基于量化评估策略的护理干预对胃癌手术患者胃肠功能恢复及生活质量改善的影响
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摘要
目的探究基于量化评估策略的护理干预对胃癌手术患者胃肠功能恢复及生活质量改善的影响。方法选择2017年1月至2018年4月我院收治的62例行手术治疗的胃癌患者,按照入院时间单双号将患者分为对照组与干预组,每组31例。对照组给予常规护理,干预组在对照组基础上给予基于量化评估策略的护理干预。比较两组患者的护理效果。结果干预组患者的肠鸣音、排气、饮食、排便恢复时间、导尿管拔除时间、首次下床活动时间及住院时间均短于对照组(P<0.05);护理后,两组患者的自我效能、SAS、SDS及各项生活质量评分均改善,且干预组优于对照组(P<0.05);干预组并发症总发生率低于对照组(P<0.05)。结论胃癌手术患者采用基于量化评估策略的护理干预,可促进胃肠功能恢复,提高生活质量,改善自我效能及不良心理,降低并发症发生率,值得临床推广应用。
Objective To investigate the influence of nursing intervention based on quantitative evaluation strategy on the recovery of gastrointestinal function and improvement of quaility of life in patients with gastric cancer surgery. Methods From January 2017 to April 2018, a total of 62 patients with gastric cancer who underwent surgery in our hospital were selected. The patients were divided into control group and intervention group according to single and double number of admission time, with 31 cases in each group. The control group received routine nursing, and the intervention group was given nursing intervention based on the quantitative evaluation strategy on the basis of the control group. The nursing effects of the two groups were compared. Results The recovery time of intestinal sounds, exhaust, diet, defecation, catheter removal time, first ambulation time and hospitalization time of the intervention group were shorter than those of the control group(P<0.05). After nursing, the scores of self-efficacy, SAS, SDS and various quality of life of the two groups improved,and those in the intervention group were better than the control group(P<0.05). The total incidence of complications in the intervention group was lower than that in the control group(P<0.05). Conclusion Nursing intervention based on quantitative evaluation strategy in patients undergoing gastric cancer surgery can promote the recovery of gastrointestinal function,improve the quality of life, improve self-efficacy and bad psychology and decrease the incidence of complications. It is worthy of clinical application and promotion.
Objective To investigate the influence of nursing intervention based on quantitative evaluation strategy on the recovery of gastrointestinal function and improvement of quaility of life in patients with gastric cancer surgery. Methods From January 2017 to April 2018, a total of 62 patients with gastric cancer who underwent surgery in our hospital were selected. The patients were divided into control group and intervention group according to single and double number of admission time, with 31 cases in each group. The control group received routine nursing, and the intervention group was given nursing intervention based on the quantitative evaluation strategy on the basis of the control group. The nursing effects of the two groups were compared. Results The recovery time of intestinal sounds, exhaust, diet, defecation, catheter removal time, first ambulation time and hospitalization time of the intervention group were shorter than those of the control group(P<0.05). After nursing, the scores of self-efficacy, SAS, SDS and various quality of life of the two groups improved,and those in the intervention group were better than the control group(P<0.05). The total incidence of complications in the intervention group was lower than that in the control group(P<0.05). Conclusion Nursing intervention based on quantitative evaluation strategy in patients undergoing gastric cancer surgery can promote the recovery of gastrointestinal function,improve the quality of life, improve self-efficacy and bad psychology and decrease the incidence of complications. It is worthy of clinical application and promotion.
引文
[1]张志娜,张爱红,李红娟.基于量化评估策略的护理干预对胃癌术后患者胃肠功能及生活质量的影响[J].现代中西医结合杂志,2018,27(21):2381-2383.
[2]李玲玲,吕冬梅,杨海英.针对性护理干预对胃癌术后化疗患者焦虑的影响分析[J].中华全科医学,2016,14(7):1178-1181.
[3]马虹,鲁鸣,高晓兰,等.整体护理干预对胃癌根治术患者心理状态及康复效果的影响[J].中国医药导报,2016,13(19):168-172.
[4]郭海萍,洪燕.系统性护理干预对晚期胃癌化疗患者自我效能与癌因性疲乏改善的意义[J].河北医药,2016,38(1):139-141.
[5]蔡翔,张爽.护理干预对胃癌患者围手术期负性情绪及生活质量的影响[J].河北医学,2015,21(8):1510-1512.
[6]方雪红,曹钏宏,管来顺.围术期护理干预对胃癌根治术患者胃肠功能恢复与术后并发症及护理满意度的影响[J].中国肿瘤临床与康复,2015,22(8):605-607.
[7]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.
[8]UWIMANA J,ZAROWSKY C,HAUSLER H,et al.Community-based intervention to enhance provision of integrated TB-HIV and PMTCTservices in South Africa[J].Int J Tuberc Lung Dis,2013,17(10 Suppl1):48-55.
[9]田璞.综合护理干预对胃癌化疗患者睡眠质量的影响[J].贵阳中医学院学报,2014,36(3):118-120.
[10]王爱华,吴春萍.全程护理干预对胃癌术后早期肠内营养并发症的影响[J].实用临床医药杂志,2014,18(6):42-44.
[11]潘丽丽.护理干预对胃癌化疗患者不良反应及治疗依从性的影响[J].中国当代医药,2014,21(6):117-119.
[12]孙岩,唐晟.护理干预对胃癌术后早期肠内营养患者生存质量的影响观察[J].现代中西医结合杂志,2013,22(36):4089-4091.
[2]李玲玲,吕冬梅,杨海英.针对性护理干预对胃癌术后化疗患者焦虑的影响分析[J].中华全科医学,2016,14(7):1178-1181.
[3]马虹,鲁鸣,高晓兰,等.整体护理干预对胃癌根治术患者心理状态及康复效果的影响[J].中国医药导报,2016,13(19):168-172.
[4]郭海萍,洪燕.系统性护理干预对晚期胃癌化疗患者自我效能与癌因性疲乏改善的意义[J].河北医药,2016,38(1):139-141.
[5]蔡翔,张爽.护理干预对胃癌患者围手术期负性情绪及生活质量的影响[J].河北医学,2015,21(8):1510-1512.
[6]方雪红,曹钏宏,管来顺.围术期护理干预对胃癌根治术患者胃肠功能恢复与术后并发症及护理满意度的影响[J].中国肿瘤临床与康复,2015,22(8):605-607.
[7]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.
[8]UWIMANA J,ZAROWSKY C,HAUSLER H,et al.Community-based intervention to enhance provision of integrated TB-HIV and PMTCTservices in South Africa[J].Int J Tuberc Lung Dis,2013,17(10 Suppl1):48-55.
[9]田璞.综合护理干预对胃癌化疗患者睡眠质量的影响[J].贵阳中医学院学报,2014,36(3):118-120.
[10]王爱华,吴春萍.全程护理干预对胃癌术后早期肠内营养并发症的影响[J].实用临床医药杂志,2014,18(6):42-44.
[11]潘丽丽.护理干预对胃癌化疗患者不良反应及治疗依从性的影响[J].中国当代医药,2014,21(6):117-119.
[12]孙岩,唐晟.护理干预对胃癌术后早期肠内营养患者生存质量的影响观察[J].现代中西医结合杂志,2013,22(36):4089-4091.