食管癌患者围手术期的预见性护理

论文编号:HL098  论文字数:9826.页数:20

论文题目 ：食管癌患者围手术期的预见性护理

摘 要

 目的：探讨预见性护理在食道癌患者围手术期中的效果及意义。
 方法：选择2010年2月－2011年7月在我院外科实施食管癌手术的65例患者作为研究对象，随机分为试验组和对照组。两组接受相同的治疗方案和临床基础护理。实验组根据患者个体特点实施针对性的预见性护理，对照组按医嘱常规护理，比较两组患者在住院期间对治疗护理配合程度、心理焦虑程度、术后并发症发生率、对护理质量满意度。
 结果：实验组的配合程度、满意度高于对照组，两组差异有统计学意义(P＜0.05)。实验组的心理焦虑程度、术后并发症低于对照组，两组差异有统计学意义(P＜0.05)。
 结论：在疾病围手术期采取预见性护理对患者进行有效干预，可以提高患者对治疗的配合程度，降低焦虑程度，减少术后并发症发生率，提高对护理质量满意度，在临床护理工作中可以广泛使用。

 关键词：食管癌；  围手术期；  预见性护理
 论文类型：应用研究
 
 
 Title: Perioperative patients with esophageal cancer nursing care
 
 ABSTRACT

 Objectives: To evaluate nursing care in the perioperative period in patients with esophageal cancer effect and significance.
     Methods: In February 2010 July 2011 implementation of esophageal cancer surgery in our hospital and 65 surgery patients for the study were randomly divided into experimental and control groups. Both groups received the same treatment regimens and clinical basis for care. Experimental group according to characteristics of the implementation of targeted individual patient nursing care, routine care control group by your doctor to compare two groups of patients in the hospital for treatment and care with the degree of psychological anxiety, incidence of postoperative complications, satisfaction with the quality of care .
     Results: The group with the degree of satisfaction was higher, the difference was statistically significant (P <0.05). Experimental group, the psychological anxiety, post-operative complications than the control group, the difference was statistically significant (P <0.05).
     Conclusion: nursing care to the perioperative period of the disease in patients with effective intervention, can improve the treatment of patients with the degree, reduce anxiety, reduce the incidence of postoperative complications and improve satisfaction with the quality of care in clinical nursing can be widely used.

     KEY WORDS: esophageal cancer, Perioperative, Nursing care
     TYPE OF THESIS: Application
目  录
1 绪论……………………………………………………………………………. 1
    1.1 研究背景和意义……………………………………………………….. 1
    1.2 研究目的和目标……………………………………………………….. 1
    1.3 关键词及定义………………………………………………………….. 3
    1.4 文献回顾……………………………………………………………….. 3
2 研究设计………………………………………………………………………. 5
    2.1 研究对象……………………………………………………………….. 5
    2.2 研究工具／方法……………………………………………………….. 5
    2.3 研究步骤……………………………………………………………….. 7
    2.4 资料分析……………………………………………………………….. 7
3 研究结果………………………………………………………………………. 8
    3.1 两组患者一般资料…………………………………………………….. 8
    3.2 两组患者结果比较…………………………………………………….. 8
4 讨论…………………………………………………………………………….10
    4.1 预见性护理在临床工作中的意义……………………………………..10
    4.2 实施预见性护理，需要扎实的护理知识技能和心理沟通能力……..10
    4.3 预见性护理在本研究中取得效果……………………………………..10
5 推论及建议…………………………………………………………………….12
    5.1 推论……………………………………………………………………..12
    5.2 建议……………………………………………………………………..12
  感    谢……………………………………………………………………….13
  参考文献……………………………………………………………………….14
  附    录……………………………………………………………………….16