首页|神阙穴中药贴敷联合专科护士主导的"1+1+X"协同服务模式对结直肠癌术后肠胃功能恢复的影响

神阙穴中药贴敷联合专科护士主导的"1+1+X"协同服务模式对结直肠癌术后肠胃功能恢复的影响

Effect of Shenque Acupoint Application of Chinese Medicine Combined with"1+1+X"Collaborative Service Mode Led by Specialist Nurses on Postoperative Gastrointestinal Function Recovery of Colorectal Cancer

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目的:探讨神阙穴中药贴敷联合专科护士主导的"1+1+X"协同服务模式对结直肠癌术后肠胃功能恢复的影响.方法:选取我院2018年7月至2023年7月收治的68例结直肠癌手术患者作为研究参与者,将其随机分为观察组和对照组,每组34例.对照组患者术后采用常规护理,观察组在对照组基础上增加神阙穴中药贴敷联合专科护士主导的"1+1+X"协同服务模式,比较2组患者首次排气时间、肠鸣音恢复时间、首次排便时间及住院时间,护理前后胃动素(MTL)、生长抑素(SS)、胃泌素(GAS)表达水平,胃肠道不良反应及术后并发症发生情况,并对比2组患者护理前后的生命质量情况.结果:观察组患者术后首次排气时间、肠鸣音恢复时间、首次排便时间及住院时间均明显短于对照组(P＜0.05);护理前2组患者MTL、SS、GAS水平比较差异无统计学意义(P＞0.05),护理后2组患者SS、GAS水平均降低,且观察组低于对照组(P＜0.05),MTL水平升高,且观察组高于对照组(P＜0.05);观察组患者胃肠道不良反应发生率及术后并发症发生率均低于对照组(P＜0.05);护理前2组患者生命质量评分比较差异无统计学意义(P＞0.05),护理后2组患者生命质量评分均降低,且观察组低于对照组(P＜0.05).结论:神阙穴中药贴敷联合专科护士主导的"1+1+X"协同服务模式可促进结直肠癌患者术后肠胃功能恢复,缩短患者住院时间,改善患者胃肠激素表达水平,降低术后胃肠道不良反应及术后并发症发生率,提升患者生命质量.
Objective To investigate the effect of Shenque acupoint application of Chinese medicine com-bined with"1+1+X"collaborative service mode led by specialist nurses on postoperative gastrointestinal function recovery of colorectal cancer.Methods A total of 68 patients with colorectal cancer treated in our hospital from July 2018 to July 2023 were selected as study participants and randomly divided into the observation group and the control group,with 34 patients in each group.Patients in the control group re-ceived routine nursing after surgery.The"1+1+X"collaborative service mode led by specialist nurses combined with Shenque acupoint application of Chinese medicine was added to the observation group on the basis of the control group.The first exhaust time,bowel sound recovery time,first defecation time and hos-pital stay of patients were compared in the two groups.The expression levels of motilin(MTL),soma-tostatin(SS)and gastrin(GAS),gastrointestinal adverse reactions and postoperative complications,and the quality of life of the two groups before and after care were compared.Results The first postopera-tive exhaust time,bowel sound recovery time,first defecation time and hospital stay in the observation group were significantly shorter than those in the control group(P＜0.05).There was no significant difference in the levels of MTL,SS and GAS between the two groups before nursing(P＞0.05).After nursing,the levels of SS and GAS in both groups were decreased,and were lower in the observation group than in the control group(P＜0.05).MTL level was increased,and was higher in the observation group than in the control group(P＜0.05).The incidence of gastrointestinal adverse reactions and postopera-tive complications in the observation group were lower than those in the control group(P＜0.05).There was no significant difference in quality of life score between the two groups before nursing(P＞0.05).After nursing,the quality of life scores of patients in both groups were decreased,and were lower in the ob-servation group than in the control group(P＜0.05).Conclusion The"1+1+X"collaborative service mode led by specialist nurses combined with Shenque acupoint application of Chinese medicine can promote the postoperative recovery of gastrointestinal function in patients with colorectal cancer,shorten the length of hospital stay,improve the expression levels of gastrointestinal hormones,reduce the incidence of postop-erative gastrointestinal adverse reactions and postoperative complications,and improve the quality of life of patients.

Colorectal cancerOperationGastrointestinal functionShenque acupointApplication of Chinese medicineThe"1+1+X"collaborative service model led by specialist nurses

徐巧娟、刘杰、贾莉

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开封市人民医院普外三病区(河南 开封 475002)

结直肠癌 手术,肠胃功能 神阙穴 中药贴敷 专科护士主导的"1+1+X"协同服务模式

河南省中原学者工作站资助项目

224400510016

2024

中国肛肠病杂志
中华中医药学会肛肠分会 山东中医药学会

中国肛肠病杂志

影响因子：0.131
ISSN：1000-1174
年,卷(期)：2024.44(1)
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