首页|经膀胱腹内压监测法在腹部手术患者胃肠功能恢复中的应用

经膀胱腹内压监测法在腹部手术患者胃肠功能恢复中的应用

Application of tans-bladder intra-abdominal pressure monitoring on gastrointestinal function recovery in patients undergoing abdominal surgery

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目的 观察经膀胱腹内压监测法在腹部手术患者胃肠功能恢复中的应用效果.方法 选取 2022 年 1月至 2023 年 5 月行腹部手术的 85 例患者为研究对象,其中干预组 42 例,对照组 43 例.对照组患者围术期予以常规护理措施,在此基础上,干预组患者予以基于经膀胱腹内压监测法的胃肠功能恢复护理干预.记录2 组患者术后肠鸣音出现时间、术后首次排气时间、术后首次进食半流质时间、住院时间、术后胃肠道症状发生情况,同时采用胃肠道症状分级评分量表(gastrointestinal symptoms rating scale,GSRS)、舒适状况量表(general comfort questionnaire,GCQ)评估干预效果.结果 干预组患者与对照组患者比较,术后肠鸣音出现时间、术后首次排气时间、术后首次进食半流质时间、住院时间明显缩短,差异均有统计学意义(P<0.05).干预组患者术后胃肠道症状发生率低于对照组患者,差异无统计学意义(P>0.05);干预后,干预组患者与对照组患者比较,GSRS量表各症状评分及总分明显降低(P<0.05);GCQ量表生理、心理精神、社会文化维度评分及总分明显升高,差异均有统计学意义(P<0.05).结论 在腹部手术患者中应用经膀胱腹内压监测法的胃肠功能恢复护理措施,能够促进患者胃肠功能恢复,降低患者胃肠道症状发生率,改善患者胃肠不适症状,提高患者舒适度.
Objective This study aimed to evaluate the effectiveness of tans-bladder intra-abdominal pressure monitoring on gastrointestinal function recovery in patients undergoing abdominal surgery.Methods A total of 85 patients undergoing abdominal surgery in our hospital between January 2022 and May 2023 were included in this study.Patients in the control group(n=43)received standard perioperative nursing care,patients in the intervention group(n=42)additionally received tans-bladder intra-abdominal pressure monitoring for gastrointestinal function recovery.The time to postoperative bowel sound,postoperative first exhaust,postoperative first intake of semi-liquid diet,hospitalization,as well as incidence of postoperative gastrointestinal symptoms were recorded in the two groups.The Gastrointestinal Symptoms Rating Scale(GSRS)and the General Comfort Questionnaire(GCQ)were performed to assess intervention effects.Results After the intervention,the intervention group exhibited significantly shorter time to postoperative bowel sound,postoperative first exhaust,postoperative first intake of semi-liquid diet,hospitalization compared to the control group(P<0.05).The incidence of postoperative gastrointestinal symptoms in the intervention group was similar to the control group(P>0.05).After the intervention,the research group had significantly lower dimension scores and overall score of GSRS scale compared to the control group(P<0.05).The intervention group also presented significantly higher dimensions cores in physiological,psychological,and social-cultural,as well as the total score of the GCQ scale(P<0.05).Conclusion The application of tans-bladder intra-abdominal pressure monitoring on gastrointestinal function recovery in patients undergoing abdominal surgery can effectively promote gastrointestinal function recovery,reduce incidence of postoperative gastrointestinal symptoms,improve discomfort symptoms,and enhance patient comfort.

tans-bladder intra-abdominal pressure monitoringabdominal surgerygastrointestinal symptomsperioperative nursing

李葵芬、陈亚燕、帅意好、区燕云、张启鹤

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528211 广东省佛山市南海区第四人民医院普外科

经膀胱腹内压监测法 腹部手术 胃肠症状 围术期护理

佛山市自筹经费类科技创新入库培育项目

2220001005275

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(11)
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