舒适护理在胃肠道手术患者中的应用及对胃肠蠕动功能恢复的影响  

Application of Comfort Nursing in Patients with Gastrointestinal Surgery and Its Effect on the Recovery of Gastrointestinal Motility

作　　者：林钐 LIN Shan(Puwai District 1,Putian Hanjiang Hospital,Putian,Fujian Province,351111 China)

机构地区：[1]福建莆田涵江医院普外一区,福建莆田351111

出　　处：《中外医疗》2022年第15期134-137,142,共5页China & Foreign Medical Treatment

摘　　要：目的 探讨胃肠道手术患者采用舒适护理措施取得的效果,以及对于胃肠蠕动功能的影响。方法 方便选择2019年1月—2021年8月于该院实施外科手术治疗的132例胃肠道疾病患者为研究对象,按照随机数表分为对照组和研究组,对照组行常规护理,研究组在此基础上应用舒适护理措施。对比两组患者恢复肠鸣音时间、排气时间、排便时间与住院时间,干预前后生活质量综合评定问卷(GQOLI-74)评分以及护理满意度。结果 研究组肠鸣音恢复时间(23.52±4.56)h、术后首次排气时间(36.24±4.88)h、术后首次排便时间(43.05±4.80)h、住院时间(5.52±0.50)d较对照组(29.50±5.00)h、(42.65±4.08)h、(50.60±5.03)h、(7.00±0.47)d更短,差异有统计学意义(t=7.179、8.187、8.822、17.521,P<0.01);干预后研究组GQOLI-74量表中物质状态(79.52±4.00)分、躯体功能(75.65±5.47)分、社会功能(77.03±4.98)分、心理功能(80.65±4.00)分较对照组(84.06±5.03)分、(80.65±4.79)分、(81.45±4.87)分、(76.67±5.00)分更高,差异有统计学意义(t=5.739、5.587、5.155、5.050,P<0.01);在护理满意率对比中,研究组98.48%较对照组86.36%更高,差异有统计学意义(χ^(2)=6.925,P<0.05)。结论 舒适护理在胃肠道手术患者中具有显著的应用效果,可以有效增强胃肠蠕动,缩短康复进程,提高生活质量,以及护理满意度,适于临床推广。Objective To explore the effect of comfortable nursing measures in patients with gastrointestinal surgery and the effect on gastrointestinal motility.Methods A total of 132 patients with gastrointestinal diseases who underwent surgical treatment in the hospital from January 2019 to August 2021 were conveniently selected as the research subjects,according to the random number table,they were divided into control group and study group,the control group received routine nursing care,and the study group applied comfort nursing measures on this basis.The time of recovery of bowel sounds,exhaust time,defecation time and hospitalization time,the comprehensive assessment of quality of life (GQOLI-74) score and nursing satisfaction before and after the intervention were compared between the two groups.Results The recovery time of bowel sounds (23.52±4.56) h,the first postoperative exhaust time(36.24±4.88) h,the postoperative first defecation time (43.05±4.80) h,and the hospitalization time (5.52±0.50) d in the study group were significantly lower than those of the control group (29.50±5.00) h,(42.65±4.08) h,(50.60±5.03)h,(7.00±0.47) d,the difference was statistically significant (t=7.179,8.187,8.822,17.521,P<0.01);after the intervention,in the GQOLI-74 scale of the study group,the scores of material status (79.52±4.00)points,physical function (75.65±5.47)points,social function (77.03±4.98)points and psychological function (80.65±4.00)points were significantly higher than those of the control group (84.06±5.03) points,(80.65±4.79) points,(81.45±4.87) points,(76.67±5.00) points,the difference was statistically significant(t=5.739,5.587,5.155,5.050,P<0.01);in the comparison of nursing satisfaction rate,the research group was 98.48%higher than the control group 86.36%,the difference was statistically significant (χ^(2)=6.925,P<0.05).Conclusion Comfort nursing has significant application effect in patients with gastrointestinal surgery,which can effectively enhance gastrointestinal motility,shorten the rehabil

关 键 词：舒适护理 胃肠道 手术 胃肠蠕动功能 

分 类 号：R5[医药卫生—内科学]