以人文关怀为基础的手术室护理对结直肠癌根治术后的安全性、恢复和满意度的影响。

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL World Journal of Clinical Cases Pub Date : 2024-08-26 DOI:10.12998/wjcc.v12.i24.5483
Xian-Pu Wang, Min Niu
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引用次数: 0

摘要

背景:根治性手术是治疗结直肠癌的首选方法,护理干预对术后恢复和预防并发症至关重要。近年来,人文关怀在医疗护理中的应用备受关注。人文关怀强调全面护理,重视患者的生理需求以及心理和情感支持,为患者提供更加人性化和个性化的护理服务。目的:探讨以人文关怀为基础的手术室护理对结直肠癌根治术患者安全、术后恢复及护理满意度的影响:选取 2023 年 8 月至 2024 年 3 月期间在武汉大学中南医院接受手术治疗的直肠癌患者共 120 例,根据所采用的护理方法进行分组。其中,55 例患者接受常规护理干预(对照组),65 例患者接受以人文关怀为基础的手术室护理(研究组)。记录患者的生命体征,包括收缩压/舒张压(SBP/DBP)和每分钟心跳(BPM),以及血清应激指数,包括去甲肾上腺素(NE)、肾上腺激素(AD)和皮质醇(Cor)。此外,还记录了术后恢复情况和并发症。分别使用抑郁/焦虑自评量表(SDS/SAS)、赫斯希望指数(HHI)和自编护理满意度问卷对患者的负面情绪、生活希望和护理满意度进行评估:研究组在麻醉苏醒期间的 SBP、DBP 和 BPM 水平低于对照组,血清 Cor、AD 和 NE 水平也低于对照组。此外,研究组的手术时间、苏醒时间、肛门排气时间、术后首次行走时间、拔除引流管时间、肠道恢复时间和住院时间均短于对照组。研究组的总并发症发生率、SDS 和 SAS 评分均低于对照组。研究组的 HHI 和护理满意度评分均高于对照组:基于人文关怀的手术室护理可减轻结直肠癌根治术患者的生理应激反应,减少术后并发症,促进术后恢复,缓解不良心理情绪,提高生活希望和护理满意度,可在临床上推广应用。
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Influence of humanistic care-based operating room nursing on safety, recovery, and satisfaction after radical surgery for colorectal carcinoma.

Background: Radical surgery is a preferred treatment for colorectal carcinoma, wherein nursing intervention is essential for postoperative recovery and prevention of complications. Recently, the application of humanistic care in medical care has attracted attention. Humanistic care emphasizes comprehensive care, with importance attached to patients' physical needs as well as psychological and emotional support to provide more humane and personalized care services. However, no clinical reports have examined the use of humanistic care in patients undergoing radical surgery for colorectal carcinoma.

Aim: To investigate the influence of humanistic care-based operating room nursing on the safety, postoperative recovery, and nursing satisfaction of patients who have undergone radical surgery for colorectal carcinoma.

Methods: In total, 120 patients with rectal cancer who underwent surgery in Zhongnan Hospital of Wuhan University between August 2023 and March 2024 were selected and grouped based on the nursing methods employed. Of these patients, 55 were treated with routine nursing intervention (control group) and 65 were provided humanistic care-based operating room nursing (research group). The patients' vital signs were recorded, including systolic/diastolic blood pressure (SBP/DBP) and heart beats per minute (BPM), as well as serum stress indices, including norepinephrine (NE), adrenal hormone (AD), and cortisol (Cor). Postoperative recovery and complications were also recorded. Patients' negative emotions, life hope, and nursing satisfaction were evaluated using the Self-rating Depression/Anxiety Scale (SDS/SAS), Herth Hope Index (HHI), and self-developed nursing satisfaction questionnaire, respectively.

Results: During emergence from anesthesia, SBP, DBP, and BPM levels were found to be lower in the research group than those in the control group, also serum Cor, AD, and NE levels were lower. In addition, the research group had shorter operative, awakening, anal exhaust, first postoperative ambulation, drainage tube removal, intestinal recovery, and hospital times. The total complication rate and the SDS and SAS scores were lower in the research group than those in the control group. The HHI and nursing satisfaction scores were higher in the research group.

Conclusion: Humanistic care-based operating room nursing can mitigate physiological stress responses, reduce postoperative complications, promote postoperative recovery, relieve adverse psychological emotions, and enhance life hope and nursing satisfaction in patients undergoing radical surgery for colorectal carcinoma, which can be popularized in clinical practice.

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来源期刊
World Journal of Clinical Cases
World Journal of Clinical Cases Medicine-General Medicine
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期刊介绍: The World Journal of Clinical Cases (WJCC) is a high-quality, peer reviewed, open-access journal. The primary task of WJCC is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of clinical cases. In order to promote productive academic communication, the peer review process for the WJCC is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJCC are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in clinical cases.
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