胃癌手术患者的综合性护理与心理干预  

Comprehensive nursing and psychological intervention for patients with gastric cancer after operation

作　　者：白雷丽[1] 张婧[2] BAI Leili;ZHANG Jing(Department of General Surgery;Bone Department,Yan＇an People＇s Hospital in Shaanxi Province,Yan＇an,Shaanxi,716000)

机构地区：[1]陕西省延安市人民医院普外科二病区,陕西延安716000 [2]陕西省延安市人民医院骨一科,陕西延安716000

出　　处：《实用临床医药杂志》2018年第20期61-64,共4页Journal of Clinical Medicine in Practice

基　　金：陕西省延安市科学技术研究发展计划项目(2012km-21)

摘　　要：目的探讨综合性护理联合心理干预应用于胃癌手术患者围术期护理中的应用价值。方法选取接受胃癌手术的210例患者作为研究对象,按照随机数字表法随机均分为2组。对照组采用常规护理,观察组采用综合护理联合心理干预的护理模式,比较2组术前应激反应状况及术后胃肠功能恢复情况。结果入院时,2组患者的心率、平均动脉压、空腹血糖等指标差异无统计学意义(P>0.05),手术麻醉前,观察组心率及平均动脉压、空腹血糖水平均显著低于对照组(P<0.05);观察组患者排气时间和肠鸣音恢复时间显著短于对照组,术后腹胀情况显著优于对照组(P<0.05)。结论综合性护理联合心理干预可显著减轻胃癌手术患者的应激反应,促进术后胃肠功能恢复。Objective To explore application value of comprehensive nursing combined with psychological intervention in perioperative nursing of patients with gastric cancer.Methods A total of 210 patients who underwent gastric cancer surgery in our hospital were selected as the research subjects.According to random number table method,they were randomly divided into two groups.The control group was given routine nursing,while the observation group was given comprehensive nursing combined with psychological intervention.Preoperative stress response and postoperative gastrointestinal function recovery were compared between the two groups.Results There was no significant difference in heart rate,mean arterial pressure and fasting blood glucose on admission between the two groups（P〈0.05）.Before operation,the heart rate and mean arterial pressure of the observation group were less than that of the control group,and fasting blood glucose level was lower than that of the control group（P〈0.05）.The patients＇ exhaust time and the recovery time of the bowel sound in the observation group were significantly shorter than that in the control group,postoperative abdominal distention was significantly better than that in the control group（P〈0.05）.Conclusion Comprehensive nursing combined with psychological intervention can significantly reduce stress reaction of gastric cancer patients and promote the recovery of gastrointestinal function after operation.

关 键 词：胃肠功能 胃癌 应激反应 心理疏导 

分 类 号：R473.73[医药卫生—护理学]