热带病与寄生虫学

热带病与寄生虫学 ›› 2021, Vol. 19 ›› Issue (1): 39-40,46.

• 防治研究 • 上一篇    下一篇

巨脾型晚期血吸虫病患者围术期护理干预效果观察

来如意   

  1. 湖南省血吸虫病防治所,WHO 湖区血吸虫病防治合作中心,血吸虫病免疫与传播控制湖南省重点实验室,湖南岳阳414000
  • 出版日期:2021-02-20 发布日期:2021-02-04
  • 通信作者: 来如意,女,本科,副主任护师,研究方向:护理管理。E-mail 1374754189@qq com

Observation on the effect of perioperative nursing intervention in advanced schistosomiasis patients with megalosplenia#br#

LAI Ru-yi   

  1. Hunan Institute of Schistosomiasis Control WHO Collaborating Centre on Schistosomiasis Control in Lake Regions Hunan Provincial Key Laboratory of Schistosomiasis Immunization and Transmission Control ,Yueyang 414000, Hunan Province, China
  • Online:2021-02-20 Published:2021-02-04

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摘要： 目的 探讨巨脾型晚期血吸虫病重度脾功能亢进患者围术期护理干预效果。方法 将138例巨脾型晚期患者分为观察组和对照组,每组各69例,对照组采用常规护理方法,观察组进行心理干预、饮食护理、管道护理以及预防并发症护理干预。结果 两组患者入院时焦虑自评量表(SAS)、抑郁自评量表(SDS)评分差异均无统计学意义(P >0.05);术后观察组SAS、SDS评分低于对照组,差异有统计学意义(P <0.05)。观察组首次肛门排气时间、下床活动时间及排大便时间均较对照组早,近期并发症发生率较对照组低,观察组患者的住院时间及医疗费用,分别较对照组明显减少(P 均<0.05)。结论 对晚期血吸虫病重度脾功能亢进患者围术期护理干预,可有效改善患者心理状态,减少并发症发生,促进患者快速康复。

关键词: 晚期血吸虫病, 重度脾亢, 围术期护理

Abstract: Objective To assess the effect of perioperative nursing intervention in patients of advanced schistosomiasis with severe hypersplenism.Methods One hundred and thirty-eight patients of advanced schistosomiasis with splenomegaly were divided into observational group and control group(n=69 for each group).Patients in the control group received simple conventional nursing,and those in the observational group were nursed with additional psychological intervention,diet and drainage-tube management as well as prevention of the complications on routine nursing basis.Results There was no significant difference in on the Self-rating Anxiety Scale(SAS) and Self-rating Depression Scale(SDS) between the two groups on admission (P >0.05),yet scoring on SAS and SDS was lower in observational group than in control group after surgery (P <0.05).Patients in the observational group had earlier anal exhaust,off-bed activities and bowel movement as well as lower incidence of short-term complications,shortened hospital stay and medical expenses than those in the control group(all P <0.05).Conclusion Perioperative nursing intervention for patients of advanced schistosomiasis with severe hypersplenism can effectively improve their psychological
state,reduce the incidence of complications and promote early recovery.

Key words: Advanced schistosomiasis , Severe hypersplenism , Perioperative nursing

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