集束化护理对腹腔镜胃癌根治术后胃肠功能恢复的影响
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摘要
目的探讨集束化护理对腹腔镜胃癌根治术后患者胃肠功能恢复的影响。方法将100例接受腹腔镜胃癌根治术患者分为研究组和对照组,每组50例,对照组行常规护理干预,研究组在常规护理基础上开展集束化护理,比较两组患者术后肠鸣音恢复时间、首次肛门排气和排便时间、术后住院时间及患者满意度。结果研究组患者术后肠鸣音恢复时间、首次排气/排便时间、术后住院时间均短于对照组,患者满意度得分高于对照组(均P<0.05)。结论对腹腔镜胃癌根治术术后患者实施集束化护理可促进胃肠功能恢复,缩短住院时间。
引文
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[12]周飞燕,许勤,陈丽,等.胃肠术后早期咀嚼口香糖促进胃肠道功能恢复效果的系统评价[J].中华护理杂志,2012,47(9):843-846.
[13]Tandeter H.Hypothesis:hexitols in chewing gum may play a role in reducing postoperative ileus[J].Med Hypotheses,2009,72(1):39-40.
[14]陶峰.集束化护理在预防腹腔镜胆囊切除胃肠损伤及并发症中的效果观察[J].护理实践与研究,2015,12(3):48-49.
[2]曹振霞,张楠,牛书凤.术后综合护理干预对胃癌术后患者胃肠功能及生活质量的影响[J].国际护理学杂志,2014,33(9):2 263-2 265.
[3]Crocker C,Kinnear W.Weaning from ventilation:does a care bundle approach work?[J].Intensive Crit Care Nurs,2008,24(3):180-186.
[4]中国研究型医院学会机器人与腹腔镜外科专业委员会.胃癌胃切除手术加速康复外科专家共识(2016版)[J].中华消化外科杂志,2017,16(1):14-17.
[5]许威,刘宏斌,李洪涛,等.腹腔镜结合加速康复方案与传统胃癌手术近期疗效对比[J].现代肿瘤医学,2013,21(8):1 808-1 811.
[6]Hiramatsu T,Sugiyama M,Kuwabara SA,et al.Effectiveness of an outpatient preoperative care bundle in preventing postoperative pneumonia among esophageal cancer patients[J].Am J Infect Control,2014,42(4):385-388.
[7]Chien CY,Lin CH,Hsu RB.Care bundle to prevent methicillin-resistant Staphylococcus aureus sternal wound infection after off-pump coronary artery bypass[J].Am J Infect Control,2014,42(5):562-564.
[8]Hawe CS,Ellis KS,Cairns CJ.Reduction of ventilator-associated pneumonia:active versus passive guideline implementation[J].Intensive Care Med,2009,35(7):1 180-1 186.
[9]沈娟月,俞耀军.综合性护理干预对胃癌患者术后胃肠功能及生活质量的影响[J].中国现代医生,2015,53(17):154-157.
[10]张玲,方颖,胡少华.早期集束化护理对胰十二指肠切除术后肠功能恢复的影响[J].当代护士:中旬刊,2015,10(10):50-52.
[11]Shum NF,Choi HK,Mak JC,et al.Randomized clinical trial of chewing gum after laparoscopic colorectal resection[J].Br J Surg,2016,103(11):1 447-1 452.
[12]周飞燕,许勤,陈丽,等.胃肠术后早期咀嚼口香糖促进胃肠道功能恢复效果的系统评价[J].中华护理杂志,2012,47(9):843-846.
[13]Tandeter H.Hypothesis:hexitols in chewing gum may play a role in reducing postoperative ileus[J].Med Hypotheses,2009,72(1):39-40.
[14]陶峰.集束化护理在预防腹腔镜胆囊切除胃肠损伤及并发症中的效果观察[J].护理实践与研究,2015,12(3):48-49.