摘要
目的分析综合护理在胃癌根治术后应用自动镇痛泵患者中的效果及对首次排气时间、不良反应率的影响。方法方便选取2019年3月-2021年3月78例胃癌根治术后应用自动镇痛泵患者为研究对象,以护理模式差异性分组,分别记作对比组(n=39,常规护理)、研究组(n=39,综合护理),比较两组实际干预效果和价值。结果研究组首次排气时间(27.55±2.46)h、首次排便时间(28.69±2.38)h及下床时间(35.33±3.84)h和住院时间(8.51±1.01)d均较对比组(33.41±2.23)h、(35.32±3.11)h、(48.29±4.47)h、(10.23±1.05)d更短,差异有统计学意义(t=11.022、10.573、13.734、7.373,P<0.05);研究组镇痛效果较对比组更好,差异有统计学意义(P<0.05);研究组不良反应发生率2.56%较对比组20.51%更低,差异有统计学意义(χ^(2)=4.523,P=0.033);研究组GQOL-74量表各维度评分(78.78±4.25)分、(78.11±4.17)分、(78.65±4.04)分、(78.78±4.26)分较对比组(73.26±3.39)分、(73.19±3.44)分、(73.69±3.15)分、(73.71±3.23)分更高,差异有统计学意义(t=6.341、5.684、6.046、5.923,P<0.05);研究组护理满意度97.44%较对比组76.92%更高,差异有统计学意义(χ^(2)=7.341,P=0.007)。结论在胃癌根治术后应用自动镇痛泵患者中,施行综合护理干预能够明显缩短首次排气时间、首次排便时间以及下床时间和住院时间,进一步提升镇痛效果,同时,还可显著降低不良反应发生率,提高患者生活质量及护理满意度,因此,综合护理可作为推荐干预模式在胃癌根治术后应用自动镇痛泵患者中推广应用。
Objective Analyze the application effect of comprehensive nursing in patients with automatic analgesia pump after radical gastric cancer surgery and its influence on the time of first exhaust and adverse reaction rate.Methods Conveniently selected 78 patients who were treated with automatic analgesia pumps after radical gastric cancer surgery from March 2019 to March 2021.The different groups of nursing model were divided into the comparison group(n=39,conventional nursing)and the study group(n=39,comprehensive nursing),the actual intervention effect and value of the two groups were compared.Results The time of first exhaust(27.55±2.46)h,the time of first defecation(28.69±2.38)h,the time of getting out of bed(35.33±3.84)h and the time of hospitalization(8.51±1.01)d in study group were all compared with the comparison group(33.41±2.23)h,(35.32±3.11)h,(48.29±4.47)h,(10.23±1.05)d were shorter,and the difference was statistically significant(t=11.022,10.573,13.734,7.373,P<0.05);the analgesic effect of the study group was better than the comparison group,the difference was statistically significant(P<0.05);the adverse reaction rate of the study group was 2.56%lower than the comparison group 20.51%,the difference was statistically significant(χ^(2)=4.523,P=0.033);the scores of each dimension of the GQOL74 scale of the study group were(78.78±4.25)points,(78.11±4.17)points,(78.65±4.04)points,(78.78±4.26)points,were higher than the(73.26±3.39)points,(73.19±3.44)points,(73.69±3.15)points,(73.71±3.23)points of the comparison group,the difference is statistically significant(t=6.341,5.684,6.046,5.923,P<0.05);the nursing satisfaction degree of the study group 97.44%was higher than 76.92%in the comparison group,and the difference was statistically significant(χ^(2)=7.341,P=0.007).Conclusion In patients who apply automatic analgesic pumps after radical gastric cancer surgery,the implementation of comprehensive nursing intervention can significantly shorten the time of first exhausting,the time of first defecation,the time of getting out of bed and the time of hospitalization,and further improving the analgesic effect.At the same time,it can also significantly reduce the incidence of adverse reactions and improve the quality of life of patients and nursing satisfaction.Therefore,comprehensive nursing care can be promoted and applied as a recommended intervention mode in patients who use automatic analgesia pump after radical gastric cancer surgery.
作者
蔡小芳
CAI Xiaofang(Department of Gastrointestinal Surgery,the First Affiliated Hospital of Fujian Medical University,Fuzhou,Fujian Province,350000 China)
出处
《中外医疗》
2022年第5期172-175,181,共5页
China & Foreign Medical Treatment
关键词
胃癌
根治术
自动镇痛泵
综合护理
首次排气时间
不良反应率
Gastric cancer
Radical operation
Automatic analgesia pump
Comprehensive nursing
First exhaust time
Adverse reaction rate
