摘要
目的 探讨以问题为导向的护理干预措施对胃癌根治术后患者康复及生活质量的影响.方法选取2013年5月至2016年5月我院收治的行胃癌根治术患者108例为研究对象,随机分为观察组和对照组各54例.对照组行常规护理,观察组行以问题为导向的护理干预,对比两组胃乏力发生率、临床指标、胃肠功能指标改善情况以及生活质量评分情况.结果观察组胃乏力和胃肠道症状发生率均明显低于对照组,差异有统计学意义（P〈0.05）;观察组肠鸣音恢复时间、饮食恢复时间、肛门初次排气时间、住院时间及留置导尿管时间均短于对照组,差异有统计学意义（P〈0.05）;观察组术后躯体功能、躯体疼痛、躯体健康、社会功能、情绪角色、精力、心理状态、总体健康生活质量评分均高于对照组,差异有统计学意义（P〈0.05）.结论以问题为导向的护理干预措施应用于胃癌根治术患者可明显降低胃乏力发生率,减轻胃肠道症状,改善胃肠功能,提高患者生活质量,促进其早日康复,值得推广应用.
Objective To discuss about the influence of problem-based nursing intervention on stomach atony occurrence rate, gastrointestinal function index and living quality of radical operation for carcinoma of stomach. Methods A total of 108 radical operation patients for carcinoma of stomach received from May, 2013 to May, 2016 were select-ed as the study objects and divided into two groups randomly, where there were 54 cases in each group. Conventional nursing was implemented in control group and problem-based nursing intervention was implemented in observation group to compare the stomach atony occurrence rate, clinical index, gastrointestinal function index and living quality score of two groups. Results The stomach atony and gastrointestinal symptom occurrence rates of observation group were lower than control group, and the differences were statistically significant （P〈0. 05）. The borborygmus recovery time, diet recovery time, initial evacuation time of anus, hospital stay and indwelling catheter time of observation group were shor-ter than control group, and the differences were statistically significant （P〈0. 05）. The life quality scores of postopera-tive physical function, physical pain, physical health, social function, emotional character, spirit, psychological state and overall health of the observation group were higher than that of the control group, and the differences were statistical-ly significant （ P〈0. 05 ） . Conclusions The problem-based nursing intervention measures applied to radical operation patients for carcinoma of stomach can significantly reduce the occurrence rate of stomach atony, relieve the gastrointesti-nal symptom, improve gastrointestinal function living quality, promote to get well soon, which is worth popularizing.
出处
《国际护理学杂志》
2017年第6期808-812,共5页
international journal of nursing
关键词
以问题为导向
护理干预
胃癌根治术
胃乏力
生活质量
Problem-based
Nursing interventions
Radical operation for carcinoma of stomach
Stomach weakness
Quality of life
