鼻肠管堵塞预防执行单的设计及应用研究  

Design and application of nursing prevention and control measurement for patients with obstruction of nasointestinal tube after radical gastrectomy for gastric cancer

作　　者：张媛 韩梦丹 赵倩 李梅 冯铮铮 徐翠红 杜久丽 王苏璇 ZHANG Yuan;HAN Mengdan;ZHAO Qian;LI Mei;FENG Zhengzheng;XU Cuihong;DU Jiuli;WANG Suxuan(General Surgery,Affiliated Cancer Hospital of Zhengzhou University,ZhengZhou,450008,China;不详)

机构地区：[1]郑州大学附属肿瘤医院普外科三病区,郑州市450008

出　　处：《中华护理杂志》2021年第10期1453-1459,共7页Chinese Journal of Nursing

摘　　要：目的设计鼻肠管堵塞预防执行单,探讨其在根治性胃癌切除术后患者中的应用效果。方法通过文献回顾、专家咨询等方法设计鼻肠管堵塞预防执行单。2020年10月—2021年2月,便利选取河南省某三级甲等医院肿瘤外科2个病区,A病区57例根治性胃癌切除术后患者为试验组,B病区55例根治性胃癌切除术后患者为对照组。试验组在常规鼻肠管护理基础上采用鼻肠管堵塞预防执行单,对照组采用常规鼻肠管护理。比较两组鼻肠管堵塞发生率与处理鼻肠管堵塞的耗时、试验组干预前后护士鼻肠管堵塞防控认知及行为得分,评价试验组护士对执行单的满意度。结果试验组鼻肠管堵塞发生率低于对照组(P<0.05),试验组护士处理鼻肠管堵塞耗时短于对照组(P<0.05),试验组干预后护士鼻肠管堵塞防控认知及行为得分高于干预前(P<0.05)。试验组护士对执行单的满意度得分为(36.16±1.92)分,处于较高水平。结论鼻肠管堵塞预防执行单的应用,可有效降低鼻肠管堵塞发生率,缩短处理鼻肠管堵塞耗时,提高护士鼻肠管堵塞防控认知及行为。Objective To explore and apply the nursing prevention and control measurement for patients with obstruction of nasointestinal tube after radical gastrectomy for gastric cancer.Methods Through literature review and Delphi expert consultation,the nursing prevention and control measurement was designed for patients with obstruction of nasointestinal tube after radical gastrectomy for gastric cancer.2 wards of tumor surgery in a Leval A tertiary hospital in Henan Province from October 2020 to February 2021 were conveniently selected,with Ward A including 57 gastric cancer patients as the intervention group and Ward B including 55 gastric cancer patients as the control group.The intervention group received the measurement based on the conventional nasointestinal tube care of the control group.The rate of tube obstruction between Ward A and B,the average time in handling the tube obstruction,and the nurses’cognition and behavior scores in the intervention before and after the intervention,the satisfaction of the nurses with the measurement in the intervention group were compared.Results The rate of tube obstruction in the intervention group was significantly lower than that in the control group(P<0.05).The average time spent by nurses in the intervention group to deal with the tube obstruction was significantly less than that in the control group(P<0.05).The cognition and behavior scores of nurses in the intervention group for the prevention and control of nasointestinal tube obstruction were higher than those before the intervention,and the difference was statistically significant(P<0.05).The satisfaction score of nurses in the intervention group on the record was(36.16±1.92).Conclusion The application of the nursing prevention and control measurement for patients with obstruction of nasointestinal tube after radical gastrectomy for gastric cancer can effectively reduce the rate of tube obstruction in patients with nasointestinal tube,reduce the average time spent in dealing with the tube obstruction,and improve nu

关 键 词：胃肿瘤 插管法 胃肠 堵管 防控措施 执行单 

分 类 号：R473.73[医药卫生—护理学]