.00%，住院时间为(9.02±1.28) d，明显短于对照组的(11.21±2.06) d，差异均有统计学意义(P<0.05)；观察组患者对护理人员满意度为 99.0%，明显高于对照组的 87.0%,差异具有统计学意义(P<0.05)；观察组手术医生对护理人员的护理配合满意度为 100.0%，对照组为 63.64%，差异具有统计学意义(P<0.05)。结论 预防性护理干预可以大幅度提高患者满意度，缩短腹腔镜直肠癌根治术患者的住院时间、减少并发症、降低出血量，对提高护理质量，树立医院形象具有积极作用。
      【关键词】 预见性护理；并发症；直肠癌根治术；护理效果；出血量；手术时间
      【中图分类号】 R473.73 【文献标识码】 A 【文章编号】 1003—6350（2019）02—270—03A

pplication of predictive nursing in laparoscopic radical resection of rectal cancer.
WANG Zhi-min 1, XIAO Jie 2,TANG Wen 1, ZHENG Qiong 3. Department of Rehabilitation 1, Department of Urology 2, Department of Neurology 3, theSecond Affiliated Hospital of South China University, Hengyang 421001, Hunan, CHINA
【Abstract】 Objective To observe the effect of predictive nursing intervention in patients with rectal cancer un-dergoing laparoscopic radical resection. Methods A total of 200 patients with rectal cancer undergoing laparoscopicradical resection admitted to the Second Affiliated Hospital of Nanhua University from January 2010 to January 2015were enrolled, of which 100 patients were treated with traditional nursing intervention from January 2010 to January2013 (the control group), and 100 patients with predictive nursing intervention from February 2013 to January 2015 (theobservation group). The operation time, complications, bleeding volume, and length of hospital stay were compared be-tween the two groups. The patient's satisfaction and the surgeon's satisfaction with the nursing of the nursing staff wereinvestigated. Results The operation time of the observation group was (2.38±0.58) h, which was lower than (3.01±0.79) h in the control group (P<0.05). The amount of surgical bleeding was (70.22±13.89) mL, which was significantlylower than (81.02±16.11) mL in the control group (P<0.05). The incidence of hospitalization complications was 13.00%in the observation group, which was significantly lower than 44.00% in the control group (P<0.05). The hospitalizationtime of the observation group patients was (9.02±1.28) days, significantly shorter than (11.21±2.06) days in the controlgroup (P<0.05). The patients’satisfaction rate with the nursing staff in the observation group was 99.00%, significantlyhigher than 87.00% in the control group (P<0.05). The surgeon's satisfaction with the nursing staff was 100.00% in the obser-vation group and 63.64% in the control group, and the difference was statistically significant (P<0.05). Conclusion Preven-tive nursing intervention can greatly improve patient satisfaction, shorten hospitalization time, reduce complications andreduce bleeding volume in patients undergoing laparoscopic radical resection of rectal cancer. It has a positive effect onimproving the quality of nursing and establishing hospital image.
      【Key words】 Predictive nursing; Complications; Radical resection of rectal cancer; Nursing effect; Bleeding vol-ume; Operation time·护理·doi:10.3969/j.issn.1003-6350.2019.02.038基金项目：湖南省科技创新计划项目(编号：S2018ZCKPZX0169)