系统化护理干预在腹腔镜胃癌根治术患者术后胃瘫综合征护理中的应用价值研究  

The Application Value of Systematic Nursing Intervention in Postoperative Gastroparesis Syndrome Nursing for Patients Undergoing Laparoscopic Radical Gastrectomy for Gastric Cancer

作　　者：陶晓波 孟冉 刘楠 TAO Xiaobo;MENG Ran;LIU Nan(Department of Gastroenterology,Xuzhou Medical University Affiliated Hospital,Xuzhou,Jiangsu,221000,China)

机构地区：[1]徐州医科大学附属医院胃肠外科,江苏徐州221000

出　　处：《中外医疗》2024年第31期113-117,共5页China & Foreign Medical Treatment

摘　　要：目的探究系统化护理干预在腹腔镜胃癌根治术患者术后胃瘫综合征护理中的价值。方法便利选取2022年5月—2023年6月徐州医科大学附属医院收治的63例行腹腔镜胃癌根治术后胃瘫综合征患者为研究对象,依据不同护理方法分为对照组(n=31)、研究组(n=32)。对照组采用常规护理,研究组采用系统化护理。护理干预前及患者出院前1 d,比较两组患者汉密尔顿焦虑量表(Hamilton Anxiety Rating Scale,HAMA)、汉密尔顿抑郁量表(Hamilton Depression Rating Scale,HAMD)、自我护理能力测量量表(Exercise of Self-care Agency Scale,ESCA)、自我效能感量表(General Self-efficacy Scale,GSES)、生活质量简表(World Health Organi-zation Quality of Life-100,WHOQOL-100)评分。结果出院前1 d,研究组HAMA评分为(6.94±2.83)分,HAMD评分为(6.36±1.34)分,低于对照组的(13.51±2.76)分、(15.85±1.27)分,差异有统计学意义(t=9.325、28.833,P均<0.05)。研究组ESCA评分高于对照组,差异有统计学意义(P<0.05)。研究组GSES评分高于对照组,差异有统计学意义(P<0.05)。研究组WHOQOL-100评分高于对照组,差异有统计学意义(P<0.05)。结论腹腔镜胃癌根治术后胃瘫综合征患者采用系统化护理,可有效改善患者心理状态,提高患者自护能力、自我效能感及生活质量。Objective To explore the application value of systematic nursing intervention in postoperative gastroparesis syndrome nursing for patients undergoing laparoscopic radical gastrectomy for gastric cancer.Methods 63 patients with postoperative gastroparesis syndrome after laparoscopic radical gastrectomy for gastric cancer admitted to Xuzhou Medical University Affiliated Hospital from May 2022 to June 2023 were conveniently selected as the study objects,and were divided into control group(n=31)and study group(n=32)according to different nursing methods.The control group received routine nursing and the study group received systematic nursing.Before nursing intervention and 1 day before discharge,the scores of Hamilton Anxiety Rating Scale(HAMA),Hamilton Depression Rating Scale(HAMD),Exercise of Self-care Agency Scale(ESCA),General Self-efficacy Scale(GSES)and World Health Organization Quality of Life-100(WHOQOL-100)were compared between the two groups.Results 1 day before discharge,HAMA score and HAMD score of the study group were(6.94±2.83)points and(6.36±1.34)points,which were lower than those of the control group(13.51±2.76)points and(15.85±1.27)points,and the differences were statistically significant(t=9.325,28.833,both P<0.05).The ESCA score of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).The GSES score of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).The WHOQOL-100 score of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Systematic nursing for patients with gastroparesis syndrome after laparoscopic radical gastrectomy can effectively improve their psychological state,self-care ability,self-efficacy and quality of life.

关 键 词：系统化护理 胃癌根治术 胃瘫综合征 生活质量 自我效能感 自护能力 

分 类 号：R473.6[医药卫生—护理学]