简体中文

论著-头颈部

关键词层级引导法在腹腔镜结肠癌根治术后并发症护理决策与实践中的应用*

作者:李 贝 李灼非 廖晓瑜 周卫华

所属单位:北京大学深圳医院胃肠外科 (广东 深圳 518036)

PDF

摘要

目的 分析关键词层级引导法在腹腔镜结肠癌根治术后并发症护理决策与实践中的应用效果。方法 我院自2016年4 月起开始将关键词层级引导法应用于腹腔镜结肠癌根治术后并发症护理实践之中,应用前(2015年10月至2016年3 月)于我院行腹腔镜结肠癌根治术的患者为90例,应用后(2016年4月至10月)收治的同类手术病例为92例,对应用前 后的各相关观察指标进行比较分析。结果 应用后病例组的术后并发症早期发现率和及时控制率均显著高于应用前 病例组,应用后护理工作者满意度和患者满意度评价分值均显著高于应用前(P<0.05)。结论 将关键词层级引导法 应用于腹腔镜结肠癌根治术后并发症护理实践之中,有利于护理人员早期发现术后并发症并做出及时有效的并发症 控制,是一种可同时获得护理工作者及患者认可的护理工作方式。

Objective Analysis of the application effect of the level guide method in nursing decision and practice of postoperative complications after laparoscopic colon cancer radical operation. Methods In our hospital since April 2016 will guide the keywords hierarchy method is applied to the complications of laparoscopic colorectal cancer after radical operation of nursing practice, (October 2015 to March 2016) before application in our hospital underwent laparoscopic radical resection of colon cancer patients 90 cases, after the application of (April 2016 to October) were similar cases for 92 cases, comparison the analysis of the relevant indicators before and after the application of observation. Results After the application cases of the postoperative complication rate of early detection and timely control rate were significantly higher than that before application of the case group, after the application of evaluation of nursing workers satisfaction and patient satisfaction scores were significantly higher than that before application (P<0.05). Conclusion Keywords hierarchical method is used to guide the complications of laparoscopic colorectal cancer after radical operation of nursing practice, is conducive to the early detection of complications after operation of nursing staff and make timely and effective control of complications, is a can be obtained at the same time the nursing workers and patients accepted nursing work.

【关键词】关键词;引导;腹腔镜;结直肠癌根治术;护理

【中图分类号】R735.3+5

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2018.04.013

前言

腹腔镜器械的不断精良化发展和医护工作者操 作技能水平的持续性提高,使腹腔镜诊疗术的实施 更趋安全便捷[1],腹腔镜结肠癌根治术做为腹腔镜诊 疗技术之一,也日趋成熟化[2],并以其小切口、微创 伤[3]、低痛苦[4]、肠道干扰小[5]、快恢复的技术优势 而获得广泛应用。但我们在临床实践中也发现,尽管 腹腔镜结肠癌根治术具备上述多种技术优势,但其侵 袭性操作及手术应激源这一双重属性,仍可能引发多种术后并发症,这成为我们护理从业者不容回避的护 理新问题[6]。对腹腔镜结肠癌根治术后并发症的早期 发现和及时有效处置是降低并发症伤害程度的关键环 节[7],而能否对并发症做出早期发现和及时有效处置 则与护理人员的临床护理决策能力息息相关。本研究 尝试采用关键词层级引导法来帮助护理人员快速正确 地做出腹腔镜结肠癌根治术后并发症护理决策,以便 指引进一步高质量护理活动的有效开展,效果较为理想,现报告如下。