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快速康复外科理念下的中医护理对胃癌术后胃肠功能与生存质量的影响
戴非非
上海中医药大学附属曙光医院3B 病区上海 200021
摘要:
目的:探讨快速康复外科理念下的中医护理适宜技术对胃癌术后胃肠功能与生存质量的影响。方法:将2017 年6 月—2018 年12 月我院收治的158 例胃癌患者随机分为对照组和观察组各79 例。两组患者均接受腹腔镜下胃癌根治术,对照组患者术后给予快速康复外科理念下的常规护理干预,观察组在对照组基础上给予中医护理适宜技术干预,两组患者术后护理干预时间均为7 天。比较两组患者胃肠功能恢复情况(肠音恢复时间、首次排气、排便时间等)、生存质量评分、并发症发生情况及护理满意度等。结果:观察组患者的肠音恢复时间、首次排气时间、首次排便时间、术后住院时间均少于对照组,差异有统计学意义(P < 0.05);观察组的QLQ-C30 量表生活质量功能中情绪功能、社会功能评分显著高于对照组,生活质量症状中食欲下降、睡眠障碍评分显著低于对照组,差异均有统计学意义(P < 0.05);观察组患者并发症发生率低于对照组,护理满意度高于对照组,差异均有统计学意义(P < 0.05)。结论:快速康复外科理念下的中医护理适宜技术可加快胃癌术后患者胃肠功能恢复,提高患者生存质量及护理满意度,适合临床推广。
关键词:  快速康复外科  中医  护理  胃癌
DOI:10.3969/j.issn.1007-6948.2020.04.033
投稿时间:2019-11-17
基金项目:上海市护理学会课题(2019QN-B03);曙光医院首届护理科研课题(2019SGHL01)
Effect of Appropriate Chinese Medicine Nursing Techniquesunder the Concept of Fasttracksurgery on Postoperative Gastrointestinal Function and Quality of Life in Patients with Gastric Cancer
DAI Fei-fei.
Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai200021,China
Abstract:
Objective To investigate the effects of appropriate Chinese medicine nursing techniques on the gastrointestinal function and quality of life after gastric cancer surgery. Methods A total of 158 patients with gastric cancer admitted to the 3B ward of Shuguang Hospital affiliated to Shanghai University of Traditional Chinese Medicine from June 2017 to December 2018, who were randomly divided into control group and observation group. Both groups underwent laparoscopic radical gastrectomy. The control group received routine nursing intervention under the concept of fasttracksurgery. The observation group received appropriate technical intervention on TCM nursing based on the control group. Both were conducted for 7 days. The gastrointestinal function recovery (intestinal recovery time, first exhaust, defecation time, etc), quality of life score, complications and nursing satisfaction were compared between the two groups. Results In the observation group, the recovery time of bowel sounds, first exhaust time, first defecation timeand hospital stay were less than those in the control group, which the difference was statistically significant (P <0.05). The QLQ-C30 function score of the observation group was significantly higher than that of the control group (P <0.05), and the quality of life symptom score was significantly lower than that of the control group (P <0.05). The incidence of complications in the observation group was lower than that in the control group, which the difference was statistically significant (P <0.05). Conclusion The appropriate technology of TCM nursing under the concept of fasttracksurgery can accelerate the recovery of gastrointestinal function in patients with postoperative gastric cancer, improve the quality of life and satisfaction of patients. It is suitable for clinical promotion.
Key words:  Fasttracksurgery  traditional Chinesemedicine  nursing  gastric cancer

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