摘要目的 探讨针对性护理干预对结肠息肉电灼术患者手术相关知识掌握情况及效果的影响. 方法 2013年3月—2014年11月选取72例接受结肠息肉电灼术的患者为研究对象,按照随机数字表法分为对照组和干预组,各36例,分别给予常规护理和在此基础上给予针对性护理干预. 并对两组患者的手术相关知识及进镜时间、术中及术后的腹痛、腹胀程度等情况进行比较. 结果 观察组麻醉知识、结肠息肉电灼术的认知、围术期预防保健、手术注意事项等手术相关知识掌握度评分高于对照组[(3. 31 ± 0. 37) vs(1. 01 ± 0. 42),(3. 68 ± 0. 51) vs(1. 69 ± 0. 46),(3. 58 ± 0. 32) vs(1. 70 ± 0. 44), (3.75 ±0.40)vs(1.53 ±0.46)分],差异均有统计学意义(t值分别为13. 792,16. 572,21. 920,28. 704;P<0.01). 观察组进镜时间短于对照组[(10.09 ±3.78)vs(15.98 ±4.09)min],差异有统计学意义(t=7. 439,P<0. 01). 观察组术中及术后1 h腹痛及腹胀程度均低于对照组,差异有统计学意义(Z=5. 826~6. 514,P<0. 01). 结论 针对性护理可显著提升结肠息肉患者对手术相关知识的掌握程度,有助于手术的顺利进行,提高手术效果,值得临床推广和应用.

abstractsObjective To evaluate the effect of targeted nursing intervention on the efficacy and mastery of surgery-related knowledge among patients with colon polyps′fulguration. Methods A total of 72 patients with colon polyps′fulguration were chosen and averagely divided into observation group and control group according to the random number table. A total of 36 cases in the control group were received continuity care while 36 cases of the observation group were taken targeted nursing intervention. We compared the surgery-related knowledge and the mirror entry time of colonscopy, intraoperative and postoperative abdominal pain, abdominal distension. Results After the intervention, the scores of anesthesia knowledge, cognition of colon polyp fulguration, perioperative preventive care, surgical precautions in the experimental group than those in the control group [(3. 31 ± 0. 37) vs (1. 01 ± 0. 42), (3. 68 ± 0. 51) vs (1. 69 ± 0. 46), (3. 58 ± 0. 32) vs (1. 70 ± 0. 44), (3. 75 ± 0. 40) vs (1. 53 ± 0. 46) score], with statistically significant between the two groups (t=13. 792, 16. 572, 21. 920, 28. 704;P<0. 01);the mirror entry time of colonscopy in the experimental group was shorter than that in the control group [(10.09 ±3.78) vs (15.98 ±4.09)min], with statistically significant between the two groups (t=7. 439,P<0. 01). In the intraoperative and 1 h post-operation, the degree of abdominal ache and abdominal distention in the experimental group were lower than those in the control group (Z=5. 826-6. 514,P<0. 01). Conclusions Targeted nursing intervention can effectively improve the surgery-related knowledge in patients with colon polyps′ fulguration, contribute to the smooth operation and improve surgical results. It is worthy of wider promotion and application in clinic.