回馈健康干预模式对胃癌根治术患者胃肠道功能恢复及心理弹性的影响  

Feedback health intervention model on gastrointestinal function recovery and psychological resilience in patients undergoing radical gastrectomy

作　　者：张玉玲[1] 李妍[2] 刘秀兰[3] 吴冠楠[4] ZHANG Yuling;LI Yan;LIU Xiulan;WU Guannan(Department of Public Health,the First Affiliated Hospital of Xinxiang Medical College,Weihui 453100,He’nan,China;Department of Infection Control,the First Affiliated Hospital of Xinxiang Medical College,Weihui 453100,He’nan,China;Department of Neurosurgery,the First Affiliated Hospital of Xinxiang Medical College,Weihui 453100,He’nan,China;ICU,the First Affiliated Hospital of Xinxiang Medical College,Weihui 453100,He’nan,China)

机构地区：[1]新乡医学院第一附属医院公共卫生科,河南卫辉453100 [2]新乡医学院第一附属医院感染控制科,河南卫辉453100 [3]新乡医学院第一附属医院神经外科,河南卫辉453100 [4]新乡医学院第一附属医院重症监护室,河南卫辉453100

出　　处：《癌症进展》2020年第16期1724-1727,共4页Oncology Progress

摘　　要：目的探讨回馈健康干预模式对胃癌根治术患者胃肠道功能恢复、心理弹性水平的影响。方法采用随机数字表法将180例择期实施胃癌根治性手术的胃癌患者分为干预组和对照组,各90例。干预组患者采用回馈健康干预模式,对照组采用常规护理指导。比较两组患者术后胃肠道功能恢复情况、手术相关并发症发生情况、心理弹性量表(CD-RISC)评分、简明心境状态量表(POMS)评分、血清胃泌素水平和胃动素水平。结果干预组患者的首次肛门排气时间、住院时间均明显短于对照组(P﹤0.01)。干预组患者的手术并发症发生率低于对照组(P﹤0.05)。术后1天,两组患者的血清胃动素、胃泌素水平比较,差异均无统计学意义(P﹥0.05);术后7天,干预组患者的血清胃动素、胃泌素水平均明显高于对照组(P﹤0.01)。术后1天,两组患者的CD-RISC、POMS评分比较,差异均无统计学意义(P﹥0.05);术后14天,干预组患者的CD-RISC评分明显高于对照组,POMS评分明显低于对照组(P﹤0.01)。结论回馈健康干预模式对胃癌根治术患者术后胃肠功能的早期恢复具有促进作用,同时能够调节患者的心境及不良情绪。Objective To explore the effect of feedback health intervention model on gastrointestinal function recovery and psychological resilience in patients undergoing radical gastrectomy.Method 180 patients undergoing elective radical gastrestomy were divided into intervention group and control group by random numbers(each n=90),treated with feedback health intervention model and routine nursing,respectively.The gastrointestinal function recovery indexes,surgical-related complications,connor-davidson resilience scale(CD-RISC)scores,profile of mood state(POMS)scores,serum gastrin and motilin levels after surgery were compared between two groups.Result The first anal exhaust time and hospitalization time of patients in the intervention group were significantly shorter than those in the control group(P<0.01);the rate of surgical related complications in the intervention group were lower than those in the control group(P<0.05).There were no significant differencesfor serum motilin and gastrin levels 1 day after surgery(P>0.05)versus significant higher serum motilin and gastrin levels in the intervention group than those in the control group 7 days after surgery(P<0.01).There were no significant differences for the CD-RISC scores and POMS scores 1 day after surgery(P>0.05)versus higher CD-RISC scores and lower POMS scores in the intervention group than those in the control group 14 days after surgery(P<0.01).Conclusion The feedback health intervention model can promote the early recovery of gastrointestinal function and adjust the mood in patients undergoing radical gastrectomy.

关 键 词：回馈健康干预 胃癌根治术 胃肠道功能 心理弹性 并发症 

分 类 号：R735.2[医药卫生—肿瘤]