知信行护理模式结合细节化干预在胃癌根治术患者围手术期的应用效果分析  

Analysis of the Application Effects of Knowledge-Belief-Action Nursing Mode Combined with Detailed Intervention in the Perioperative Period of Patients Underwent Radical Operation for Carcinoma of Stomach

作　　者：王军[1] 赵海运[1] 张莹[1] 陶晓坤[1] WANG Jun;ZHAO Hai-yun;ZHANG Ying;TAO Xiao-kun(Department of Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院手术部,郑州450052

出　　处：《四川解剖学杂志》2024年第2期181-183,共3页Sichuan Journal of Anatomy

摘　　要：目的:探讨知信行护理模式结合细节化干预在胃癌根治术患者围手术期的应用价值.方法:选取2022年1月至2023年5月本院收治的89例胃癌根治术患者为研究对象.根据护理方式将其分为观察组(n=46,采用知信行护理模式结合细节化干预)和对照组(n=43,采用常规护理干预).采用统计学方法,比较两组患者临床指标、胃肠功能恢复情况及并发症总发生率.结果:干预后,观察组患者尿管留置时间、首次下床活动时间、住院时间均短于对照组,差异均有统计学意义(P<0.05).干预后,观察组患者肛门排气时间、排便时间均短于对照组,差异均有统计学意义(P<0.05).干预后,观察组患者并发症总发生率(1/46,1.89%)低于对照组(6/43,13.94%),差异有统计学意义(P<0.05).结论:知信行护理模式结合细节化干预,可促进胃癌根治术围手术期患者身体及胃肠功能恢复,降低并发症发生风险.Objective:To explore application effects of knowledge-belief-action nursing model combined with detailed intervention in perioperative period of patients underwent radical operation for carcinoma of stomach.Methods:A total of 89 patients underwent radical operation for carcinoma of stomach in our hospital from January 2022 to May 2023 were selected as study objects.According to nursing methods,they were divided into observation group(n=46,received knowledge-belief-action nursing model combined with detailed intervention)and control group(n=43,received routine nursing intervention).The clinical indicators,recovery of gastrointestinal function and overall incidence of complications were compared between the two groups by statistical methods.Results:After intervention,duration of urinary catheter indwelling,first time out of bed activity,and hospitalization time of observation group were shorter than those of control group,the differences were statistically significant(P<0.05).After intervention,the anal exhaust time,defecation time in observation group were shorter than those in control group,the differences were statistically significant(P<0.05).After intervention,overall incidence of complications in observation group(1/46,1.89%)was lower than that in control group(6/43,13.94%),the difference was statistically significant(P<0.05).Conclusion:The combination of knowledge-belief-action nursing model and detailed intervention can promote recovery of body and gastrointestinal function in perioperative patients underwent radical operation for carcinoma of stomach,and reduce the risk of complications.

关 键 词：知信行护理模式 细节化干预 胃切除术 根治性 围手术期 应用效果 

分 类 号：R473.73[医药卫生—护理学]