加速康复外科护理对胃大部切除术患者胃肠道功能及生活质量的影响研究(1)
摘 要：目的 分析加速康复外科护理对胃大部切除术患者胃肠道功能及生活质量的影响。方法 选择本院2016年7月～2017年7月接收的60例胃大部切除术患者，随机分为研究组和对照组，各30例。对照组采用常规护理模式，研究组采用加速康复外科护理，分析两种护理方式对患者胃肠道功能及生活质量的影响。结果 研究组患者肛门排气时间、初次排便时间、肠鸣音发生时间及初始摄食等指标均优于对照组，差异具有统计学意义(P<0.05)；研究组生活质量总体健康评分优于对照组患者[(94.11±4.23)分vs(75.21±2.13)分]，差异有统计学意义(P<0.05)。结论 加速康复的外科护理应用于胃大部切除术患者，可促进患者胃肠道功能的恢复，提高患者生活质量，临床效果佳，值得推广应用。
关键词：胃肠道功能；胃大部切除；加速康复外科护理；生活质量
中图分类号：R473.6 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.06.062
, 百拇医药
文章编号：1006-1959(2018)06-0172-02
Effect of Accelerated Rehabilitation Surgical Nursing on Gastrointestinal Function and Quality of Life in Patients undergoing Subtotal Gastrectomy
GENG Jin-ping
(Department of Surgery，Zhongxiang People's Hospital，Zhongxiang 431900，Hubei，China)
Abstract：Objective To analyze the effect of accelerated rehabilitation surgery nursing on gastrointestinal function and quality of life in patients undergoing subtotal gastrectomy.Methods 60 patients with subtotal gastrectomy received in our hospital from July 2016 to July 2017 were randomly divided into study group and control group.There were 30 cases in each group.The control group adopted routine nursing mode and the study group adopted accelerated rehabilitation surgery nursing.The effects of two nursing methods on gastrointestinal function and quality of life were analyzed.Results The anus exhaust time，the first defecation time，the onset time of bowel sound and the initial intake of the patients in the study group were better than those in the control group，the difference was statistically significant(P<0.05)，the overall health score of the study group was better than that of the control group[94.11±4.23)vs(75.21±2.13)]，and the difference was statistically significant(P<0.05).Conclusion Surgical nursing of accelerated rehabilitation is applied to patients with subtotal gastrectomy.It can promote the recovery of gastrointestinal function and improve the quality of life of patients.
, 百拇医药
Key words：Gastrointestinal function；Subtotal gastrectomy；Accelerated rehabilitation surgery；Quality of life
胃大部切除术主要用在严重溃疡或是胃部肿瘤患者治疗中，其属于临床常见术式[1，2]。胃溃疡属于消化系统中常见病症，是指胃中胃黏膜逐渐被胃自身消化液消化，从而引发超逾黏膜肌层组织的损伤，在发展为严重溃疡时，则会发生呕血、黑便等情况。文献指出，若在胃大部的整体切除术的过程加以相应护理，则对患者在预后质量、疗效及生活等方面的质量影响存在积极意义[3]。而常規护理中，相关规章制度不够完善，且因人员等分配不足，因此护理工作质量不高，故本院在胃大部的切除术中应用加速康复外科护理(fast track surgery，FTS)，报道如下。
1 资料与方法
1.1 一般资料 选择钟祥市人民医院2016年7月～2017年7月接收的60例胃大部切除术患者，本研究经伦理会审批通过。纳入标准：①纳入知情同意者；②不存在抗肿瘤相关治疗史。排除标准：①排除存在精神问题者；②合并严重心肺疾病者。将60例患者随机分研究组和对照组，各30例。对照组男17例，女13例，年龄27～74岁，平均年龄(43.25±6.41)岁。胃溃疡并出血8例，胃癌12例，胃溃疡并幽门梗阻10例。研究组男19例，女11例，年龄28～77岁，平均年龄(45.21±5.98)岁，胃溃疡并出血9例，胃癌12例，胃溃疡并幽门梗阻9例。两组性别、年龄等资料比较，差异无统计学意义(P>0.05)，临床可比。, 百拇医药(耿金萍)
关键词：胃肠道功能；胃大部切除；加速康复外科护理；生活质量
中图分类号：R473.6 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.06.062
, 百拇医药
文章编号：1006-1959(2018)06-0172-02
Effect of Accelerated Rehabilitation Surgical Nursing on Gastrointestinal Function and Quality of Life in Patients undergoing Subtotal Gastrectomy
GENG Jin-ping
(Department of Surgery，Zhongxiang People's Hospital，Zhongxiang 431900，Hubei，China)
Abstract：Objective To analyze the effect of accelerated rehabilitation surgery nursing on gastrointestinal function and quality of life in patients undergoing subtotal gastrectomy.Methods 60 patients with subtotal gastrectomy received in our hospital from July 2016 to July 2017 were randomly divided into study group and control group.There were 30 cases in each group.The control group adopted routine nursing mode and the study group adopted accelerated rehabilitation surgery nursing.The effects of two nursing methods on gastrointestinal function and quality of life were analyzed.Results The anus exhaust time，the first defecation time，the onset time of bowel sound and the initial intake of the patients in the study group were better than those in the control group，the difference was statistically significant(P<0.05)，the overall health score of the study group was better than that of the control group[94.11±4.23)vs(75.21±2.13)]，and the difference was statistically significant(P<0.05).Conclusion Surgical nursing of accelerated rehabilitation is applied to patients with subtotal gastrectomy.It can promote the recovery of gastrointestinal function and improve the quality of life of patients.
, 百拇医药
Key words：Gastrointestinal function；Subtotal gastrectomy；Accelerated rehabilitation surgery；Quality of life
胃大部切除术主要用在严重溃疡或是胃部肿瘤患者治疗中，其属于临床常见术式[1，2]。胃溃疡属于消化系统中常见病症，是指胃中胃黏膜逐渐被胃自身消化液消化，从而引发超逾黏膜肌层组织的损伤，在发展为严重溃疡时，则会发生呕血、黑便等情况。文献指出，若在胃大部的整体切除术的过程加以相应护理，则对患者在预后质量、疗效及生活等方面的质量影响存在积极意义[3]。而常規护理中，相关规章制度不够完善，且因人员等分配不足，因此护理工作质量不高，故本院在胃大部的切除术中应用加速康复外科护理(fast track surgery，FTS)，报道如下。
1 资料与方法
1.1 一般资料 选择钟祥市人民医院2016年7月～2017年7月接收的60例胃大部切除术患者，本研究经伦理会审批通过。纳入标准：①纳入知情同意者；②不存在抗肿瘤相关治疗史。排除标准：①排除存在精神问题者；②合并严重心肺疾病者。将60例患者随机分研究组和对照组，各30例。对照组男17例，女13例，年龄27～74岁，平均年龄(43.25±6.41)岁。胃溃疡并出血8例，胃癌12例，胃溃疡并幽门梗阻10例。研究组男19例，女11例，年龄28～77岁，平均年龄(45.21±5.98)岁，胃溃疡并出血9例，胃癌12例，胃溃疡并幽门梗阻9例。两组性别、年龄等资料比较，差异无统计学意义(P>0.05)，临床可比。, 百拇医药(耿金萍)