文献类型：期刊文献

中文题名：医护一体化护理在胃息肉行内镜下黏膜切除术患者中的应用效果

英文题名：Study on the effect of integrated medical and nursing care in patients with gastric polyps undergoing endoscopic mucosal resection

作者：朱雅芳[1];孙小军[2];胡剑浩[1]

机构：[1]绍兴文理学院附属医院(绍兴市立医院)内镜中心;[2]绍兴文理学院附属医院(绍兴市立医院)呼吸科

年份：2019

卷号：17

期号：6

起止页码：1062

中文期刊名：中华全科医学

外文期刊名：Chinese Journal of General Practice

收录：CSTPCD

基金：浙江省医药卫生科技计划项目(2018KY837)

语种：中文

中文关键词：医护一体化护理;胃息肉;内镜下黏膜切除术;应用效果

外文关键词：Integrated nursing care;Gastric polyp;Endoscopic mucosal resection;Application effect

中文摘要：目的探讨医护一体化护理模式护理模式对胃息肉性内镜下黏膜切除术患者的应用效果。方法选取2017年1月—2019年1月在绍兴文理学院附属医院收治的胃息肉患者120例,所有患者均行内镜下黏膜切除术,根据随机数字表法将其分为观察组(60例)和对照组(60例)。观察组患者应用医护一体化护理模式,对照组应用常规护理模式。对比2组患者术后恢复情况,根据状态特质焦虑量表比较2组患者护理干预前后心理状态评分,统计2组患者术后并发症发生率及护理满意度。结果观察组患者术后肠鸣音恢复时间、首次排气时间、首次排便时间及住院时间均短于对照组(均P<0.05);护理干预前,2组患者状态特质焦虑量表评分比较差异无统计学意义(均P>0.05);护理干预后,观察组患者评分均低于对照组(均P<0.05);观察组患者并发症发生率为3.3%(2/60),低于对照组的13.3%(8/60,P<0.05);观察组患者护理满意度各项评分(及时性、适宜性、连续性、全面性)均高于对照组(均P<0.05)。结论医护一体化护理模式相较于常规护理更能促进胃息肉行内镜下黏膜切除术患者术后恢复,减少患者住院时间,同时能降低患者焦虑情绪,减少术后并发症的发生,提高护理满意度,值得临床应用。

外文摘要：Objective To explore the effect of integrated nursing mode on gastric polyposis patients undergoing endoscopic mucosal resection. Methods A total of 120 patients with gastric polyps admitted to the Affiliated Hospital of Shaoxing University of Arts and Sciences from January 2017 to January 2019 were selected. All patients underwent endoscopic mucosal resection. They were divided into observation group(60 cases) and control group(60 cases) according to random number table method. Patients in the observation group were given integrated medical and nursing care, while patients in the control group were given routine nursing care. The post-operative recovery of the two groups was compared, and the psychological state scores of the 2 groups before and after nursing intervention were compared according to the State Trait Anxiety Scale. The incidence of complications and nursing satisfaction of the two groups were counted. Results The recovery time of bowel sounds, the first exhaust time, the first defecation time and the hospitalization time of the patients in the observation group were shorter than those in the control group(all P<0.05);before nursing intervention, there was no significant difference in the scores of state trait anxiety scale between the two groups(all P>0.05);after nursing intervention, the scores of the patients in the observation group were lower than those in the control group(all P<0.05);the incidence of complications in the observation group was 3.3%(2/60) lower than that in the control group 13.3%(8/60), P<0.05;the scores of nursing satisfaction in the observation group(timeliness, suitability, continuity and comprehensiveness were higher than those in the control group(all P<0.05). Conclusion Compared with routine nursing, the integrated nursing mode can promote the recovery of gastric polyp patients after endoscopic mucosal resection, reduce hospitalization time, reduce anxiety, reduce the occurrence of postoperative complications and improve nursing satisfaction, which is worthy of clinical application.