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作 者:张海霞 ZHANG Haixia(Department of General Surgery,Yanggu People's Hospital,Yanggu 252300,China)
机构地区:[1]山东省阳谷县人民医院普外科,山东阳谷252300
出 处:《中国医药指南》2022年第21期21-24,共4页Guide of China Medicine
摘 要:目的探讨快速康复护理干预对胃肠外科术后患者胃肠功能恢复与控制并发症的影响。方法本研究以我院收治的200例胃肠外科患者作为研究对象,将其随机分为100例试验组和100例对照组,分别对其施以快速康复外科护理和常规护理,比较两组患者的康复效果、胃肠功能恢复情况、不良情绪以及发生不良反应的情况,以探讨快速康复外科护理对胃肠外科患者术后胃肠功能恢复及并发症发生率的影响。结果试验组患者康复总有效率明显比对照组高(P<0.05,χ^(2)=13.7813)。治疗结束后,试验组患者的胃管留置时间、下床活动时间、进食时间、首次排气时间都明显比对照组更短(P<0.05)。护理前,两组患者的焦虑评分和抑郁评分无显著性差异(P>0.05),护理结束后,试验组患者的负性情绪明显比对照组更优(P<0.05)。试验组患者发生不良反应的概率明显比对照组低(P<0.05,χ^(2)=16.5475)。结论对胃肠外科手术患者施以快速康复外科护理,能够促进其术后胃肠功能快速恢复,提高治疗效果,改善患者的负性情绪,预防并发症的发生,值得在临床上加以广泛推广。Objective To explore the effect of rapid rehabilitation nursing intervention on the recovery of gastrointestinal function and the control of complications in patients after gastrointestinal surgery.Methods In this study,200 gastrointestinal surgery patients admitted to our hospital were selected as the research objects,and they were randomly divided into 100 experimental group and 100 control group.The rehabilitation effect,gastrointestinal function recovery,adverse emotions and adverse reactions of the patients in the group were compared to explore the effect of fast recovery surgical nursing on postoperative gastrointestinal function recovery and the incidence of complications in patients with gastrointestinal surgery.Results The total effective rate in the experimental group was significantly higher than that in the control group(P<0.05,χ^(2)=13.7813).After treatment,the gastric tube indwelling time,getting out of bed,eating time,and first gassing time of the patients in the experimental group were significantly shorter than those in the control group(P<0.05).Before nursing,there was no significant difference in anxiety and depressed scores between the two groups(P>0.05).After nursing,the negative emotions of the patients in the experimental group were significantly better than those in the control group(P<0.05).The incidence of adverse reactions in the experimental group was significantly lower than that in the control group(P<0.05,χ^(2)=16.5475).Conclusion Fast recovery surgical nursing for gastrointestinal surgery patients can promote the rapid recovery of postoperative gastrointestinal function,improve the treatment effect,improve the negative emotions of patients,and prevent the occurrence of complications,which is worthy of clinical practice and promotion.
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