目的:观察综合干预在下肢远端恶性肿瘤保肢手术患者围手术期中的应用效果。方法77例行下肢远端恶性肿瘤保肢手术的患者,按照入院的先后顺序将其分为对照组(n =34)和观察组(n =35),对照组患者行常规的临床护理干预,观察组患者行围手术期综合干预,比较两组临床护理效果。结果观察组并发症发生率为5.71%,明显低于对照组的23.53%(χ2=4.417,P <0.05);观察组患者护理满意度为97.14%,明显高于对照组的76.47%(χ2=6.498,P <0.05);干预后两组焦虑、抑郁评分均明显下降,观察组较对照组下降更明显(t =25.200、28.660,均 P =0.000)。结论综合性护理干预应用于下肢远端恶性肿瘤保肢手术患者围手术期中,护理效果明显。
Objective To analyze the application effect of comprehensive intervention in perioperative period of patients with limb salvage surgery for malignant tumors of lower extremity.Methods According to the order of admission,77 patients received lower extremity malignant tumor limb salvage surgery were divided into control group (n =34)and observation group(n =35).The control group was given routine nursing intervention,the observation group underwent perioperative comprehensive intervention.The nursing effect of different clinical nursing intervention was compared between the two groups.Results The incidence rate of complications of the observation group was 5.71%,which was lower than 23.53% of the control group,the difference was statistically significant(χ2 =4.417, P <0.05).The satisfaction rate of patients in the observation group was 97.14%,which was significantly higher than 76.47% in the control group(χ2 =6.498,P <0.05).The nursing,anxiety depression score of the two groups were significantly decreased,which of the observation group decreased more significantly compared with the control group(t =25.200,28.660,all P =0.000).Conclusion The effect of comprehensive nursing intervention in the perioperative period of patients with lower extremity malignant tumor limb salvage surgery is obvious.