CAJ | 학술논문

目的：探讨优质护理干预用于胸腹腔镜联合行食管癌根治术的效果。方法选择2011年7月—2013年7月在该院接受胸腹腔镜联合行食管癌根治术治疗的患者98例，根据护理措施的不同，干预组49例接受优质护理干预；对照组49例接受常规护理。比较二组患者的手术效果，比较护理后并发症发生率，以及比较二组患者的满意度。结果在手术时间、清扫淋巴结个数、术中出血量、术后引液量和术后拔管时间等手术效果评价指标中，二组患者差异无统计学意义(P >0.05)。经优质护理的干预组在发生肺部感染、吻合口瘘、心率失常、呼吸衰竭、声音嘶哑、二次手术并发症的患者例数要明显少于经常规护理的观察组，且差异具有统计学意义(P <0.05)；仅乳糜胸和胃排空障碍的例数差异无统计学意义(P >0.05)。对照组满意度63.27%(31/49)，干预组满意率81.63%(40/49)，干预组的满意率要优于对照组，且差异具有统计学意义(P <0.05)。结论优质护理干预可有效减少胸腹腔镜联合行食管癌根治术的术后并发症的发生率，患者的术后满意率较高，得到患者认可，值得临床推广应用。
목적：탐토우질호리간예용우흉복강경연합행식관암근치술적효과。방법선택2011년7월—2013년7월재해원접수흉복강경연합행식관암근치술치료적환자98례，근거호리조시적불동，간예조49례접수우질호리간예；대조조49례접수상규호리。비교이조환자적수술효과，비교호리후병발증발생솔，이급비교이조환자적만의도。결과재수술시간、청소림파결개수、술중출혈량、술후인액량화술후발관시간등수술효과평개지표중，이조환자차이무통계학의의(P >0.05)。경우질호리적간예조재발생폐부감염、문합구루、심솔실상、호흡쇠갈、성음시아、이차수술병발증적환자례수요명현소우경상규호리적관찰조，차차이구유통계학의의(P <0.05)；부유미흉화위배공장애적례수차이무통계학의의(P >0.05)。대조조만의도63.27%(31/49)，간예조만의솔81.63%(40/49)，간예조적만의솔요우우대조조，차차이구유통계학의의(P <0.05)。결론우질호리간예가유효감소흉복강경연합행식관암근치술적술후병발증적발생솔，환자적술후만의솔교고，득도환자인가，치득림상추엄응용。
Objective To research the effect of quality care intervention on reducing the incidence of the complications of video-assisted thoracic surgery combined with esophageal resection.Methods Totally 98 cases were selected from July 2011 to July 2013 in author's hospital received video-assisted thoracic sur-gery combined with esophageal resection.Depending on the care measures,the intervention group of 49 pa-tients received quality nursing intervention;the control group of 49 patients received routine care.Results of operations of the two groups were compared,the incidence of complications after comparing nursing and patient satisfaction were compared too.Results The operative time,surgical effective index of lymph nodes,blood loss,postoperative drainage fluid volume and postoperative extubation time showed no signifi-cant difference (P >0.05)between the two groups.Through high-quality care,the rate of the event of pulmonary infection,anastomotic fistula,cardiac arrhythmia,respiratory failure,hoarseness,complica-tions of secondary operation were significantly less in the intervention group than in the control group (P <0.05).Only chylothorax and the number of delayed gastric emptying was not significantly different (P >0. 05)between two groups.Satisfaction rate of the intervention group were 81.63% (40/49 ),was higher than the control group(31/49),and the difference was statistically significant (P <0.05).Conclusion Quality nursing intervention can effectively reduce the incidence of postoperative complications of video-assisted thoracic surgery combined with esophageal resection,and with a high satisfaction rate after surgery and recognition from the patients.It is also worthy of clinical application.