|
|
|
| Effects of predictive nursing intervention on negative emotions and life quality in perioperative patients of hepatolithiasis complicated with cholan?鄄giocarcinoma |
| YANG Chunyu SUN Dan▲ YIN Dalong |
| Department of Liver Surgery, the First Affiliated Hospital of Harbin Medical University, Heilongjiang Province, Harbin 150001, China |
|
|
|
Abstract Objective To explore and analyze the effects of predictive nursing intervention on negative emotions and life quality in perioperative patients of hepatolithiasis complicated with cholangiocarcinoma. Methods From April 2015 to April 2017, 90 patients with hepatolithiasis complicated with cholangiocarcinoma treated in the First Affiliated Hospital of Harbin Medical University were selected as the research subjects and divided into the observation group and the control group by random number table, with 45 cases in each group. The control group was given routine nursing and the observation group was given predictive nursing intervention. Self-rating depression scale (SDS) and the self-rating anxiety scale (SAS) were applied to assess the negative emotions of the patients. The postoperative life quality and nursing satisfaction were compared between the two groups. Results After nursing, the scores of SDS and SAS in the two groups were all lower than those of before nursing, the scores above in the observation group decreased much more remarkably, with statistically significant differences (P ＜ 0.05). After nursing, the scores of the physical function, role function, cognitive function, emotional function and social function in the two groups were all higher than those of before nursing, the scores above in the observation group increased much more remarkably, with statistically significant differences (P ＜ 0.05). The nursing satisfaction in the observation group was higher than that of control group, with statistically significant difference (P ＜ 0.05). Conclusion Predictive nursing intervention can significantly reduce the negative emotions of perioperative patients of hepatolithiasis complicated with cholangiocarcinoma. It can promote the nursing satisfaction and the life quality. It is worthy of clinical promotion and application.
|
|
|
|
|
|
[1] 程玉，罗云藩，廖锦岐，等.肝内胆管结石合并胆管癌38例临床分析[J].临床外科杂志，2012，20（7）：473-475.
[2] 喻南.预见性护理对不稳定型心绞痛患者的临床效果及满意度影响[J].国际护理学杂志，2014，33（5）：1097-1099.
[3] 陈君武，李德方，付良彬，等.肝内胆管结石合并急性胆管炎外科治疗（附38例分析）[J].浙江创伤外科，2013， 18（4）：521-522.
[4] 蒲成容，季巧，张静梅，等.肝胆管结石合并门脉高压围手术期快速康复护理[J].现代临床医学，2013，39（6）：451-452.
[5] 张志霞.预见性护理在慢性心功能不全压疮高危病人护理中的应用[J].护理研究：中旬版，2014，28（6）：2129-2130.
[6] 段泉泉，胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志，2012，26（9）：767-768.
[7] 胡彩平，林毅，李秋萍.SF-36量表与QLQ-C30量表在老年癌症病人生活质量评估中的应用及其相关性研究[J].护理研究，2015，29（8C）：2987-2988.
[8] 王丽娟，卢谷萍，王小园.预见性护理在肝胆管结石合并胆管癌术后康复中的应用[J].现代医药卫生，2015，31（24）：3797-3798.
[9] 郑丽萍，应燕萍，施莉莉，等.音乐疗法与自控镇痛对肺叶切除术患者围术期炎性反应的影响[J].护理学杂志，2012，27（6）：13-14.
[10] 张泽，郭琼梅，周长浩.心理干预对高焦虑型老年患者围术期炎性反应的影响[J].河北医药，2013，35（12）：1905-1906.
[11] 刘炜.手术室“零缺陷”护理干预模式对术后肺部感染率的影响[J].中国医药导报，2015，12（10）：90-91.
[12] 王秀云，耿立轩，马金生.肝胆管结石合并胆管癌患者30例的预见性护理分析[J].临床医药文献电子杂志，2015，2（14）：23-24.
[13] 王立香.高龄胆囊炎患者围术期的预见性护理体会[J].基层医药论坛，2015，19（20）：123-124.
[14] 王天燕.老年胆囊炎患者行腹腔镜切除术围手术期给予预见性护理效果评价[J].吉林医学，2016，37（7）：234-235.
[15] 陈熙乔，黄杰，陈小梅，等.低体温预见性护理用于择期手术对患者围术期体温的动态影响[J].吉林医学，2017， 38（2）：123-124.
[16] 朱新福. 肝胆管结石手术患者围术期护理[J].中国当代医药，2013，20（15）：119-120.
[17] 周碧英.整体护理在胆管癌患者围手术期的效果观察[J].北方药学，2013，10（3）：166-167.
[18] 敬丽.探究肝胆管结石合并胆管癌手术患者围手术期的护理措施[J].饮食保健，2016，3（20）：10-11.
[19] 孙海鹰，范晓文，吴帆，等.内镜下胆道腔内射频消融治疗胆管癌的围手术期护理[J].护理实践与研究，2017， 14（5）：23-24.
[20] 潘竞红，薛媛媛.肝门胆管癌根治联合肝动脉、门静脉血管重建围手术期的舒适护理[J].天津护理，2015，23（4）：132-133.
[21] 唐寒秋，李晓涛，龙雪艳.腹腔镜胆总管探查术治疗复杂性肝胆管结石的安全性及对患者生存质量的影响[J].医学综述，2016，22（20）：4143-4145. |
|
|
|
