杨艳

[摘要] 目的 对胃癌手术患者实施手术室综合护理方案，观察对患者术后感染情况和心理状况的影响。 方法 选取2014年2月～2017年11月间在我院普外科收治的需要行外科手术治疗的胃癌患者共计67例，参考随机数字表法分为观察组31例和对照组36例。对照组给予常规手术室护理方案，而观察组在对照组常规护理的基础上给予综合手术室护理方案，比较两组患者在术后其感染情况和心理状况。 结果 观察组和对照组护理方案满意度分别为96.77%和80.56%，差异有统计学意义（P<0.05）；两组患者切口感染率比较存在显著差异，观察组显著低于对照组（3.22% vs 16.67%，P<0.05）；观察组患者其血压、心率、抑郁自评量表（SDS）评分及焦虑自评量表评分（SAS）的提高均显著优于对照组（P<0.05）。 结论 全面综合的手术室护理可显著改善胃癌患者的心理健康程度，并降低患者术后切口感染率，改善患者临床预后。

[关键词] 手术室护理；胃癌；心理状况；切口感染

[中图分类号] R472.3 [文献标识码] B [文章编号] 1673-9701（2018）21-0154-03

[Abstract] Objective To implement a comprehensive nursing program for patients with gastric cancer and to observe the effect on postoperative infection and psychological status. Methods A total of 67 patients with gastric cancer requiring surgical treatment who were admitted in the General Surgery Department of the First People's Hospital of Jiujiang City from February 2014 to November 2017 were selected and divided into observation group（n=31） and control group （n=36） by random number table method. The control group was given a conventional operating room nursing program， while the observation group was given a comprehensive operating room nursing program based on the routine care of the control group. The infection status and psychological status of the two groups was compared. Results The satisfaction degree of the nursing program was 96.77% and 80.56% in the observation group and the control group respectively， and there was a statistically significant difference （P<0.05）. There was a significant difference in the incision infection rate between the two groups. The incision infection rate of the observation group was significantly lower than that of the control group （3.22% vs 16.67%， P<0.05）. The improvement of blood pressure， heart rate， SDS score， and self-rating anxiety scale （SAS） in the observation group was significantly higher than that in the control group （P<0.05）. Conclusion A comprehensive and integrated operating room nursing can significantly improve the mental health of patients with gastric cancer， reduce the incidence of postoperative wound infection and improve the clinical prognosis of patients.

[Key words] Operating room nursing； Gastric cancer； Mental status； Incision infection

胃癌已成为全球范围内最为常见的消化道恶性肿瘤之一，严重威胁人类身心健康[1，2]。目前外科手术治疗对于胃癌患者至关重要，甚至在诊断早期可以达到根治的效果[3]。但胃癌患者診断和治疗的过程中存在的心理波动等因素均可能会严重影响胃癌患者预后情况[4]。此外，手术室封闭环境、手术治疗措施及胃癌患者手术切口感染等因素都会对胃癌患者手术预后产生负面效应。因此，手术室全面系统的护理对干扰患者术前、术中及术后心理状态和术后伤口感染显得尤为关键。本研究通过对胃癌患者实施综合手术室护理干预加以总结分析，旨在为胃癌患者外科诊疗护理提供基础。

1 资料与方法

1.1 一般资料

选取2014年2月～2017年11月间于我院普外科收治且明确诊断的需行外科手术治疗的胃癌患者67例，所有患者均经内镜下病理组织学确诊，符合胃癌临床诊断标准和外科手术治疗指征[5]。……