首页|围手术期精准护理对胃肠道肿瘤患者微创术后康复的影响

围手术期精准护理对胃肠道肿瘤患者微创术后康复的影响

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目的:探究围手术期精准护理对胃肠道肿瘤患者微创术后康复的影响.方法:选取淮安市第二人民医院 2020 年 1 月—2021 年 12 月收治的行腹腔镜手术的 90 例胃肠道肿瘤患者,采用时间分组法分为精准护理组和常规护理组,每组 45 例.常规护理组在围手术期实行常规护理管理模式,精准护理组在常规护理组基础上实施全程精准护理措施.比较两组术后恢复状况、术后并发症、应激反应、护理满意度.结果:精准护理组首次下床活动时间、首次排气时间、首次排便时间和住院时间均短于常规护理组,术后疼痛评分和并发症总发生率均低于常规护理组(P<0.05);精准护理组术后C反应蛋白(CRP)、白介素-6(IL-6)水平及焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均明显低于常规护理组(P<0.05);精准护理组护理满意度评分高于常规护理组(P<0.05).结论:围手术期精准护理可有效减轻腹腔镜胃肠道肿瘤手术患者术后机体应激反应,加快术后康复,提高护理满意度.
Effect of Perioperative Period Precision Nursing on Rehabilitation of Patients with Gastrointestinal Tumor after Microtraumatic Operation
Objective:To explore the effect of perioperative period precision nursing on rehabilitation of patients with gastrointestinal tumor after microtraumatic operation.Method:A total of 90 patients with gastrointestinal tumor underwent microtraumatic operation admitted to Huai'an Second People's Hospital from January 2020 to December 2021 were selected and divided into precision nursing group and routine nursing group according to time grouping method,with 45 cases in each group.The routine nursing group implemented the routine nursing management mode in the perioperative period,and the precision nursing group implemented the full precision nursing measures on the basis of the routine nursing group.The postoperative recovery status,postoperative complications,stress response and nursing satisfaction degree were compared between the two groups.Result:The first activity time to get out of bed,the first time to exhaust gas,the first time to defecate and hospital stay in the precision nursing group were shorter than those in the routine nursing group,and the postoperative pain score and the total incidence of complications were lower than those in the routine nursing group(P<0.05).The levels of C reactive protein(CRP),interleukin-6(IL-6)and scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS)in precision nursing group were significantly lower than those in routine nursing group(P<0.05).The nursing satisfaction degree score of precision nursing group was higher than that of routine nursing group(P<0.05).Conclusion:Perioperative period precision nursing can effectively reduce the stress response of patients with gastrointestinal tumor after laparoscopic operation,accelerate postoperative rehabilitation and improve nursing satisfaction degree.

Precision nursingGastrointestinal tumorPerioperative periodPostoperative rehabilitation

李静、左嘉玮、金杨、张晓雨、赵海剑、窦进

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徐州医科大学附属淮安医院(淮安市第二人民医院)普通外科 江苏 淮安 223002

徐州医科大学 江苏 徐州 221004

扬州大学医学院 江苏 扬州 225000

精准护理 胃肠道肿瘤 围手术期 术后康复

江苏省第十六批"六大人才高峰"高层次人才选拔培养资助项目

WSW-220

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(2)
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