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目的探讨循证科学理念护理对电视腹腔镜下乙状结肠肿瘤切除术围手术期患者的影响。方法选取2014年1月至2016年1月间海南省农垦总医院收治的拟行电视腹腔镜下乙状结肠肿瘤切除术的96例患者,采用随机数字表法分为观察组和对照组,每组48例,观察组患者采用基于循证科学理念的护理干预,对照组患者采用常规护理干预,观察两组患者的护理干预效果。结果观察组患者排气时间、进食时间、下床活动时间、住院天数和住院费用均明显少于对照组患者,差异有统计学意义(P<0.05)。两组患者术后疼痛程度评分(VAS)呈现下降趋势,术后6h、12h、24h和48h观察组患者VAS疼痛评分明显低于对照组患者,差异有统计学意义(P<0.05),术后72h VAS疼痛评分组间比较差异无统计学意义(P>0.05)。观察组患者护理满意度为95.8%,明显高于对照组患者的72.9%,差异有统计学意义(P<0.05)。观察组患者并发症发生率为8.3%,明显低于对照组患者的31.3%,差异有统计学意义(P<0.05)。结论基于循证科学理念的护理干预用于电视腹腔镜下乙状结肠肿瘤切除术围手术期护理,可有效加快患者术后排气、进食及早期活动时间,减轻患者的疼痛,减少住院天数、住院费用和并发症。
Objective To explore the influence of evidence-based scientific concept nursing on perioperative patients undergoing laparoscopic sigmoid colon resection. Methods A total of 96 patients undergoing laparoscopic resection of sigmoid colon tumor from Hainan Provincial Land Reclamation General Hospital from January 2014 to January 2016 were randomly divided into observation group and control group Cases, the observation group of patients based on evidence-based scientific concept of nursing intervention, the control group of patients using routine nursing intervention, observation of two groups of patients with the effect of nursing intervention. Results In the observation group, the exhaust time, feeding time, ambulation time, hospitalization days and hospitalization costs were significantly less than those in the control group, with significant difference (P <0.05). The postoperative pain score (VAS) showed a decreasing trend in both groups. VAS pain scores in the observation group at 6h, 12h, 24h and 48h after operation were significantly lower than those in the control group (P <0.05) There was no significant difference between 72 h VAS pain score groups (P> 0.05). The satisfaction rate of nursing in the observation group was 95.8%, which was significantly higher than that in the control group (72.9%), the difference was statistically significant (P <0.05). The incidence of complications in the observation group was 8.3%, which was significantly lower than that in the control group (31.3%), the difference was statistically significant (P <0.05). Conclusion Nursing intervention based on evidence-based scientific concept can be used in perioperative nursing of TV laparoscopic sigmoid colon resection, which can effectively expedite the postoperative exhaust, feeding and early activity, reduce the pain, reduce the length of hospitalization, hospitalization And complications.