胃癌根治术后首日收缩压升高危险因素分析及护理对策  

Risk factors and nursing countermeasures of elevated systolic blood pressure on the first day after radical operation for gastric cancer

作　　者：孙露 刘文文 Sun Lu;Liu Wenwen(Department of Gastroenterology,Wuxi Second People's Hospital,Wuxi 214001,China)

机构地区：[1]无锡市第二人民医院消化内科,214001

出　　处：《国际医药卫生导报》2021年第1期125-128,共4页International Medicine and Health Guidance News

摘　　要：目的探究胃癌根治术后首日收缩压升高危险因素,进而制定相应护理对策。方法选取2018年2月至2020年2月在本院采取胃癌根治术治疗的195例患者,记录患者术后首日收缩压升高发生率,并对其相关因素开展单因素及多因素分析。结果接受胃癌根治术治疗的195例患者中,术后首日收缩压升高症状发生率为47.69%(93/195),患者收缩压范围141~185 mmHg(1 mmHg=0.133 kPa),收缩压(159.43±7.71)mmHg。患者为女性、术后咳嗽、导尿不适症、辅助化痰及疼痛均为胃癌患者术后首日收缩压升高的危险因素,术后使用镇痛泵及切口减张缝合为收缩压升高的保护因素。结论胃癌根治术后首日收缩压升高危险因素包括性别、术后咳嗽、导尿不适症、辅助化痰及疼痛等,且术后使用镇痛泵及切口减张缝合为保护因素;护理人员应通过开展有效的术前评估,对重点人群加强健康指导,采取有效的止咳及镇痛措施,避免收缩压升高。Objective To investigate the risk factors of elevated systolic blood pressure on the first day after radical operation for gastric cancer,and to formulate corresponding nursing countermeasures.Methods A total of 195 patients who underwent radical surgery for gastric cancer at our hospital from February,2018 to February,2020 were selected;the incidence of systolic blood pressure increase on the first day after surgery was recorded.Univariate and multivariate analyses were performed on the related factors.Results In the 195 patients undergoing radical gastrectomy for gastric cancer,the incidence of systolic blood pressure increase on the first day after surgery was 47.69%(93/195),and the systolic blood pressure was 141-185 mmHg(1 mmHg=0.133 kPa),with an average of(159.43±7.71)mmHg.Female,postoperative cough,urinary catheterization discomfort,assisted sputum reduction,and pain were risk factors causing systolic blood pressure increase on the first day after the surgery in the patients,and the use of analgesia pump and incision reduction suture were protective factors against the pressure increase.Conclusion The risk factors of elevated systolic blood pressure on the first day after radical gastrectomy include gender,postoperative cough,urinary catheterization discomfort,assisted sputum reduction,pain,etc.,and the use of analgesia pump and incision reduction suture are protective factors.Effective preoperative evaluation should be carried out to strengthen the health guidance for key populations and to take effective cough and analgesic measures to avoid the increase of systolic blood pressure.

关 键 词：胃癌根治术 收缩压升高 危险因素 疼痛 护理对策 

分 类 号：R473.73[医药卫生—护理学]