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亚专科模式在胃肠外科中的应用及临床价值

Application and clinical value of subspecialty care model in gastrointestinal surgery

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目的 探讨亚专科模式在胃肠外科中的应用及临床价值.方法 选取 2021 至2022 年收治的200 例胃肠外科患者,按照干预方式不同,分为对照组和研究组,每组 100 例.对照组接受常规护理,研究组接受亚专科护理模式.对比 2 组患者护理满意度、症状改善时间、肠内营养启动时间、血糖平均值、住院时间、住院费用、专科护理质量指标以及生活质量评分.结果 研究组护理满意度高于对照组(P<0.05).研究组Kolcaba舒适状况量表(GCQ)高于对照组,腹痛及腹胀缓解时间低于对照组(P<0.05).研究组肠内营养启动时间、血糖平均值、住院时间、住院费用低于对照组(P<0.05).研究组并发症发生率低于对照组,护理措施落实率高于对照组(P<0.05).护理前,2 组患者生活质量综合评定问卷(GQOLI-74)差异无统计学意义(P>0.05);护理后,2 组患者的GQOLI-74 评分均上升高,且研究组GQOLI-74 各个维度评分均高于对照组(P<0.05).结论 胃肠外科患者采用亚专科模式,能有效提升患者的护理满意度以及专科护理质量,进一步改善患者的症状,降低血糖水平,加快康复速度,从而达到提升生活质量的目的.
Objective To explore the application and clinical value of subspecialty care model in gastrointestinal surgery.Methods A total of 200 gastrointestinal surgery patients admitted from January 2021 to December 2022 were selected.According to different intervention methods,they were divided into control group(100 cases)and study group(100 cases).Patients in the control group received routine nursing,and those in the study group received subspecialty care nursing.The nursing satisfaction,symptom improvement time,start time of enteral nutrition,average blood glucose,length of stay,hospitalization cost,quality of subspecialty care and the score of quality of life were compared.Results The nursing satisfaction of the study group was significantly higher than that of the control group(P<0.05).Patients in the study group had significantly higher score of comfort and less time of abdominal pain and abdominal distension relief than those of control group(P<0.05).Patients in the study group had significantly shorter start time of enteral nutrition and length of stay,and lower average blood glucose and hospitalization cost than those of control group(P<0.05).Patients in the study group had significantly lower incidence of complications and higher rate of implementing nursing interventions than those of control group(P<0.05).Before nursing,there was no significant difference in the score of quality of life between groups(P>0.05).After nursing,the score of each dimension of quality of life was significantly elevated in both groups,which was significantly higher in the study group than that of control group(P<0.05).Conclusion The use of subspecialty care model in gastrointestinal surgery patients can effectively improve the nursing satisfaction and quality of specialty nursing,further alleviate symptoms,reduce the blood sugar level,and speed up the recovery,so as to achieve the purpose of improving the quality of life.

subspecialtygastrointestinal surgerynursing qualitysatisfactionquality of life

程娟、孙彦荣、王珊、张楠

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223800 南京市,南京医科大学附属宿迁第一人民医院(江苏省人民医院宿迁分院) 普外胃肠科

223800 南京市,南京医科大学附属宿迁第一人民医院(江苏省人民医院宿迁分院) 消化内科

亚专科 胃肠外科 护理质量 满意度 生活质量

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(9)
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