医护患协作配合积极因素干预在胃肠道术后胃瘫患者康复期管理中的应用  

Application of Doctor-nurse-patient Collaboration Combined with Positive Factors Intervention in the Rehabilitation Management of Patients with Gastroparesis after Gastrointestinal Surgery

作　　者：徐越群 黄燕华 阙永姑 罗永花 XU Yuequn;HUANG Yanhua;QUE Yonggu;LUO Yonghua(Longyan First Hospital Affiliated to Fujian Medical University,Longyan 364000,China;不详)

机构地区：[1]福建医科大学附属龙岩第一医院,福建龙岩364000

出　　处：《中外医学研究》2024年第34期101-105,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探究医护患协作配合积极因素干预在胃肠道术后胃瘫患者康复期管理中的应用效果。方法:选取2021年1月—2024年2月福建医科大学附属龙岩第一医院收治的68例胃肠道术后胃瘫患者作为研究对象,根据医护患协作配合积极因素干预实施时间,将2021年1月—2022年6月接受常规干预的34例胃肠道术后胃瘫患者纳入对照组,将2022年7月—2024年2月接受医护患协作配合积极因素干预的34例胃肠道术后胃瘫患者纳入观察组。比较两组心理弹性[心理弹性量表(CD-RISC)]、社会支持感[感知社会支持量表(MSPSS)]、胃肠功能及生活质量[生活质量综合评定问卷(GQOLI-74)]。结果:干预前,两组CD-RISC评分、MSPSS评分及GQOLI-74评分比较,差异无统计学意义(P>0.05);干预4周后,两组CD-RISC评分、MSPSS评分及GQOLI-74评分均升高,且观察组高于对照组,差异有统计学意义(P<0.05);观察组腹胀、腹泻、恶心呕吐消失时间、胃排空时间短于对照组,胃液引流量少于对照组,差异有统计学意义(P<0.05)。结论:医护患协作配合积极因素干预可有效提高胃肠道术后胃瘫患者心理弹性和社会支持感,改善胃肠功能情况,提高生活质量。Objective:To explore the application effect of doctor-nurse-patient collaboration combined with positive factors intervention in the rehabilitation management of patients with gastroparesis after gastrointestinal surgery.Method:A total of 68 patients with gastroparesis after gastrointestinal surgery who admitted to Longyan First Hospital Affiliated to Fujian Medical University from January 2021 to February 2024 were selected as the research objects,according to the implementation time of doctor-nurse-patient collaboration combined with positive factors intervention,34 patients with gastroparesis after gastrointestinal surgery who received routine intervention from January 2021 to June 2022 were included in the control group,and 34 patients who received doctor-nurse-patient collaboration combined with positive factors intervention from July 2022 to February 2024 were enrolled as the observation group.The psychological resilience[Connor-Davidson resilience scale(CD-RISC)],social support[multidimensional scale of perceived social support(MSPSS)],gastrointestinal function and quality of life[general quality of life inventory-74(GQOLI-74)]were compared between the two groups.Result:Before intervention,there were no statistical differences in the CD-RISC scores,MSPSS scores and GQOLI-74 scores between two groups(P>0.05);after 4 weeks of intervention,the CD-RISC scores,MSPSS scores and GQOLI-74 scores in two groups were increased,and those in the observation group were higher than those in the control groups,the differences were statistically significant(P<0.05).The disappearance times of abdominal distension,diarrhea,nausea and vomiting and gastric emptying time in the observation group were shorter than those in the control group,and the gastric juice drainage volume was less than that in the control group,the differences were statistically significant(P<0.05).Conclusion:Doctor-nurse-patient collaboration combined with positive factors intervention can effectively enhance the psychological resilience and social suppor

关 键 词：术后胃瘫 医护患协作配合积极因素干预 康复管理 胃肠功能 社会支持感 

分 类 号：R473.6[医药卫生—护理学]