摘要
目的探讨开展优质护理服务对胃癌患者术后胃肠功能恢复、睡眠质量的干预价值。方法方便选取于2020年4月—2021年4月入该院治疗的胃癌患者80例作为研究对象,使用抽签法将对象分为常规组(40例)与观察组(40例)。常规组实施常规护理,观察组实施优质护理服务。比较两组患者护理前后的匹兹堡睡眠质量指数量表(PSQI)评分、一般自我效能感量表(GSES)评分、生活质量综合评定问卷(GQOLI-74)评分、汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分,并对比两组的饮食恢复时间、首次排气时间、肠鸣音恢复时间、排便恢复时间、胃乏力发生率、并发症发生率(肺部感染、肺不张、吻合口瘘、切口感染)。结果观察组护理后的PSQI评分(4.37±1.52)分、HAMD评分(12.05±2.74)分、HAMA评分(12.57±2.74)分低于常规组,差异有统计学意义(t=9.689、5.825、4.552,P<0.05);观察组护理后的GSES评分(32.15±3.28)分高于常规组,差异有统计学意义(t=6.702,P<0.05)。观察组护理后的饮食恢复时间(2.34±1.39)d、首次排气时间(1.30±0.87)d、肠鸣音恢复时间(31.26±4.83)h及排便恢复时间(67.58±9.32)h均短于常规组,差异有统计学意义(t=4.822、8.479、12.232、10.905,P<0.05)。观察组的胃乏力发生率为2.50%,明显低于常规组的20.00%,差异有统计学意义(χ^(2)=4.507,P<0.05)。观察组的并发症发生率为10.00%,显著低于常规组的32.50%,差异有统计学意义(χ^(2)=6.050,P<0.05)。结论开展优质护理服务能在一定程度上促进胃癌患者术后胃肠功能的恢复,减少胃乏力和并发症的发生,并缓解患者的焦虑、抑郁等负面情绪,提高其自我效能感、睡眠质量以及生活质量,有利于病情的好转。
Objective To explore the intervention value of high-quality nursing service on postoperative gastrointestinal function recovery and sleep quality in patients with gastric cancer.Methods A total of 80 patients with gastric cancer who were admitted to the hospital for treatment from April 2020 to April 2021 were conveniently selected as the research objects.The subjects were divided into the routine group(40 cases)and the observation group(40 cases)by drawing lots.The routine group received routine nursing,and the observation group received high-quality nursing services.The scores of Pittsburgh Sleep Quality Index(PSQI),General Self-Efficacy Scale(GSEs),Quality of Life Comprehensive Assessment Questionnaire(GQOLI-74),Hamilton Anxiety Scale(HAMA),and Hamilton Depression Scale(HAMD)were compared between the two groups before and after nursing.And the dietary recovery time,first exhaust time,bowel sound recovery time of defecation,incidence of gastric asthenia and incidence of complications(pulmonary infection,atelectasis,anastomotic fistula and incision infection)were compared between the two groups.Results The PSQI point(4.37±1.52)points,HAMD point(12.05±2.74)points,and HAMA point(12.57±2.74)points of the observation group after nursing were lower than those of the routine group,and the difference was statistically significant(t=9.689,5.825,4.552,P<0.05);the GSES point(32.15±3.28)points of the observation group after nursing was higher than that of the routine group,and the difference was statistically significant(t=6.702,P<0.05).The diet recovery time(2.34±1.39)d,first exhaust time(1.30±0.87)d,bowel sound recovery time(31.26±4.83)h and defecation recovery time(67.58±9.32)h after nursing in the observation group were all shorter than in the routine group,the difference was statistically significant(t=4.822,8.479,12.232,10.905,P<0.05).The incidence of gastric fatigue in the observation group was 2.50%,which was significantly lower than the 20.00%in the routine group.The difference was statistically significan
作者
刘贵珠
LIU Guizhu(Department of Gastrointestinal Surgery,Affiliated Hospital of Putian University,Putian,Fujian Province,351100 China)
出处
《中外医疗》
2022年第11期181-184,189,共5页
China & Foreign Medical Treatment
关键词
优质护理服务
胃癌
胃肠功能
睡眠质量
负面情绪
生活质量
并发症
High quality nursing service
Gastric cancer
Gastrointestinal function
Sleep quality
Negative emotions
Quality of life
Complication
