术后疼痛护理结合音乐干预对直肠癌根治术患者负性情绪及生活质量的影响
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摘要
目的:探讨术后疼痛护理、音乐干预联合应用于直肠癌根治术患者的效果。方法:选取2016年7月-2018年5月本院收治的78例直肠癌患者,均行直肠癌根治术。按照随机数字表法将其分为研究组和对照组,各39例。对照组实施临床传统护理方案,研究组在此基础上实施术后疼痛护理结合音乐干预,对比两组术后不同阶段疼痛情况、护理满意度及护理前后焦虑(SAS)、抑郁(SDS)、生活质量(QOL)、卡氏功能状态(KPS)评分。结果:研究组术后6、12、24 h的VAS评分均明显低于对照组(P<0.05);护理后,研究组SAS、SDS评分均低于对照组(P<0.05),研究组QOL、KPS评分均明显高于对照组(P<0.05);研究组护理满意度为97.44%,高于对照组的84.62%(P<0.05)。结论:对行直肠癌根治术的患者而言,术后疼痛护理结合音乐干预的实施具有重要临床意义,可有效减轻术后疼痛,消除患者负性情绪,改善生活质量,提高护理满意度及护理质量,值得临床应用推广。
Objective:To explore the effect of postoperative pain nursing and music intervention in patients undergoing radical resection of rectal cancer.Method:A total of 78 patients with rectal cancer admitted to our hospital from July 2016 to May 2018 were treated with radical resection of rectal cancer.According to the random number table method,they were divided into study group and control group,39 cases in each group.The control group carried out the traditional clinical nursing program,and study group carried out postoperative pain nursing combined with music intervention on this basis.The pain situation,nursing satisfaction,anxiety(SAS),depression(SDS),quality of life(QOL)and Karnofsky scores before and after nursing between two groups were compared.Result:The VAS scores of study group at 6,12 and 24 hours after operation were significantly lower than those of control group(P<0.05).After nursing,the scores of SAS and SDS in study group were lower than those of control group(P<0.05),and the scores of QOL and KPS in study group were significantly higher than those of control group(P<0.05).The nursing satisfaction of study group was 97.44%,higher than 84.62% of control group(P<0.05).Conclusion:For patients undergoing radical resection of rectal cancer,postoperative pain nursing combined with music intervention has important clinical significance,it can effectively alleviate postoperative pain,eliminate negative emotions of patients,improve the quality of life,improve nursing satisfaction and quality of care,it is worthy of clinical application and promotion.
Objective:To explore the effect of postoperative pain nursing and music intervention in patients undergoing radical resection of rectal cancer.Method:A total of 78 patients with rectal cancer admitted to our hospital from July 2016 to May 2018 were treated with radical resection of rectal cancer.According to the random number table method,they were divided into study group and control group,39 cases in each group.The control group carried out the traditional clinical nursing program,and study group carried out postoperative pain nursing combined with music intervention on this basis.The pain situation,nursing satisfaction,anxiety(SAS),depression(SDS),quality of life(QOL)and Karnofsky scores before and after nursing between two groups were compared.Result:The VAS scores of study group at 6,12 and 24 hours after operation were significantly lower than those of control group(P<0.05).After nursing,the scores of SAS and SDS in study group were lower than those of control group(P<0.05),and the scores of QOL and KPS in study group were significantly higher than those of control group(P<0.05).The nursing satisfaction of study group was 97.44%,higher than 84.62% of control group(P<0.05).Conclusion:For patients undergoing radical resection of rectal cancer,postoperative pain nursing combined with music intervention has important clinical significance,it can effectively alleviate postoperative pain,eliminate negative emotions of patients,improve the quality of life,improve nursing satisfaction and quality of care,it is worthy of clinical application and promotion.
引文
[1]戴静,韩小云.一例脑外伤术后行腹腔镜辅助下直肠癌根治术的手术护理[J].护士进修杂志,2016,31(9):858-860.
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[3]尹春梅,邓方园,王利群,等.围手术期优质护理对腹腔镜下结直肠癌根治术的效果影响[J].现代中西医结合杂志,2016,25(36):4094-4096.
[4]杨华俊,吴柳颜,沙广恒,等.手术室综合护理在腹腔镜下结直肠癌根治术患者中的应用[J].齐鲁护理杂志,2017,23(14):72-73.
[5]国家卫生计生委医政医管局,中华医学会肿瘤学分会.中国结直肠癌诊疗规范(2017年版)[J].中华普通外科学文献(电子版),2018,12(3):145-159.
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[7]张娟.柔性护理对腹腔镜下直肠癌根治术后生存质量及化疗不良反应的影响[J].中国医学创新,2017,14(20):94-97.
[8]张丽华.无瘤技术综合护理配合在腹腔镜辅助直肠癌根治术患者中的应用[J].齐鲁护理杂志,2017,23(12):13-14.
[9]宋百灵,梁怡虹.腹腔镜结直肠癌根治术患者的护理方式探究[J].中国卫生标准管理,2017,8(26):189-190.
[10]张秀杰,刘贵真,陈伟.整体化护理配合在手术室直肠癌根治术护理中的应用[J].国际医药卫生导报,2016,22(14):2172-2175.
[11]付庆华.预见性护理在腹腔镜直肠癌根治术患者中的应用[J].齐鲁护理杂志,2016,22(2):28-30.
