论著 Original Article

食管癌护理依从性与术后并发症的相关性

Published at: 2017年第37卷第7期

范奕送 1 , 李桂宝 1 , 陈雄芬 1 , 成惠兰 1 , 林丽红 1
1 广东省英德市人民医院颈胸外科,广东 英德 513000
通讯作者 桂宝 李 Email: ligui126.com@126.com
DOI: 10.3978/j.issn.2095-6959.2017.07.028
基金:

摘要

目的:分析食管癌患者对临床护理的依从性与术后发生并发症的相关性。方法:对99例食管癌根治术患者进行依从性评分,依从性护理项目共12项,根据患者对具体护理项目的依从程度分为完全依从、部分依从和不依从三个等级,评分分别为2分、1分和0分。将12个项目所得评分相加即为综合评分,综合评分最低0分,最高24分。分析患者综合评分与性别、食管癌分期、术后胃肠功能恢复时间、平均住院日及术后3个月内并发症发生率的相关性。结果:99例食管癌根治术患者评分最低5分,最高24分,男性5~22(14.50±2.85)分,女性14~24(16.50±3.72)分,差异有统计学意义(P<0.05);晚期患者18~24(18.32±4.12)分,中期12~23(15.40±3.16)分,早期5~23分(14.70±4.21),差异有统计学意义(P<0.05)。将患者按护理依从性评分由低分到高分为三组,A组12例(0~8分),B组34例(9~16分),C组53例(17~24分);术后并发症发生率分别为50.00%,29.41%,20.75%,差异有统计学意义(P<0.05);与依从性最差的A组患者相比,依从性较好的B组和C组患者的术后胃肠恢复时间[A组(52.50±4.75) h;B组(45.30±3.36) h;C组(38.20±3.48) h]和平均住院天数(A组(11.51±2.50) d;B组(10.25±1.75) d;C组(8.25±2.25) d]均明显缩短,差异具有统计学意义(P<0.05)。结论:食管癌患者对临床护理的依从性评分与性别、病情分期、术后并发症的发生率、术后排气时间及住院日均呈负相关。


Correlation between clinical nursing compliance and postoperative complications in patients with esophageal cancer

Abstract

Objective: To analyze the correlation between clinical nursing compliance and postoperative complications in patients with esophageal cancer. Methods: The adherence of 99 patients underwent esophageal cancer radical surgery were assessed. The clinical nursing compliance includes 12 items, such as full compliance, partial compliance and non-compliance, which were scored as 2 points, 1 point and 0 point respectively. The total score of the 12 items was regard as the comprehensive score, which ranged from 0 to 24 points. The correlation between the patient’s comprehensive score and gender, the staging of esophageal cancer, the recovery time of gastrointestinal function, the average hospital days, the incidence of complications in 3 months after surgery was analyzed. Results: The lowest score is 5 points and the highest is 24 points among the 99 cases, 5–22 (14.50±2.85) points in male, 14–24 (16.50±3.72) points in female, and the difference was statistically significant (P<0.05); the scores in the advanced patients were 18–24 (18.32±4.12) points, 12–23 (15.40±3.16) points in the medium patients, and 5–23 (14.70±4.21) points in the early patients, the difference was statistically significant (P<0.05). According to nursing compliance scores, the patients were divided into three groups: group A (0–8 points, n=8), group B (9–16 points, n=34), group C (17–24 points, n=53). The incidence of postoperative complications was 50.00%, 29.41%, 20.75% respectively, and the difference was statistically significant (P<0.05); gastrointestinal recovery time [group A (52.50 ±4.75) h; group B (45.30±3.36) h, group C (38.20±3.48) h; P<0.05] and average hospitalization days [group A (11.51 ±2.50) d; group B (10.25±1.75) d; group C (8.25±2.25) d; P<0.05] significantly. Conclusion: The score of clinical nursing compliance in patients with esophageal cancer is negatively correlated with gender, disease staging, postoperative complications, postoperative exhaust time and hospital day.


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引用

引用本文: 奕送 范, 桂宝 李, 雄芬 陈, 惠兰 成, 丽红 林. 食管癌护理依从性与术后并发症的相关性[J]. 临床与病理杂志, 2017, 37(7): 1486-1489.
Cite this article as: FAN Yisong, LI Guibao, CHEN Xiongfen, CHENG Huilan, LIN Lihong . Correlation between clinical nursing compliance and postoperative complications in patients with esophageal cancer[J]. Journal of Clinical and Pathological Research, 2017, 37(7): 1486-1489.