Analysis of intervention effect of improved nursing measures in patients with thoracic laparoscopy combined with esophagectomy / 中国实用护理杂志

ABSTRACT

Objective To investigate the intervention effect of improved nursing measures in thoracoscopic laparoscopy combined with esophageal cancer resection. Methods Thirty patients with thoracoscopic and esophageal cancer resection who underwent routine nursing from June 2015 to June 2016 were selected as the control group. From July 2016 to July 2017, 34 patients with modified thoracoscopic and esophageal cancer resection were treated as study group. Time-related indicators, complication rate, preoperative anxiety, nursing satisfaction, and postoperative quality of life scores were observed. Results The time of extubation, the time of postoperative feeding, and the length of hospital stay were shorter in the study group than in the control group. The difference was statistically significant ( t=4.059, 2.490, 10.637, P<0.05). The total complication rate was lower in the study group (5.88％, 2/34) than in the control group (26.67％, 8/30), and the difference was statistically significant (χ2=5.222, P<0.05).The preoperative SAS anxiety score of the study group [(50.24±10.36) points] was lower than that of the control group [(67.31 ± 12.72) points], the nursing satisfaction [(96.82 ± 11.49) points], and the postoperative quality of life score [(80.03 ± 9.62) points] was higher than the control group [(80.03 ± 9.62) points, (77.45 ± 8.84) points], the difference was statistically significant (t=5.913, 6.290, 4.686, P<0.05). Conclusion Improved nursing measures can reduce the preoperative anxiety level of patients undergoing thoracoscopic and laparoscopic resection of esophageal cancer, improve nursing satisfaction, and help to speed up postoperative recovery and improve quality of life.