[12]宁向君,田智慧,刘京,等.快速康复护理在腹会阴联合直肠癌根治术患者围术期的应用[J].国际护理学杂志,2016,35(14):1949-1951.
[13]查小英,黄林芳,葛伟.集束化延续性护理对直肠癌根治术患者生命质量、自我护理能力和造口并发症的影响[J].河北医药,2018,40(12):1905-1907,1911.
[14]林红玉,古再丽努尔·阿布力孜,崔莉青,等.手术室人文关怀护理对腹腔镜直肠癌根治术患者术后焦虑抑郁情绪的影响[J].河北医药,2017,39(22):3509-3511.
[15]杨小蕾.自制切口保护套在腹腔镜直肠癌根治术标本取出时的应用[J].护士进修杂志,2016,31(10):867.
[16]李宏.快速康复外科理念在腹腔镜直肠癌根治术患者围术期护理中的应用[J].实用临床医药杂志,2016,20(22):70-72.
[17]巩秀荣.整体化护理配合在手术室直肠癌根治术护理中的影响效果观察[J/OL].实用临床护理学电子杂志,2018,3(43):58,65.
[18]梁颖.压力管理改善直肠癌根治术患者生活质量的效果研究[J].检验医学与临床,2016,13(14):2041-2043.
[19]宁向君,田智慧,刘京,等.快速康复护理在腹会阴联合直肠癌根治术患者围术期的应用[J].国际护理学杂志,2016,35(14):1949-1951.
[20]李光辉.结直肠癌根治术的手术室护理配合要点与效果探究[J].中国肛肠病杂志,2018,38(10):51-53.
[21]王馨,孙艳斌,秦博文,等.硬膜外麻醉复合全身麻醉在直肠癌根治术中的麻醉效果分析[J].河北医学,2016,22(5):812-814.
[2]薛瑜,吴海珍.延续护理干预对直肠癌根治术并行结肠造口术患者的影响研究[J].实用临床医药杂志,2015,19(2):69-71.
[3]尹春梅,邓方园,王利群,等.围手术期优质护理对腹腔镜下结直肠癌根治术的效果影响[J].现代中西医结合杂志,2016,25(36):4094-4096.
[4]杨华俊,吴柳颜,沙广恒,等.手术室综合护理在腹腔镜下结直肠癌根治术患者中的应用[J].齐鲁护理杂志,2017,23(14):72-73.
[5]国家卫生计生委医政医管局,中华医学会肿瘤学分会.中国结直肠癌诊疗规范(2017年版)[J].中华普通外科学文献(电子版),2018,12(3):145-159.
[6]陈燕.腹腔镜辅助直肠癌根治术中无瘤技术的全程护理配合[J].实用临床医药杂志,2015,19(2):65-68.
[7]张娟.柔性护理对腹腔镜下直肠癌根治术后生存质量及化疗不良反应的影响[J].中国医学创新,2017,14(20):94-97.
[8]张丽华.无瘤技术综合护理配合在腹腔镜辅助直肠癌根治术患者中的应用[J].齐鲁护理杂志,2017,23(12):13-14.
[9]宋百灵,梁怡虹.腹腔镜结直肠癌根治术患者的护理方式探究[J].中国卫生标准管理,2017,8(26):189-190.
[10]张秀杰,刘贵真,陈伟.整体化护理配合在手术室直肠癌根治术护理中的应用[J].国际医药卫生导报,2016,22(14):2172-2175.
[11]付庆华.预见性护理在腹腔镜直肠癌根治术患者中的应用[J].齐鲁护理杂志,2016,22(2):28-30.
[12]宁向君,田智慧,刘京,等.快速康复护理在腹会阴联合直肠癌根治术患者围术期的应用[J].国际护理学杂志,2016,35(14):1949-1951.
[13]查小英,黄林芳,葛伟.集束化延续性护理对直肠癌根治术患者生命质量、自我护理能力和造口并发症的影响[J].河北医药,2018,40(12):1905-1907,1911.
[14]林红玉,古再丽努尔·阿布力孜,崔莉青,等.手术室人文关怀护理对腹腔镜直肠癌根治术患者术后焦虑抑郁情绪的影响[J].河北医药,2017,39(22):3509-3511.
[15]杨小蕾.自制切口保护套在腹腔镜直肠癌根治术标本取出时的应用[J].护士进修杂志,2016,31(10):867.
[16]李宏.快速康复外科理念在腹腔镜直肠癌根治术患者围术期护理中的应用[J].实用临床医药杂志,2016,20(22):70-72.
[17]巩秀荣.整体化护理配合在手术室直肠癌根治术护理中的影响效果观察[J/OL].实用临床护理学电子杂志,2018,3(43):58,65.
[18]梁颖.压力管理改善直肠癌根治术患者生活质量的效果研究[J].检验医学与临床,2016,13(14):2041-2043.
[19]宁向君,田智慧,刘京,等.快速康复护理在腹会阴联合直肠癌根治术患者围术期的应用[J].国际护理学杂志,2016,35(14):1949-1951.
[20]李光辉.结直肠癌根治术的手术室护理配合要点与效果探究[J].中国肛肠病杂志,2018,38(10):51-53.
[21]王馨,孙艳斌,秦博文,等.硬膜外麻醉复合全身麻醉在直肠癌根治术中的麻醉效果分析[J].河北医学,2016,22(5):812-814.
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