全程系统化护理对腹腔镜下肾癌根治术患者临床疗效、心理状态及自我管理效能的影响

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摘要目的观察全程系统化护理对腹腔镜下肾癌根治术患者临床疗效、心理状态及自我管理效能的影响。方法采用回顾性分析方法，选取2016年7月～2018年7月于内蒙古医科大学附属医院接受腹腔镜肾癌根治术的98例患者，按不同护理方案分为两组，每组49例。对照组行常规护理，观察组行全程系统化护理，比较两组恢复情况、并发症、心理状态及自我管理效能。结果观察组护理后排气时间、尿管留置时间、下床活动时间、住院时间均短于对照组，睡眠时间长于对照组，差异有高度统计学意义（P ＜ 0.01）。观察组护理后术后并发症发生率低于对照组，差异有高度统计学意义（P ＜ 0.01）。两组护理后焦虑自评量表、抑郁自评量表评分均低于护理前，且观察组低于对照组，差异有高度统计学意义（P ＜ 0.01）。观察组护理后正性态度、自我决策、压力减轻及自我管理效能总分均高于对照组，差异有高度统计学意义（P ＜ 0.01）。结论腹腔镜下肾癌根治术患者应用全程系统化护理能显著加快术后康复，并降低术后并发症风险，减轻负面心理情绪，增强自我管理效能，效果显著。

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	闫彩艳岳根全孙婷▲

关键词 ：肾癌, 腹腔镜肾癌根治术, 全程系统化护理, 心理状态, 自我管理效能

Abstract：Objective To observe the effect of whole-process systemic nursing on clinical efficacy, psychological state and self-management efficacy of patients after laparoscopic radical nephrectomy. Methods Total 98 patients underwent laparoscopic radical nephrectomy in Affiliated Hospital of Inner Mongolia Medical University from July 2016 to July 2018 were divided into two groups according to the different nursing options, with 49 cases in each group, by retrospective analysis. The control group received routine nursing, while the observation group received whole-process systemic nursing. The recoveries, complications, psychological status and self-management efficacy of patients in two groups were compared. Results After nursing, the exhaust time, indwelling time of urinary catheter, getting out of bed activity time and hospitalization time of observation group were shorter than those of control group, and the sleep time of observation group was longer than that of control group, with highly statistically significant difference (P < 0.01). The incidence of postoperative complications in observation group was lower than that in control group, with highly statistically significant difference(P < 0.01). The scores of self-rating anxiety scale and self-rating depression scale in two groups after nursing were lower than those before nursing, and those in observation group were lower than those in control group, with highly statistically significant difference (P < 0.01). The total scores of positive attitude, self-decision-making, stress relief and self-management efficacy of observation group after nursing were higher than those of control group, and the difference was highly statistically significant (P < 0.01). Conclusion For patients undergoing laparoscopic radical nephrectomy, the application of whole-process systemic nursing can significantly accelerate their postoperative rehabilitation and reduce the risk of postoperative complications, alleviate their negative psychological emotions and enhance their self-management efficacy.

Key words： Renal cancer Laparoscopic radical nephrectomy Whole-process systemic nursing Psychological state Self-management efficacy

基金资助:内蒙古自治区卫生计生科研计划项目（2017010 66）。

通讯作者: ▲通讯作者

引用本文:

闫彩艳岳根全孙婷▲. 全程系统化护理对腹腔镜下肾癌根治术患者临床疗效、心理状态及自我管理效能的影响[J]. 中国医药导报, 2019, 16(20): 172-176.
YAN Caiyan YUE Genquan SUN Ting▲. Effect of whole-process systemic nursing on clinical efficacy, psychological state and self-management efficacy for patients after laparoscopic radical nephrectomy. 中国医药导报, 2019, 16(20): 172-176.

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http://www.yiyaodaobao.com.cn/CN/ 或 http://www.yiyaodaobao.com.cn/CN/Y2019/V16/I20/172

[1] 陈超男，梁萍，于晓玲，等.超声造影引导经皮微波消融治疗肾癌的临床应用[J].中华医学超声杂志，2015，12（4）：325-329.
[2] 汪青蓉，温桂芬.个性化护理在经腹膜后腹腔镜下肾癌根治术中的应用[J].中华现代护理杂志，2015，21（22）：2670-2671.
[3] 曹达龙，戴波，张海梁，等.多房囊性肾细胞癌的临床病理特点及预后分析[J].中华泌尿外科杂志，2015，36（3）：188-191.
[4] Albiges L，Choueiri T，Escudier B，et al. A systematic review of sequencing and combinations of systemic therapy in metastatic renal cancer [J]. Eur Urol，2015，67（1）：100-110.
[5] 金宗兰，胡少华，陈萍萍，等.叙事医学模式对肾癌根治术患者康复效果影响的随机对照试验研究[J].中国实用护理杂志，2017，33（20）：1525-1529.
[6] 黄莺.情境认知共享延续护理在肾癌根治术后患者中的应用[J].护理实践与研究，2017，14（9）：56-58.
[7] Breda A，Castellan P，Freitas RA，et al. Renal and adrenal minilaparoscopy：a prospective multicentric study [J]. Urology，2016，92（3）：44-50.
[8] Jafari MD，Wexner SD，Martz JE，et al. Perfusion assessment in laparoscopic left-sided/anterior resection （PILLAR Ⅱ）：a multi-institutional study [J]. J Am Coll Surg，2015，220（1）：82-92.
[9] Cohen AJ，Williams DS，Bohorquez H，et al. Robotic-assisted laparoscopic donor nephrectomy：decreasing length of stay [J]. Ochsner J，2015，15（1）：19-24.
[10] 刘晓菲.全程系统化护理干预在腹腔镜下肾癌根治术患者中的应用[J].齐鲁护理杂志，2018，24（14）：27-30.
[11] 付朝红.腹腔镜肾癌根治性切除术后的护理体会[J].河南外科学杂志，2015，21（2）：7-8.
[12] 陈玉珍.围手术期护理方法对腹腔镜肾癌根治术患者的效果观察[J].当代护士，2015（11）：70-71.
[13] Adachi Y，Endo A，Nakashima R，et al. Renal artery stenting using CO2 gas angiography in combination with iodinated contrast angiography [J]. Intern Med，2016，55（17）：2419-2422.
[14] 李佩佩，程欣.达芬奇机器人辅助全腹腔镜下右肾癌根治切除联合腔静脉癌栓取出术的围术期护理[J].全科护理，2016，14（27）：2909-2911.
[15] 刘永瑞，周俊，陈聪.后腹腔镜肾癌根治术围术期护理效果[J].河南外科学杂志，2016，22（6）：149-150.
[16] 吕学新，何昆仑，李义，等.循证护理预防后腹腔镜肾癌根治术患者并发症的效果[J].中国肿瘤临床与康复，2017，24（8）：1014-1017.
[17] 梁秋梅，黄莉燕，陈明敏，等.腹腔镜肾癌根治术后并发症的临床观察及护理[J].当代护士，2017（12）：42-44.
[18] Blute ML，Leibovich BC，Lohse CM，et al. The mayo clinic experience with surgical management，complications and outcome for patients with renal cell carcinoma and venous tumour thrombus [J]. Bju International，2015，94（1）：33-41.
[19] 马丽，周雁琼.FTS理念在老年患者腹腔镜肾癌根治性切除术围术期护理中的应用[J].齐鲁护理杂志，2017， 23（12）：1-3.
[20] Prinsloo S，Wei Q，Scott SM，et al. Psychological states，serum markers and survival: associations and predictors of survival in patients with renal cell carcinoma [J]. J Behav Med，2015，38（1）：1-9.
[21] Zastrow S，Brookman-May S，Cong TA，et al. Decision curve analysis and external validation of the postoperative Karakiewicz nomogram for renal cell carcinoma based on a large single-center study cohort [J]. World J Urol，2015，33（3）：381-388.
[22] 曹璐，甘卫东，傅巧美，等.同伴支持小组护理干预对机器人辅助腹腔镜下肾癌根治术后病人社会支持、自我管理效能及生活方式的影响[J].护理研究，2017，31（6）：665-668.
[23] Ohba K，Miyata Y，Asai A，et al. 760 Alternative treatment with every other day dosing of sunitinib for patients with metastatic renal cell carcinoma: efficacy and safety [J]. Eur Urol Supplements，2016，15（3）：e760.
[24] Bonaccorso S，Meltzer H，Maes M. Psychological and behavioural effects of interferons [J]. Curr Opin Psych，2016， 13（13）：673-677.
[25] 黎雪梅，李汉平，陈玉宇，等.妇科肿瘤化疗患者症状体验与自我管理效能感的相关性分析[J].中国医药科学，2018，8（14）：206-208.
[26] 赵勇，孙惠杰，王海燕，等.Orem支持教育系统对化疗期乳腺癌患者自我管理效能感的影响[J].中华现代护理杂志，2015，21（5）：522-524.