早期胃癌内镜黏膜下剥离术个体化综合护理模式探讨

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Abstract Objective To study the individualized comprehensive nursing model suitable for patients with early gastric cancer(EGC) treated by endoscopic submucosal dissection(ESD). Methods In this hospital 64 patients with EGC treated by ESD were randomized into individualized comprehensive nursing group(study group) and conventional nursing group (control group). The study group used targeted comprehensive nursing model based on nursing questions profile individualized assessment. Outcome measures included the HADS anxiety score,disease decreased uncertainty,the compliance of treatment, ambulation time and hospital stay,the postoperative symptom score, and nursing satisfaction survey. Results After nursing intervention, compared with that on admission, in study group, patients’ HADS score was significantly lower than(14.32±4.38) vs (6.45±3.84), P＜0.05), and the patient’s disease uncertainty degree before operation and on discharge markedly improved (94.41±5.96) vs (82.55±7.83) vs (78.09±6.65),P＜0.05 respectively). Compared with that in control group , in the study group patients’ the compliance of care was significantly higher , ambulation time (1.5±0.2 ) vs (2.7±0.6), P＜0.05)and hospital stay(6.8±0.7) vs (10.4±2.4), P＜0.05) days were shorter, postoperative symptom score at 12 h was significantly lower(4.5±0. 8) vs (5.4±1.3),P＜0.05; nursing satisfaction score was markedly higher(4.60±0.36) vs (4.03±0.44),P＜0.05. Conclusions Individualized comprehensive nursing mode can obviously improve nurses’ care quality and enhance patients’ nursing satisfaction.

Key words： individualized comprehensive nursing model nursing problem list nursing pathway endoscopic submucosal dissection early gastric cancer

Received: 11 January 2015

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	CHEN Xinhua
	LI Shanshan
	YU Hong
	GAO Lan

Cite this article:

CHEN Xinhua,LI Shanshan,YU Hong等. Application and evaluation of individualized comprehensive nursing model in patients with early gastric cancer treated by endoscopic submucosal dissection[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2015, 26(4): 360-363.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2015/V26/I4/360

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