摘要
目的探讨高压氧(HBO)结合闭环护理模式对胃癌患者术后疼痛控制、胃肠反应及心理弹性的影响。方法选择2020年6月至2022年6月南阳市第一人民医院普外一科收治的胃癌术后患者80例,按照数字表法随机分为对照组和观察组,每组40例。对照组给予对症治疗及HBO治疗,观察组在对照组治疗的基础上再予以闭环护理模式进行干预。采用疼痛数字评分(NRS)法评估2组患者治疗前后的疼痛程度;记录患者的胃肠道反应并进行分级;采用心理弹性量表(CD-RISC)评估患者治疗后心理弹性的变化;应用医学应对问卷(MCMQ)评估患者治疗前后应对方式的变化。结果与治疗前相比,2组患者治疗后静息疼痛评分与运动疼痛评分均明显降低,观察组患者治疗后静息疼痛评分与运动疼痛评分明显低于对照组,差异均有统计学意义(P<0.05)。治疗后观察组患者的胃肠道反应分级较对照组明显改善(P<0.05或P<0.01)。与治疗前相比,2组患者治疗后的力量性、坚韧性和乐观性评分明显升高,且观察组治疗后明显高于对照组,差异均有统计学意义(P<0.05或P<0.01)。与治疗前相比,治疗后2组患者的面对评分明显升高,回避、屈服评分明显降低,治疗后观察组患者的面对评分明显高于对照组,回避、屈服评分明显低于对照组,差异均有统计学意义(P<0.05或P<0.01)。结论HBO结合闭环护理模式能明显改善胃癌患者的术后疼痛,减轻胃肠反应,提高心理弹性。
Objective To explore the effect of hyperbaric oxygen combined with closed-loop nursing mode on pain control,gastrointestinal reaction,and mental resilience of postoperative patients with gastric cancer.Methods A total of 80 patients with gastric cancer admitted to the Department of General Surgery of Nanyang First People's Hospital from June 2020 to June 2022 were selected and randomly divided into control group and observation group,with 40 cases in each group.The patients in the control group were given symptomatic treatment with hyperbaric oxygen,while the patients in the observation group were given closed-loop nursing intervention based on the treatments of the control group.The pain numerical rating scale(NRS)was used to evaluate the pain degree before and after treatment.The patients'gastrointestinal reactions were recorded and graded.The connor-davidson resilience scale(CD-RISC)was used to evaluate the changes of patients'mental resilience after treatment.The medical coping modes questionnaire(MCMQ)was used to assess the changes of patients'coping styles after treatment.Results Compared with those before treatment,the scores of resting pain and motor pain of the two groups were decreased after treatment,and the scores of resting pain and motor pain in the observation group were significantly lower than those in the control group,with statistically significant differences(P<0.05).The grades of gastrointestinal reaction in the observation group were significantly improved compared with those in the control group(P<0.05 or P<0.01).Compared with those before treatment,the scores of strength,fortitude,and optimism in the two groups after treatment were significantly increased;after treatment,those above indexes in the observation group were significantly higher than those in the control group,with statistically significant differences(P<0.05 or P<0.01).Compared with those before treatment,the confrontation scores of the two groups after treatment were significantly increased,while the avoidance and acceptance-resignation scores were significantly decreased.The confrontation score of the observation group was significantly higher than that of the control group,while the avoidance and acceptance-resignation scores were significantly lower than those of the control group,with statistically significant differences(P<0.05 or P<0.01).Conclusion Closed-loop nursing mode combined with hyperbaric oxygen treatment can significantly relieve postoperative pain,reduce gastrointestinal reactions,and improve mental resilience in postoperative patients with gastric cancer.
作者
李艳
吕春丽
贾满然
聂春花
Li Yan;Lyu Chunli;Jia Manran;Nie Chunhua(Department of General Surgery,Nanyang First People’s Hospital,Nanyang 473000,China;Department of Hyperbaric Oxygen,Nanyang First People’s Hospital,Nanyang 473000,China;Department of Neurology,First Affiliated Hospital of Naval Military Medical University,Shanghai 200433,China)
出处
《中华航海医学与高气压医学杂志》
CAS
CSCD
2023年第1期53-57,共5页
Chinese Journal of Nautical Medicine and Hyperbaric Medicine
关键词
闭环护理模式
高压氧
胃癌
胃肠反应
心理弹性
Closed-loop nursing model
Hyperbaric oxygen
Gastric cancer
Gastrointestinal reaction
Mental resilience
