Effect of preoperative comprehensive care combined with health education on surgical tolerability in patientswith hypertension and esophageal cancer
术前综合护理联合健康教育对高血压合并食管癌患者手术耐受性的影响

摘要

目的 研究分析术前综合护理联合健康教育对高血压合并食管癌患者手术耐受性的影响。方法 选取2022年1月至2023年12月期间于我院进行治疗的高血压合并食管癌患者60例作为研究对象，采用计算机随机数字排序的方法将其分为试验组与参照组，每组各30例，给予参照组患者常规护理干预，在常规护理基础上给予试验组患者术前综合护理联合健康教育进行干预。比较护理效果。结果 （1）经过护理，两组患者血压水平均表现出明显差异性，其中试验组患者不同时间的血压水平明显低于参照组，数据有统计学意义（P＜0.01）；（2）经过护理，试验组患者的焦虑（SAS）、抑郁（SDS）心理状态评分明显低于参照组，数据差异性表现明显有统计学意义（P＜0.01）；（3）相较于参照组，试验组患者的手术耐受率明显更高，数据差异性表现明显有统计学意义（P＜0.01）。结论 在常规护理基础上给予高血压合并食管癌患者术前综合护理联合健康教育进行干预，效果显著，既能够明显控制患者的血压水平，又能够显著改善患者的不良情绪与手术耐受性，具有较高的临床研究与应用价值。

Abstract

Objective To study and analyze the effect of preoperative comprehensive nursing combined with health education on operation tolerance in patients with hypertension complicated with esophageal cancer.
Methods A total of 60 patients with hypertension combined with esophageal cancer who were treated in our hospital from January 2022 to December 2023 were selected as the study objects, and were divided into experimental group and reference group with 30 cases in each group by computer random number sorting method. The patients in the reference group were given routine nursing intervention. On the basis of routine nursing, the experimental group was given preoperative comprehensive nursing combined with health education intervention. The nursing effect was compared.
Results (1) After nursing, the blood pressure level of the two groups showed significant differences, and the blood pressure level of the experimental group was significantly lower than that of the reference group at different times, with statistical significance (P < 0.01); (2) After nursing, the psychological scores of anxiety (SAS) and depression (SDS) of experimental group were significantly lower than those of the reference group, and the data difference was statistically significant (P < 0.01); (3) Compared with the reference group, the operation tolerance rate of experimental group was significantly higher, and the data difference was statistically significant (P < 0.01).
Conclusion   Preoperative comprehensive nursing combined with health education intervention on the basis of routine nursing for patients with hypertension complicated with esophageal cancer has remarkable effect, which can not only significantly control the blood pressure level of patients, but also significantly improve the adverse mood and operation tolerance of patients, which has high clinical research and application value.