快速康复外科护理对胶质瘤患者术后疼痛、心理状态及护理满意度的影响
Effects of nursing care in fast-track surgery on postoperative pain, psychological state, and patient satisfaction with nursing for glioma.
作者信息
Deng Yan-Hong, Yang Yi-Mei, Ruan Jian, Mu Lin, Wang Shi-Qiang
机构信息
Department of Neurosurgery, Chongqing University Cancer Hospital, Chongqing 400030, China.
Sterile Supply Center, Chongqing University Cancer Hospital, Chongqing 400030, China.
出版信息
World J Clin Cases. 2021 Jul 16;9(20):5435-5441. doi: 10.12998/wjcc.v9.i20.5435.
BACKGROUND
The brain is the most complex organ in the human body. Treatment for a glioma always involves a multi-disciplinary team. Nursing care in fast-track surgery or enhanced recovery after surgery is such kind of work implemented by an interdisciplinary team to provide services to patients to improve their outcomes.
AIM
To explore the effects of nursing care in fast-track surgery on postoperative pain, psychological state, and patient satisfaction with nursing for glioma.
METHODS
From June 2018 to June 2020, 138 patients who underwent operation for glioma at Cancer Hospital Affiliated to Chongqing University were selected. They were categorized into groups according to different nursing care that they received. Of them, 69 patients receiving nursing care in fast-track surgery were included in an experimental group, and 69 patients receiving conventional postoperative nursing were included in a control group. Visual analogue scale was used to evaluate postoperative pain in the two groups immediately after the operation and at 3 d after the operation. Self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to evaluate the psychological status of patients immediately after operation and on the 3 postoperative day. A self-made satisfaction scale for patient satisfaction with nursing was used to evaluate and compare patient satisfaction with nursing between the two groups.
RESULTS
Time to excretion, time to out-of-bed activities, and length of hospital stay were significantly shorter in the observation group than in the control group ( < 0.05). There was no significant difference in duration of operative time or intraoperative bleeding between the two groups ( > 0.05). There was no significant difference in postoperative pain score between the two groups ( > 0.05). The pain score was significantly lower in the observation group than in the control group at 3 d after the operation ( < 0.05). There was no significant difference in postoperative SAS or SDS score between the two groups ( > 0.05). SAS and SDS scores were significantly lower in the observation group than in the control group at 3 d after operation ( < 0.05). The rate of patient satisfaction with nursing was 94.2% in the observation group, which was significantly higher than that (81.2%) of the control group ( < 0.05).
CONCLUSION
Nursing care in fast-track surgery can relieve postoperative pain, anxiety, and depression, and improve patient satisfaction with nursing in patients with glioma, which is worthy of clinical application.
背景
大脑是人体最复杂的器官。胶质瘤的治疗通常需要多学科团队协作。快速康复外科护理或术后加速康复护理是由跨学科团队开展的工作，旨在为患者提供服务以改善其治疗效果。
目的
探讨快速康复外科护理对胶质瘤患者术后疼痛、心理状态及患者对护理满意度的影响。
方法
选取2018年6月至2020年6月在重庆大学附属肿瘤医院接受胶质瘤手术的138例患者。根据所接受的不同护理方式将其分组。其中，69例接受快速康复外科护理的患者纳入试验组，69例接受传统术后护理的患者纳入对照组。采用视觉模拟评分法评估两组患者术后即刻及术后3天的疼痛情况。采用焦虑自评量表（SAS）和抑郁自评量表（SDS）评估患者术后即刻及术后第3天的心理状态。采用自制的患者对护理满意度量表评估并比较两组患者对护理的满意度。
结果
观察组患者的排气时间、下床活动时间及住院时间均显著短于对照组（P<0.05）。两组患者的手术时间及术中出血量比较，差异无统计学意义（P>0.05）。两组患者术后疼痛评分比较，差异无统计学意义（P>0.05）。术后3天，观察组患者的疼痛评分显著低于对照组（P<0.05）。两组患者术后SAS或SDS评分比较，差异无统计学意义（P>0.05）。术后3天，观察组患者的SAS和SDS评分显著低于对照组（P<0.05）。观察组患者对护理的满意度为94.2%，显著高于对照组的81.2%（P<0.05）。
结论
快速康复外科护理可缓解胶质瘤患者术后疼痛、焦虑及抑郁情绪，提高患者对护理的满意度，值得临床应用。
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