降低胃癌快速康复治疗患者术后腹泻发生率的护理专案管理  

Application of Nursing Project in Reducing Postoperative Diarrhea Rate of Gastric Cancer Patients with Enhanced Recovery after Surgery

作　　者：贾葵[1] 陆利生[1] 何敏英[1] 潘色杰[1] 周静[1] 曾艳明[1] 

机构地区：[1]广西医科大学第一附属医院胃肠腺体外科一病区,广西南宁530021

出　　处：《护理学报》2017年第3期18-20,共3页Journal of Nursing（China）

基　　金：广西壮族自治区卫生计生委自筹课题(Z2015512)

摘　　要：目的通过实施护理专案活动降低胃癌快速康复治疗患者术后腹泻的发生率。方法成立护理专案小组,通过对2015年12月—2016年2月40例胃癌快速康复治疗的患者的康复效果进行现况分析,确立护理专案活动主题,按专案的步骤进行要因分析、确定问题,制定对策,并组织实施,观察2016年4—6月43例胃癌快速康复治疗的患者,比较护理专案实施前后患者腹泻发生率的差异。结果实施护理专案活动后,胃癌快速康复治疗的患者术后腹泻的发生率由58%降至19%。结论针对胃癌快速康复治疗患者术后腹泻发生率高的现状,采取专案改善活动,分析原因,采取对策,能有效降低腹泻发生率,促进患者康复。Objective To reduce postoperative diarrhea rate of gastric cancer patients with Enhanced Recovery after Surgery（ERAS）by implementing nursing project. Methods A nursing project team was established, and the theme of nursing project was extracted after analyze the rehabilitation of 40 gastric cancer patients with ERAS from December 2015 to February 2016. Then, after root analysis and problem identification, countermeasures were formulated and implemented. And then the project was applied in 43 gastric cancer patients underwent ERAS from April 2016 to June 2016. Before and after the implementation of project, the rate of diarrhea, length of stay and other indicators of patients between two groups were compared. Results After the implementation of the project, the diarrhea rate in gastric cancer patients with ERAS decreased from 58% to 19%. Conclusion For gastric cancer patients with ERAS, nursing project is conducive to reducing the diarrhea rate and promoting the rehabilitation of patients.

关 键 词：胃癌 快速康复 腹泻 护理专案 质量改善 

分 类 号：R473.5[医药卫生—护理学] C931.3[医药卫生—临床医学]