首页|正压减压训练结合中药穴位贴敷在胃癌根治术后快速康复护理策略中的应用

正压减压训练结合中药穴位贴敷在胃癌根治术后快速康复护理策略中的应用

扫码查看
目的 考察正念减压训练结合中药穴位贴敷在胃癌根治术后快速康复护理策略中的应用效果。方法 选取2022年1月至2023年12月经胃癌根治术治疗的88例胃癌患者,患者均来自扬州洪泉医院,应用随机数字表法分为2组,每组44例。对照组术后给予常规护理方法,观察组术后实施正念减压训练联合中药穴位贴敷。比较2组的术后康复时间、胃肠激素水平、舒适度、疼痛、焦虑以及生活质量情况。结果 观察组术后胃管拔除、肠鸣音恢复、首次排气和排便的时间均优于对照组(P均<0。05)。术后7 d,2组的血管活性肠肽和促胃液素水平均高于术后2 h(P均<0。05),且观察组均高于对照组(P均<0。05)。术后7 d,观察组的舒适度评分和生活质量评分均高于对照组,疼痛和焦虑评分均低于对照组(P均<0。05),且2组的上述评分均较本组术后2 h更佳(P均<0。05)。结论 正念减压训练联合中药穴位贴敷能够有效缩短胃癌根治术后患者的康复时间,调节胃肠激素水平,缓解焦虑和疼痛感,提高舒适感,改善生活质量。
Application of mindfulness-based stress reduction combined with traditional Chinese medicine acupoint application in rapid rehabilitation nursing strategy after radical gastrectomy
Objective To investigate the application effect of mindfulness-based stress reduction combined with traditional Chinese medicine acupoint application in rapid rehabilitation nursing strategy after radical gastrectomy.Methods Eighty-eight gastric cancer patients who underwent radical gastrectomy were enrolled from Yangzhou Hongquan Hospital between January 2022 and December 2023.The patients were assigned into two groups using a random number table,with 44 cases in each group.The control group received routine nursing after surgery,while the observation group received mindfulness-based stress reduction combined with traditional Chinese medicine acupoint application after surgery.The postoperative recovery time,gastrointestinal hormone levels,comfort,pain,anxiety,and quality of life were compared between the two groups.Results The time of postoperative gastric tube removal,bowel sound recovery,first exhaust,and first defecation in the observation group were superior to those in the control group ( all P<0.05 ).At 7 days postoperatively,the levels of vasoactive intestinal peptide and gastrin in both groups were significantly higher than those at 2 hours postoperatively ( all P<0.05 ),and the observation group was higher than the control group ( both P<0.05 ).At 7 days postoperatively,the comfort score and quality of life score of the observation group were higher than those of the control group,and the pain score and anxiety score were lower than those of the control group ( all P<0.05 ).The above scores of both groups were better than those at 2 hours postoperatively ( all P<0.05 ).Conclusion Mindfulness-based stress reduction combined with traditional Chinese medicine acupoint application can effectively shorten the rehabilitation time of patients after radical gastrectomy,regulate the gastrointestinal hormone levels,relieve the anxiety and pain,enhance the comfort,and improve the quality of life.

radical gastrectomymindfulness-based stress reductiontraditional Chinese medicine acupoint applicationrapid rehabilitation after surgeryquality of life

姜丽丽、黄平、高娟

展开 >

扬州洪泉医院,江苏 扬州,225200

胃癌根治术 正念减压训练 中药穴位贴敷 术后快速康复 生活质量

2024

中西医结合护理(中英文)
上海交通大学

中西医结合护理(中英文)

ISSN:2096-0867
年,卷(期):2024.10(11)