摘要
目的:研究胃癌术后早期行综合护理干预对患者胃功能、并发症发生率以及生活质量的影响。方法:选取本校附属医院2015年1月-2016年1月护理的胃癌手术治疗患者68例纳入本次研究,按照随机数字表法将其分为常规组与观察组,各34例。常规组采取常规基础术后护理,观察组在常规组的基础上给予术后早期综合护理干预;观察两组术后疼痛、腹胀程度,胃肠功能各项指标的恢复时间,术后并发症的发生情况;出院时评估两组心理状态、生活状态并调查患者对护理工作的满意程度。结果:观察组术后腹胀与疼痛程度均轻于常规组(P<0.05);观察组术后正常进食的时间、肠鸣音的恢复时间、自主排气时间、正常排便时间、下床活动时间以及住院时间均少于常规组(P<0.05);观察组术后胃乏力及并发症总发生率均低于常规组(P<0.05);观察组心理状态明显优于常规组(P<0.05);观察组SF-36量表中身体功能、角色功能、症状以及整体健康均优于常规组(P<0.05);两组认知功能、社会功能比较,差异均无统计学意义(P>0.05);观察组总满意率为88.24%,常规组为55.88%,观察组总满意率高于常规组(P<0.05)。结论:早期综合护理干预可促进胃癌手术治疗患者术后胃肠功能尽早恢复,降低术后早期疼痛与腹胀程度,预防继发性心理疾病的发生,改善患者术后生活质量,全面提高患者对于护理工作的满意程度,值得于胃癌术后临床护理中推广应用。
Objective：To study the effect of early comprehensive nursing intervention on gastric function,complication rate and quality of life in postoperative patients with gastric cancer.Method：68 patients with gastric cancer treated in the affiliated hospital of the university from January 2015 to January 2016 were enrolled in this study,according to the random number table method,they were divided into the routine group and the observation group,34 cases in each group.The routine group adopted the routine postoperative care,the observation group was given early postoperative comprehensive nursing intervention on the basis of routine group.The degree of postoperative pain and abdominal distention,postoperative gastrointestinal function recovery time,postoperative complications of two groups were compared,at discharge,the state of mind,state of life of the two groups were assessed,and the satisfaction degree of the patients in nursing was investigated.Result：The degree of abdominal distention and pain in the observation group were less than those of the routine group（P0.05）,the postoperative normal eating time,recovery time of bowel sound,independent exhaust time,normal defecation time,bed activity time and hospital stay of the observation group were less than those of the routine group（P0.05）,the incidence of gastric anemic and total complication rate of the observation group were lower than those of the routine group（P0.05）,the psychological state of the observation group was significantly better than that of the routine group（P0.05）,the body function,role function,symptoms and overall health in SF-36 of the observation group were better than those of the routine group（P0.05）,the cognitive and social functions of two groups were compared,the differences were not significantly different（P0.05）,the total satisfaction rate of the observation group was 88.24%,and the routine group was 55.88%,the total satisfaction rate of the observation group was higher than that of the routine group（P0.05�
出处
《中国医学创新》
CAS
2017年第29期70-74,共5页
Medical Innovation of China
基金
江西省教育厅项目(JXJG_12_29_4)
关键词
胃癌
术后早期护理
综合护理
胃功能
Gastric cancer
Early postoperative care
Comprehensive nursing care
Gastric function
