Wang Xian-Pu, Niu Min
Operating Room, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China.
World J Clin Cases. 2024 Aug 26;12(24):5483-5491. doi: 10.12998/wjcc.v12.i24.5483.
Radical surgery is a preferred treatment for colorectal carcinoma, wherein nursing intervention is essential for postoperative recovery and prevention of complications. Recently, the application of humanistic care in medical care has attracted attention. Humanistic care emphasizes comprehensive care, with importance attached to patients' physical needs as well as psychological and emotional support to provide more humane and personalized care services. However, no clinical reports have examined the use of humanistic care in patients undergoing radical surgery for colorectal carcinoma.
To investigate the influence of humanistic care-based operating room nursing on the safety, postoperative recovery, and nursing satisfaction of patients who have undergone radical surgery for colorectal carcinoma.
In total, 120 patients with rectal cancer who underwent surgery in Zhongnan Hospital of Wuhan University between August 2023 and March 2024 were selected and grouped based on the nursing methods employed. Of these patients, 55 were treated with routine nursing intervention (control group) and 65 were provided humanistic care-based operating room nursing (research group). The patients' vital signs were recorded, including systolic/diastolic blood pressure (SBP/DBP) and heart beats per minute (BPM), as well as serum stress indices, including norepinephrine (NE), adrenal hormone (AD), and cortisol (Cor). Postoperative recovery and complications were also recorded. Patients' negative emotions, life hope, and nursing satisfaction were evaluated using the Self-rating Depression/Anxiety Scale (SDS/SAS), Herth Hope Index (HHI), and self-developed nursing satisfaction questionnaire, respectively.
During emergence from anesthesia, SBP, DBP, and BPM levels were found to be lower in the research group than those in the control group, also serum Cor, AD, and NE levels were lower. In addition, the research group had shorter operative, awakening, anal exhaust, first postoperative ambulation, drainage tube removal, intestinal recovery, and hospital times. The total complication rate and the SDS and SAS scores were lower in the research group than those in the control group. The HHI and nursing satisfaction scores were higher in the research group.
Humanistic care-based operating room nursing can mitigate physiological stress responses, reduce postoperative complications, promote postoperative recovery, relieve adverse psychological emotions, and enhance life hope and nursing satisfaction in patients undergoing radical surgery for colorectal carcinoma, which can be popularized in clinical practice.
根治性手术是结直肠癌的首选治疗方法，其中护理干预对术后恢复和预防并发症至关重要。近年来，人文关怀在医疗护理中的应用受到关注。人文关怀强调全面护理，重视患者的身体需求以及心理和情感支持，以提供更人性化和个性化的护理服务。然而，尚无临床报告探讨人文关怀在接受结直肠癌根治性手术患者中的应用。
探讨基于人文关怀的手术室护理对结直肠癌根治性手术患者安全性、术后恢复及护理满意度的影响。
选取2023年8月至2024年3月在武汉大学中南医院接受手术的120例直肠癌患者，根据所采用的护理方法进行分组。其中，55例接受常规护理干预（对照组），65例接受基于人文关怀的手术室护理（研究组）。记录患者的生命体征，包括收缩压/舒张压（SBP/DBP）和每分钟心跳次数（BPM），以及血清应激指标，包括去甲肾上腺素（NE）、肾上腺激素（AD）和皮质醇（Cor）。还记录术后恢复情况和并发症。分别采用自评抑郁/焦虑量表（SDS/SAS）、赫思希望指数（HHI）和自行编制的护理满意度问卷评估患者的负面情绪、生活希望和护理满意度。
麻醉苏醒期，研究组的SBP、DBP和BPM水平低于对照组，血清Cor、AD和NE水平也较低。此外，研究组的手术时间、苏醒时间、肛门排气时间、术后首次下床活动时间、引流管拔除时间、肠道恢复时间和住院时间均较短。研究组的总并发症发生率以及SDS和SAS评分低于对照组。研究组的HHI和护理满意度评分较高。
基于人文关怀的手术室护理可减轻结直肠癌根治性手术患者的生理应激反应，减少术后并发症，促进术后恢复，缓解不良心理情绪，增强生活希望和护理满意度，可在临床实践中推广应用。
