基于量化评估策略的护理干预对胃癌术后患者胃肠功能恢复及生活质量的影响  

Effects of nursing intervention based on quantitative evaluation strategy on gastrointestinal function and QOL in patients with gastric cancer after surgery

作　　者：沈洁[1] 严志龙[2] 俞秀冲[2] 杨亮[1] 

机构地区：[1]浙江省宁波市第一医院肝胆胰外科,315000 [2]浙江省宁波市第一医院胃肠外科,315000

出　　处：《中华现代护理杂志》2017年第5期642-645,共4页Chinese Journal of Modern Nursing

基　　金：浙江省医药卫生科技计划项目（2016KYA163）

摘　　要：目的 探讨基于量化评估策略的护理干预对胃癌术后患者胃肠功能及生活质量的影响.方法 采用便利抽样法选择2013年1月—2014年12月接受手术治疗的胃癌患者94例为研究对象,采用随机数表法分为观察组和对照组各47例.对照组采取胃癌围术期常规护理,观察组实施基于量化评估策略的护理干预.干预3个月后比较两组患者胃肠功能恢复情况、并发症发生率和生活质量情况,其中生活质量采用中文版QLQ-C30量表评价.结果 观察组腹胀改善时间、肠鸣音恢复时间、排气时间、胃管拔除时间分别为（3.45±0.45）d、（2.86±0.49）d、（32.64±6.02）h、（3.59±0.26）d,均低于对照组的（4.16±0.67）d、（3.57±0.53）d、（45.71±7.53）h、（5.17±0.84）d,差异有统计学意义（t值分别为2.292、2.412、2.559、2.084,P＜0.05）;术后肺部感染等并发症发生率为6.38%,低于对照组的23.04%,差异有统计学意义（χ2=5.371,P＜0.05）.干预后,观察组EORTC QLQ-C30量表各维度评分及总体健康状况评分均高于对照组,差异有统计学意义（t值分别为2.537、2.147、2.549、2.573、2.823、2.559,P＜0.05）.结论 基于量化评估策略的护理干预能促进胃癌术后患者胃肠功能恢复,减少并发症,提高生活质量.Objective To explore the effects of nursing intervention based on quantitative evaluation strategy on gastrointestinal function and quality of life in patients with gastric cancer after surgery. Methods Totally 94 gastric cancer patients who received surgery during January 2013 to December 2014 were enrolled in the study by using convenience sampling method. According to the random number table,the participants were divided into two groups. Patients in the control group （n=47） received routine perioperative nursing care,while patients in the intervention group （n=47） received quantitative evaluation based intervention care. The recovery of gastrointestinal function,complications,and the quality of life （QOL） （evaluated by QLQ-C30 scale） that three months after intervention were compared between two groups.Results In the intervention group,the time spent in abdominal distension improvement,bowel sound recovery,exhaust,and extubation was [（3.45±0.45） d,（2.86±0.49） d,（32.64±6.02） d and （3.59±0.26） d],and they were all shorter than that in the control group [（4.16±0.67） d,（3.57±0.53） d,（45.71±7.53） d and （5.17±0.84） d] （t=2.292, 2.412,2.559,2.084;P〈0.05]. The intervention group had lower incidence of postoperative pulmonary infection compared with the control group （6.38% vs. 23.04%;χ2=5.371;P〈0.05）. After intervention,the QLQ-C30 scale indicated that the intervention group had higher scores in each dimension and higher total score than the control group （t=2.537,2.147,2.549,2.573,2.823,2.559;P〈0.05）.Conclusions The nursing intervention based on quantitative evaluation strategy can effectively improve the gastrointestinal function recovery and QOL of patients,and it can also reduce the related complications of patients with gastric cancer after surgery.

关 键 词：胃肿瘤 围手术期护理 生活质量 胃肠功能 量化评估 

分 类 号：R473.73[医药卫生—护理学]