摘要
目的探讨医院-社区-家庭(HCH)营养管理结合早期运动护理对胃肠恶性肿瘤手术患者营养状况及预后的影响。方法选取2016年2月至2017年5月我院收治的胃肠恶性肿瘤手术患者60例为研究对象,按照随机数字表法将其等分为研究组和对照组,对照组实施常规护理,研究组在对照组基础上实施HCH营养管理结合早期运动护理。比较两组患者营养状况、术后恢复情况、并发症发生率及护理满意度。结果研究组营养状况优于对照组(P <0.05),研究组肠鸣音恢复时间、恢复进食时间、排气时间、排便时间、下床活动时间及住院时间短于对照组(P <0.05),研究组并发症发生率低于对照组(P <0.05),研究组患者护理满意度明显高于对照组(P <0.05)。结论 HCH营养管理结合早期运动护理可有效缩短患者肠鸣音恢复时间、恢复进食时间、排气时间、排便时间、下床活动时间及住院时间,改善其营养状况,减少并发症发生,提高患者满意度。
Objective To explore the effect of hospital-community-home(HCH)nutrition management combined with early exercise nursing on nutritional status and prognosis of patients underwent gastrointestinal malignant surgery.Methods To compare nutritional status,postoperative recovery,incidence of complications and nursing satisfaction,60 cases of patients underwent gastrointestinal malignant surgery,who admitted to our hospital from February 2016 to May 2017,were observed,and divided into study group and control group by means of random number table in equal cases.The control group adopted routine nursing,while the study group adopted HCH nutrition management combined with early exercise nursing on the basis of the control group.Results The nutritional status of the study group was better than that of control group(P<0.05).The time of recovery of bowel sounds,time of resuming food intake,exhaust time,defecation time,time of getting out of bed and that of hospitalization in study group were shorter than those in control group(P<0.05).The incidence of complications in the study group was lower than that of the control group(P<0.05).Patients'satisfaction with nursing in study group was significantly higher than that in control group(P<0.05).Conclusion HCH nutrition management combined with early exercise nursing could effectively shorten the recovery time of bowel sounds,time of resuming ingress,time of passing wind,of defecation,of getting out of bed and that of hospitalization,improve the nutritional status of patients,reduce the incidence of complications,and promote satisfaction with nursing.
作者
林鸿珍
陈宁
柯清仙
LIN Hong-zhen;CHEN Ning;KE Qing-xian
出处
《护理实践与研究》
2018年第20期104-106,共3页
Nursing Practice and Research
关键词
医院-社区-家庭营养管理
早期运动护理
胃肠恶性肿瘤
营养状况
Hospital-community-home nutrition management
Early exercise nursing
Gastrointestinal malignant tumor
Nutritional status
