胃肠肿瘤术后的7W口渴管理  

The thirst management in patients with gastrointestinal tumor after operation

作　　者：邓建玉[1] 詹莉 杨小云[1] 黄正接[1] DENG Jianyu;ZHAN Li;YANG Xiaoyun;HUANG Zhengjie(Department of Gastrointestinal Surgery,Xiamen Cancer Hospital,the First Affiliated Hospital of Xiamen University,Xiamen 361003,China;Hematology Department,the First Affiliated Hospital of Xiamen University,Xiamen 361003,China)

机构地区：[1]厦门大学附属第一医院厦门市肿瘤医院胃肠肿瘤外科,福建厦门361003 [2]厦门大学附属第一医院血液科,福建厦门361003

出　　处：《中国肿瘤外科杂志》2018年第6期409-412,共4页Chinese Journal of Surgical Oncology

基　　金：福建省医学创新项目(2016-CXB-8);厦门市肿瘤医院青年人才科研基金(ZLYYB201808)

摘　　要：目的缓解胃肠肿瘤术后患者的口渴程度,并提高其口腔舒适度。方法便利选取2018年6月至2018年8月厦门大学附属第一医院胃肠外科胃肠肿瘤手术患者100例为研究对象,根据手术顺序应用随机数字表将患者分为观察组与对照组,各50例。观察组采取"7W(What,Who,Whom,When,Where,Why,How)"口渴管理策略,对照组实施常规护理,比较两组患者术后2 h、术后6 h的口渴程度及口腔舒适度。结果以数字评分表(NRS)及口腔舒适度评分调查显示,观察组和对照组术后2 h口渴(NRS)评分均显示为中度口渴(P>0. 05),口腔舒适度均处于中等水平(P>0. 05)。对照组术后6 h的NRS评分高于术后2 h的NRS评分(P<0. 05),术后6 h口腔舒适度评分低于术后2 h口腔舒适度评分(P<0. 05)。经过口渴管理后,观察组术后6 h的NRS评分低于术后2 h的NRS评分,且观察组术后6 h的NRS评分低于对照组术后6 h的NRS评分(均P<0. 05)。观察组术后6 h口腔舒适度评分高于术后2 h口腔舒适度评分(P<0. 05),且观察组术后6 h口腔舒适度评分高于对照组术后6h口腔舒适度评分(均P<0. 05)。结论实施口渴管理策略能有效缓解胃肠肿瘤术后患者的口渴程度,并提高口腔舒适度。Objective To relieve the thirst of fasting patients after gastrointestinal tract and improve their oral comfort.Methods One hundred patients with fasting after gastrointestinal tract were randomly divided into two groups.The experimental group adopted the“7w”thirst management strategy,and the control group performed routine thirst management.The thirst and oral comfort of the two groups before and after intervention were compared.Results The NRS scores of the observation group and the control group at2hours after operation were moderate thirst(P>0.05),and the oral comfort was at a moderate level(P>0.05).In the control group,the NRS score at6hours after operation was higher than that at2hours after operation(P<0.05),and the oral comfort score at6hours after operation was lower than that at2hours after operation(P<0.05).After thirst management,the NRS score of the observation group at6hours after operation was lower than that of the control group at2hours after operation,and the NRS score of the observation group at6hours after operation was lower than that of the control group at6hours after operation(all P<0.05).The oral comfort score of the observation group at6hours after operation was higher than that of the control group at2hours after operation(P<0.05),and the oral comfort score of the observation group at6hours after operation was higher than that of the control group at6hours after operation(P<0.05).Conclusions The implementation of thirst management strategy can effectively relieve the thirst of fasting patients after gastrointestinal tract,and improve their oral comfort.

关 键 词：胃肠肿瘤 外科手术 渴 医护管理 外科护理 患者舒适度 

分 类 号：R473.73[医药卫生—护理学]