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《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:

期数:

2014年02期

页码:

113-115

栏目:

论著

出版日期:

2014-03-20

文章信息/Info

Title:

Effect of holistic nursing care for patients with combined hepatobiliary calculus and cholangiocarcinoma who received surgical treatment

作者:

董金萍

攀枝花煤业（集团）有限责任公司总医院，四川 攀枝花 617000

Author(s):

DONGJin-ping

GeneralHospital of PanzhihuaCoal(Group)CompanyLimited,Panzhihua, Sichuan617000,China Correspondingauthor：DONGJin-ping，E-mail：409917220@qq.com

关键词:

肝胆管结石; 胆管癌; 整体护理; 抑郁自评量表; 焦虑自评量表

Keywords:

Hepatobiliary calculus;  Cholangiocarcinoma; Holistic nursing;  Self- rating depression scale;  Self-rating anxiety scale

分类号:

R657.4

DOI:

-

摘要:

目的 探讨整体护理在肝胆管结石合并胆管癌患者围手术期的应用效果。方法 选取2010年3月至 2013年6月攀枝花市攀煤集团公司总医院收治的肝胆管结石合并胆管癌手术患者58例，随机分为对照组和 试验组,每组29例。对照组采用常规护理方式，试验组采用整体护理方式，有针对性的对患者进行皮肤、 心理、饮食、病情等方面的护理，比较两组间焦虑自评量表(SAS)和抑郁自评量表(SDS)评分，术后恢复以 及出院时护理满意度情况。采用SPSS20.0统计软件对数据进行分析，计量资料以xˉ±s表示，采用独立样 本t检验，计数资料采用χ 2检验或秩和检验，P＜0.05为差异有统计学意义。结果 两组患者入院时SAS、 SDS评分差异无统计学意义（P＞0.05），出院时试验组SAS、SDS评分低于对照组，差异有统计学意义 （P＜0.05）；两组患者治疗的总有效率差异无统计学意义（P＞0.05）；试验组患者护理满意度评分高于对照 组，差异有统计学意义（P<0.01）。结论 加强整体护理在肝胆管结石合并胆管癌围手术期的应用，有助 于减轻患者抑郁和焦虑症状，缩短患者的康复时间，促进患者康复，提高护理满意度。

Abstract:

Objective To investigate the effect of holistic nursing care for patients with combined hepato-biliary calculus and cholangiocarcinoma (HCWC) who received surgical treatment.Methods A total of 58 patients with HCWC who underwent surgical treatment were enrolled in this study and divided into two groups randomly. Experimental group received holistic nursing care while control group received rou-tine ones. The clinical effects, self-rating depression scale (SDS) and self-rating anxiety scale (SAS) scores and nursing satisfaction at discharge were recorded and analyzed. Results Experimental group has lower SAS and SDS scores at discharge than control group（P＜0.05）. Total markedly effective rate has no significant difference in two groups, but experimental group has a better nursing satisfaction than control group at discharge（P＜0.05）. Conclusions Application of holistic nursing on HCWC pa-tients who receive surgical treatment can relieve depression and anxiety, promote recovery and improve nursing satisfaction.

参考文献/References:

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备注/Memo

备注/Memo:

作者简介：董金萍，大学本科，主管护师，主要从事护理管 理工作 通信作者：董金萍，E-mail:409917220@qq.com

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更新日期/Last Update: 2014-07-07