Application of responsibility system nursing to patients with esophageal cancer complicated with coronary heart disease
责任制护理对食管癌合并冠心病患者中的应用

摘要

目的 探究实行责任制护理，对食管癌合并冠心病患者的临床价值。方法 选取2021年11月到2023年11月我院胸外科收治的食管癌合并冠心患者80例，随机分为实验组和对照组，实验组40例患者以责任制护理，对照组50例予以基础护理，对两组患者的护理效果，如患者护理满意度和患者护理前后SAS及SDS评分进行对比和评估。结果 和对照组SDS评分（51.72±5.51分）、SAS评分（53.01±4.36分）相比，实验组SDS评分（41.21±3.53分）、SAS评分（41.01±5.32分）均较低（P＜0.05）；实验组护理满意率为97.50%（39/40），对照组护理满意率为80.00%（32/40），实验组明显高于对照组（P＜0.05）；结论 开展责任制护理，能有效改善患者的临床心理，护理满意程度较高，建议临床大力推广。

Abstract

Objective: To explore the clinical value of responsible nursing for patients with esophageal cancer complicated with coronary heart disease.
Methods: Eighty patients with esophageal cancer complicated with coronary heart disease admitted to the thoracic surgery department of our hospital from November 2021 to November 2023 were randomly divided into an experimental group and a control group. The experimental group consisted of 40 patients who received responsibility based care, while the control group consisted of 50 patients who received basic care. The nursing effects of the two groups of patients, such as patient satisfaction with nursing care and SAS and SDS scores before and after nursing care, were compared and evaluated.
Results: Compared with the control group's SDS score (51.72±5.51 points) and SAS score (53.01±4.36 points), the experimental group's SDS score (41.21±3.53 points) and SAS score (41.01±5.32 points) were both lower (P<0.05); The satisfaction rate of nursing in the experimental group was 97.50% (39/40), while in the control group it was 80.00% (32/40). The satisfaction rate of nursing in the experimental group was significantly higher than that in the control group (P<0.05).
Conclusion  : Carrying out responsibility nursing system can effectively improve the clinical psychology of patients, nursing satisfaction is high, it is recommended to promote clinical.