The application value of evidence-based nursing in the perioperative period of esophageal cancer radical surgery
循证护理在食道癌根治术患者围术期中的应用

摘要

目的 探讨循证护理在食道癌根治术患者围术期中的应用效果。方法 纳入某三甲医院2022年10月至2023年10月期间行食管癌根治术的90例患者，依照住院号对其分组，两组分别45例。对照组采取常规围术期护理，观察组采取循证护理。调查手术前后患者的情绪状态、疼痛程度、并发症、生活质量等。结果 观察组相比对照组，其焦虑自评量表（SAS）、视觉模拟评分（VAS）、总发生率、中文版食管癌专用量表（QLQ-QSE18）评分下降更显著，差异具有统计学意义（P＜0.05）。结论 食道癌根治术患者围术期接受循证护理可明显缓解焦虑心态，减轻疼痛感受，降低并发症风险，促进生活质量改善。

Abstract

Objective To explore the effect of evidence-based nursing in the perioperative period of patients with esophageal cancer undergoing radical resection.
Methods A total of 90 patients who underwent radical resection for esophageal cancer from October 2022 to October 2023 in a Grade-A hospital were enrolled and divided into two groups, 45 cases respectively. The control group took routine perioperative nursing, the observation group took evidence-based nursing. The patients' emotional state, pain degree, complications and quality of life were investigated before and after the operation.
Results Compared with the control group, the scores of self-rating anxiety scale (SAS), visual analogue scale (VAS), total incidence rate and Chinese version of esophageal Cancer Scale (QLQ-QSE18) in observation group decreased more significantly, with statistical significance (P < 0.05).
Conclusion   The patients undergoing radical operation for esophageal cancer receive evidence-based nursing during perioperative period can significantly relieve anxiety, relieve pain, reduce the risk of complications and improve the quality of life.