早期綜合護理干預對于胃癌術后患者胃功能的影響

祝水英

【摘要】 目的：研究胃癌術后早期行綜合護理干預對患者胃功能、并發(fā)癥發(fā)生率以及生活質量的影響。方法：選取本校附屬醫(yī)院2015年1月-2016年1月護理的胃癌手術治療患者68例納入本次研究，按照隨機數字表法將其分為常規(guī)組與觀察組，各34例。常規(guī)組采取常規(guī)基礎術后護理，觀察組在常規(guī)組的基礎上給予術后早期綜合護理干預；觀察兩組術后疼痛、腹脹程度，胃腸功能各項指標的恢復時間，術后并發(fā)癥的發(fā)生情況；出院時評估兩組心理狀態(tài)、生活狀態(tài)并調查患者對護理工作的滿意程度。結果：觀察組術后腹脹與疼痛程度均輕于常規(guī)組（P<0.05）；觀察組術后正常進食的時間、腸鳴音的恢復時間、自主排氣時間、正常排便時間、下床活動時間以及住院時間均少于常規(guī)組（P<0.05）；觀察組術后胃乏力及并發(fā)癥總發(fā)生率均低于常規(guī)組（P<0.05）；觀察組心理狀態(tài)明顯優(yōu)于常規(guī)組（P<0.05）；觀察組SF-36量表中身體功能、角色功能、癥狀以及整體健康均優(yōu)于常規(guī)組（P<0.05）；兩組認知功能、社會功能比較，差異均無統計學意義（P>0.05）；觀察組總滿意率為88.24%，常規(guī)組為55.88%，觀察組總滿意率高于常規(guī)組（P<0.05）。結論：早期綜合護理干預可促進胃癌手術治療患者術后胃腸功能盡早恢復，降低術后早期疼痛與腹脹程度，預防繼發(fā)性心理疾病的發(fā)生，改善患者術后生活質量，全面提高患者對于護理工作的滿意程度，值得于胃癌術后臨床護理中推廣應用。

【關鍵詞】 胃癌； 術后早期護理； 綜合護理； 胃功能

【Abstract】 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（P<0.05），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（P<0.05），the incidence of gastric anemic and total complication rate of the observation group were lower than those of the routine group（P<0.05），the psychological state of the observation group was significantly better than that of the routine group（P<0.05），the body function，role function，symptoms and overall health in SF-36 of the observation group were better than those of the routine group（P<0.05），the cognitive and social functions of two groups were compared，the differences were not significantly different（P<0.05），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（P<0.05）.Conclusion：Early comprehensive nursing intervention can promote postoperative gastrointestinal function in patients with gastric cancer surgery to early restore as soon as possible，reduce the degree of early postoperative pain and abdominal distention，prevent the happening of the secondary mental disease，improve patients quality of life，improve patient satisfaction with the degree of nursing work，worthy of popularization and application in postoperative gastric cancer clinical care.endprint

【Key words】 Gastric cancer； Early postoperative care； Comprehensive nursing care； Gastric function

First-authors address：Jiangxi Medical College，Shangrao 334000，China

doi：10.3969/j.issn.1674-4985.2017.29.018

胃癌是消化科臨床上一種十分常見的惡性腫瘤。我國近些年來的發(fā)病率呈現出上升趨勢[1-3]。手術切除治療胃癌具有理想療效及預后，早期胃癌手術治療的五年生存率可達90%左右[4-6]。然而手術治療屬于有創(chuàng)性療法，術后患者可發(fā)生一系列的相關不良反應，嚴重的甚至可能直接影響手術療效。近些年來術后快速康復理念在臨床護理中推廣普及，術后早期綜合護理干預正是建立在此項理論基礎之上的新型優(yōu)質護理措施。為了客觀評估胃癌術后早期綜合護理干預對于患者胃功能恢復的作用，本校附院開展本次研究，現報道如下。

1 資料與方法

1.1 一般資料 選取本校附屬醫(yī)院2015年

1月-2016年1月護理的胃癌手術治療患者68例納入本次研究，按照隨機數字表法將其分為常規(guī)組與觀察組，各34例。……