术后优质护理对胃癌根治术患者胃肠功能恢复的影响

刘萍

[摘要] 目的 探析術后优质护理对胃癌根治术患者肠胃功能恢复的影响。 方法 随机选取该院在2015年1月—2018年3月期间收治的82例实施胃癌根治术的患者，将其随机分为对照组和观察组，各为41例，其中对照组实施常规护理，观察组采用优质护理，比较两组患者的胃肠恢复时间、饮食恢复时间、食欲和患者满意度。 结果 观察组患者肠鸣音时间（30.28±4.09）h、排气时间（35.07±4.93）h、排便时间（65.24±8.16）h、饮食恢复时间（64.26±5.17）h均显著低于对照组（42.34±7.29）h、（69.09±7.31）h、（93.84±5.73）h、（79.83±14.63）h，差异有统计学意义（t=9.07、13.65、19.32、2.91、P<0.05）;对照组患者食欲好的概率22.0%和患者满意率24.4%均显著低于观察组85.4%、85.4%，差异有统计学意义（χ2=4.328、2.119，P<0.05）。 结论 术后优质护理对胃癌根治术患者胃肠功能恢复的影响巨大，临床效果显著，提高患者满意度，帮助患者早日康复，值得临床推广。

[关键词] 优质护理;胃癌根治术;肠胃功能;满意率

[中图分类号] R473          [文献标识码] A          [文章编号] 1674-0742（2018）08（c）-0143-03

Effect of Postoperative High Quality Care on Recovery of Gastrointestinal Function in Patients Undergoing Radical Gastrectomy for Gastric Cancer

LIU Ping

Operation Room， Ganyu District Traditional Chinese Medicine Hospital， Lianyungang， Jiangsu Province， 222100 China

[Abstract] Objective To investigate the effect of postoperative high quality care on the recovery of gastrointestinal function in patients with gastrectomy. Methods 82 patients undergoing radical gastrectomy who were admitted to the hospital between January 2015 and March 2018 were randomly divided into a control group and an observation group. There were 41 cases in each group. The control group performed conventional nursing， observation group using high-quality care， compared the two groups of patients gastrointestinal recovery time， diet recovery time， appetite and patient satisfaction. Results The bowel sound duration （30.28±4.09） h， discharge time （35.07±4.93） h， defecation time （65.24±8.16） h， and diet recovery time （64.26±5.17） h were significantly lower in the observation group than in the control group of （42.34±7.29） h， （69.09±7.31） h， （93.84±5.73） h， （79.83±14.63） h， with significant differences （t=9.07， 13.65， 19.32， 2.91， P<0.05）. The rate of good appetite 22.0% and patient satisfaction rate 24.4% in the control group were significantly lower than those in the observation group 85.4% and 85.4%， with significant differences （χ2=4.328， 2.119， P<0.05）. Conclusion Postoperative high quality care has great influence on the recovery of gastrointestinal function in patients with radical gastrectomy for gastric cancer， and has significant clinical effect. It can improve patient satisfaction and help patients recover soon， which is worthy of clinical promotion.

[Key words] High-quality care; Radical gastrectomy; Gastrointestinal function; Satisfaction rate

胃癌是一种起源于胃黏膜上皮的恶性肿瘤，在恶性肿瘤中发病率最高，且该病发病率与地域相关，发病年龄大多50岁以上，男性发病率高于女性[1]。临床表现为早期患者无明显症状，进展期出现疼痛、体重减轻、食欲下降、吞咽困难等，晚期患者有消瘦、营养不良等症状[2]。预后情况与胃癌病理分期、组织类型等相关，临床治疗手段包括手术治疗、化疗、靶向治疗等。其中早期患者进行根治性手术，延长患者生存期，而根治性手术创伤大，对患者生理功能产生较大影响，通过术后优质护理可有效改善患者就医体验，减轻患者心理负担，增强手术治疗效果。为进一步探析术后优质护理对胃癌根治术患者肠胃功能恢复的影响，该文随机选取该院在2015年1月—2018年3月期间收治的82例实施胃癌根治术的胃癌患者作为研究对象，现报道如下。

1  资料与方法

1.1  一般资料

随机选取该院收治的82例采用胃癌根治术的胃癌患者，分为对照组41例，观察组41例，对照组进行常规护理，观察组应用术后优质护理。……