Objective:To understand the current situation of nurses' willingness to engage in telecare in county-level hospitals in Henan Province and analyze its influencing factors.Methods:Using the convenient sampling method, a total of 1 300 clinical nurses from 6 Class Ⅱ Grade A county-level hospitals in Zhengzhou, Hebi, Zhoukou and other cities in Henan Province were selected as the research objects from August 2022 to January 2023. General Data Questionnaire and Clinical Nurses' Willingness to Engage in Telecare Questionnaire were used to investigate the research objects. Non-parametric test and multiple linear regression were used to analyze the influencing factors of clinical nurses' willingness to engage in telecare.Results:A total of 1 300 questionnaires were sent out in this study, and 1 183 were effectively collected, with an effective recovery rate of 91.00% (1 183/1 300). The total score of Clinical Nurses' Willingness to Engage in Telecare Questionnaire of 1 183 nurses in county-level hospitals was [105.00 (98.00, 112.00) ] points, and all items were scored [3.50 (3.27, 3.73) ]. Multiple linear regression analysis showed that professional title, post, whether they knew about telecare, and the number of times of receiving training on nursing information each year were the influencing factors of nurses' willingness to engage in telecare in county-level hospitals ( P<0.05) . Conclusions:In Henan Province, 1 183 nurses in county-level hospitals have a high willingness to engage in telecare. Relevant departments should further strengthen the publicity of relevant contents of telecare, carry out practical operation training related to nursing information, improve the nursing information ability of nurses in county-level hospitals and strengthen the awareness of health management services, so as to promote the successful implementation of telecare services in rural areas.

目的 探讨加速康复外科(ERAS)在腹腔镜结直肠癌切除术患者中的应用效果,并分析其对患者术后胃肠功能、炎症状态的影响.方法 以随机数字表法将2019年3月至2020年12月在河南省人民医院治疗的210例结直肠癌患者分为对照组和观察组,各105例.两组患者均接受腹腔镜结直肠癌根治术,对照组患者围手术期接受常规护理,观察组患者围手术期接受ERAS护理干预.采用疼痛数字评分法(NRS)评估患者疼痛程度,采用匹兹堡睡眠质量指数(PSQI)评估患者睡眠质量,比较两组患者术后胃肠功能恢复情况、手术前后血清炎症因子水平,记录术后近期并发症情况.结果 观察组患者术后肛门首次排气、排便时间,肠鸣音恢复时间均短于对照组(P<0.05).与术前比较,术后3 d两组患者血清肿瘤坏死因子α(TNF-α)、白细胞介素-6(IL-6)、超敏C反应蛋白(hs-CRP)水平均升高,但观察组低于对照组(P<0.05).与术前比较,术后24 h两组患者NRS评分及术后10 d两组PSQI评分均降低,且观察组低于对照组(P<0.05).术后住院期间观察组总并发症发生率低于对照组(P<0.05).结论 ERAS可缓解腹腔镜结直肠癌切除术患者术后机体炎症反应状态,缓解术后疼痛程度,促进术后胃肠功能的恢复,还有助于改善患者睡眠质量,并发症少.

胃肠道肿瘤疾病多发老年人群,最佳治疗方案为手术,即使是微创手术,对机体也造成了一定的伤害,尤其是对老年人.老年人机体特点为抵抗力差、各功能衰退、耐受性低等,因此进行手术会承担一定的风险,术后并发症的发生率也较高;再加上老年人心理承受能力比较差,面对手术治疗,心理波动比较大,更不利于术后康复[1].为了使手术顺利的进行,并保证老年患者心理稳定,有效的护理发挥重要作用.

目的:探究快速康复在胃肠外科围手术期护理中的疗效.方法:选取2018年2月～2019年2月我院收治的接受胃肠外科手术的130例患者作为研究对象,随机分为对照组和观察组,每组各65例,给予对照组患者常规护理,给予观察组患者快速康复理念护理,观察并比较两组患者的住院时间、肛门排气时间、并发症发生率等情况.结果:观察组患者的住院时间(9.97±1.71)h、肛门排气时间(2.63±0.42)h,对照组分别为(3.95±1.14)h、(13.79±2.02)h,观察组明显短于对照组,差异具有统计学意义(P<0.05);观察组并发症发生率(6.15％)明显低于对照组(23.08％),差异具有统计学意义(P<0.05).结论:快速康复理念护理在胃肠外科患者中应用效果良好,能够明显缩短患者的住院时间和肛门排气时间,降低患者术后并发症发生率,改善患者生活质量,有利于患者恢复健康的速度,值得临床长广泛推广.