摘要
目的探讨手术室个性化护理对胃癌根治术患者手术相关指标及胃肠功能恢复的影响.方法选取2019年4月—2021年4月收治于我院的84例行胃癌根治术的患者作为研究对象,按随机数表法分为两组,各42例.对照组采用常规护理,研究组采用手术室个性化护理.对比两组的手术相关指标、胃肠功能、应激反应、并发症发生率.结果研究组的术后下床活动时间、住院时间、肛门排气及排便时间、普食恢复时间均短于对照组,术后72 h视觉模拟评分为(2.45±0.57)分,低于对照组,组间差异有统计学意义(P<0.05).术前,两组的应激反应水平比较,差异无统计学意义(P>0.05);术后第1天,研究组的皮质醇、肾上腺素水平及症状自评量表评分分别为(113.52±9.65)ng/L、(102.41±7.38)ng/L、(11.19±2.54)分,均低于对照组,组间差异有统计学意义(P<0.05).研究组的并发症发生率4.76%,低于对照组的21.43%,差异有统计学意义(P<0.05).结论手术室个性化护理可有效减轻胃癌根治术患者的身心应激反应,加快胃肠功能恢复,减少并发症的发生,从而改善手术相关指标,促进术后康复.
Objective To explore the effect of personalized nursing in the operating room on surgery-related indicators and gastrointestinal function recovery in patients with radical gastrectomy for gastric cancer.Methods 84 patients who underwent radical gastrectomy for gastric cancer who were admitted to our hospital from April 2019 to April 2021 were selected as the research subjects,and divided into two groups according to the random number table method,with 42 cases in each group.The control group was given routine care,and the study group was given individualized care in the operating room.The operation-related indicators,gastrointestinal function,stress response,and complication rates were compared between the two groups.Results The postoperative time of getting out of bed,hospital stay,anal exhaust and defecation time,and recovery time of common food in the study group were all shorter than those in the control group,the differences between groups were statistically significant(P<0.05).Before surgery,there was no statistically significant difference in stress response levels between the two groups(P>0.05);on the 1st day after surgery,the levels of cortisol,epinephrine and symptom self-rating scale in the study group were(113.52±9.65)ng/L,(102.41±7.38)ng/L,and(11.19±2.54)points,respectively,the differences between groups were statistically significant(P<0.05).The incidence of complications in the study group was 4.76%,which was lower than 21.43%in the control group,and the difference was statistically significant(P<0.05).Conclusion Personalized nursing in the operating room can effectively reduce the physical and mental stress response of patients undergoing radical gastrectomy for gastric cancer,accelerate the recovery of gastrointestinal function,and reduce the occurrence of complications,thereby improving surgery-related indicators and promoting postoperative recovery.
作者
宋梅
SONG Mei(Operating Room,Lanling County People's Hospital,Linyi City,Linyi Shandong,277700,China)
出处
《反射疗法与康复医学》
2021年第22期138-141,共4页
Reflexology And Rehabilitation Medicine
关键词
胃根治术
手术室个性化护理
手术相关指标
胃肠功能
应激反应
并发症
Radical gastrectomy
Personalized nursing in operating room
Operation related indexes
Gastrointestinal function
Stress response
Complication
