穴位按摩联合中医情志护理对结肠癌术后营养及胃肠功能的影响  

Effect of Point Massage Combined with Chinese Medicine Emotional Nursing on Nutrition and Gastrointestinal Function After Operation for Colon Cancer

作　　者：包向红 BAO Xianghong

机构地区：[1]建德市第一人民医院消化内科,浙江建德311600

出　　处：《新中医》2021年第11期165-167,共3页New Chinese Medicine

摘　　要：目的:观察穴位按摩联合中医情志护理对结肠癌患者术后营养及胃肠功能的影响。方法:将结肠癌术后患者48例按双盲随机抽样法分为对照组与观察组各24例。对照组给予中医情志护理干预,观察组在对照组的基础上联合穴位按摩干预。观察比较2组营养水平及胃肠功能恢复状况、护理满意度及不良反应发生率。结果:护理前,2组白蛋白(Alb)、前白蛋白(PA)、血红蛋白(Hb)水平比较,差异无统计学意义(P>0.05);护理后,观察组Alb、PA、Hb水平较治疗前升高(P<0.05),且各项指标均高于对照组(P<0.05);对照组上述各项指标治疗前后变化不大(P>0.05)。观察组肛门排气时间、拔胃管时间及恢复普食时间均短于对照组,差异有统计学意义(P<0.05)。观察组护理满意度为95.83%,对照组为75.00%,2组比较,差异有统计学意义(P<0.05)。观察组食欲丧失及睡眠障碍发生率均低于对照组,差异有统计学意义(P<0.05)。结论:穴位按摩联合中医情志护理干预结肠癌术后患者优势明显,能提高患者的护理满意度,改善其营养状况与胃肠功能,降低不良反应发生率。Objective: To observe the effect of point massage combined with Chinese medicine emotional nursing on nutrition and gastrointestinal function after operation for colon cancer. Methods:A total of 48 cases of patients after operation for colon cancer were divided into the control group and the observation group according to the double-blind randomized method, 24 cases in each group. The control group was intervened with Chinese medicine emotional nursing, and the observation group was additionally intervened with point massage based on the treatment of the control group. The nutritional levels,recovery of gastrointestinal function,nursing satisfaction and incidence of adverse reactions in the two groups were observed and compared. Results:Before nursing,there was no significant difference being found in the comparison of levels of Alb,PA and Hb between the two groups(P>0.05);after nursing,the levels of Alb,PA and Hb in the observation group were increased when compared with those before treatment(P<0.05),and the levels were higher than those in the control group(P>0.05);there was no significant difference being found in the comparison of the above levels in the control group before and after treatment(P>0.05). The anal exhaust time,time of gastric tube extraction,and time of recovery general diet in the observation group were shorter than those in the control group,the difference being significant(P<0.05). The nursing satisfaction was 95.83% in the observation group and 75.00% in the control group,the difference being significant(P<0.05).The incidence of loss of appetite and sleep disorder in the observation group was lower than that in the control group,the difference being significant(P<0.05). Conclusion: Point massage combined with Chinese medicine emotional nursing intervention has obvious advantages for patients with colon cancer,which can improve the nursing satisfaction of patients,improve the recovery of nutrition and gastrointestinal function,and reduce the incidence of adverse reactions.

关 键 词：结肠癌术后 穴位按摩 中医情志护理 营养水平 胃肠功能 

分 类 号：R735.3[医药卫生—肿瘤]