快速康复外科护理模式对胃癌术后患者肠道功能和康复效果的影响  

Effect of Rapid Rehabilitation Surgical Nursing Model on Intestinal Function and Rehabilitation of Postoperative Patients with Gastric Cancer

作　　者：魏英田[1] WEI Ying-tian(Department of Gastrointestinal Hepatobiliary,the Third People＇s Hospital of Jinan,Jinan,Shandong Province,250132 China)

机构地区：[1]山东省济南市第三人民医院胃肠肝胆外科,山东济南250132

出　　处：《中外医疗》2018年第19期135-138,共4页China & Foreign Medical Treatment

摘　　要：目的探讨对胃癌患者实施快速康复外科护理模式对术后肠道功能和康复效果的影响。方法方便选取医院2015年5月—2017年5月实施手术治疗的90例胃癌患者,以随机的方式将其分为对照组和观察组各45例。对照组实施常规的围术期护理,观察组则应用快速康复外科护理模式,对比两组术后的恢复指标,包括首次排气时间、首次排便时间、开始进流质饮食时间、住院时间。并对比两组患者的并发症发生情况。结果观察组的首次排气时间、首次排便时间、开始进流质饮食时间和住院时间分别为(2.50±0.45)d、(3.66±1.02)d、(2.42±0.60)d、(11.02±2.01)d,均短于对照组的(3.50±0.60)d、(5.01±1.50)d、(4.50±1.20)d、(15.20±3.20)d(t=8.944,4.992,10.400,7.420,P=0.000);观察组的并发症发生率为4.44%低于对照组的17.78%(χ~2=4.050,P=0.044)。结论在胃癌手术患者中实施快速康复外科护理模式可缩短患者胃肠道功能的恢复时间和住院时间,减少并发症,促进患者的快速康复,值得临床推广应用。Objective This paper tries to explore the effect of rapid rehabilitation surgical nursing model on postoperative intestinal function and rehabilitation effect in patients with gastric cancer. Methods A total of 90 patients with gastric cancer who underwent surgical treatment from May 2015 to May 2017 were convenient selected and randomly divided into control group and observation group, 45 cases in each group. The control group received routine perioperative nursing, while the observation group received rapid rehabilitation nursing model. The recovery indexes of the two groups were compared,including the first exhaust time, the first defecation time, the beginning of the liquid diet time and the hospitalization time.The complications of the two groups were compared. Results In the observation group, the first time of degassing, the first time of defecation, the time of starting fluid intake and length of stay were（2.50 ±0.45）d,（3.66 ±1.02）d,（2.42 ±0.60）d,（11.02±2.01）d, respectively. All were shorter than the control group（3.50±0.60）d,（5.01±1.50）d,（4.50±1.20）d,（15.20±3.20）d（t =8.944,4.992,10.400,7.420,P =0.000）; the incidence of complications in the observation group was 4.44% lower than that in the control group（17.78%）（χ^2=4.050, P=0.044）. Conclusion The implementation of rapid rehabilitation surgical care in patients with gastric cancer can shorten the recovery time and length of stay of patients with gastrointestinal function, reduce complications, and promote rapid recovery of patients, which is worthy of clinical application.

关 键 词：胃癌 快速康复外科护理模式 肠道功能 

分 类 号：R473.73[医药卫生—护理学]