标准化早期运动护理对胃肠恶性肿瘤手术患者术后生活质量、运动功能的影响  

The Impact of Standardized Early Exercise Nursing on Postoperative Quality of Life and Exercise Function in Patients Undergoing Gastrointestinal Malignant Tumor Surgery

作　　者：陈玲凤 林敏 王爱珍 林茜 危秋平 林硕 涂永久 谢水芳 张端梅 黄品芳 王淑云 CHEN Lingfeng;LIN Min;WANG Aizhen;LIN Qian;WEI Qiuping;LIN Shuo;TU Yongjiu;XIE Shuifang;ZHANG Duanmei;HUANG Pinfang;WANG Shuyun(Department of General Surgery,73rd Army Military Hospital,Xiamen,Fujian 361000,China)

机构地区：[1]陆军第七十三集团军医院普通外科,福建厦门361000

出　　处：《中国医药指南》2025年第9期177-179,共3页Guide of China Medicine

摘　　要：目的探讨标准化早期运动护理对胃肠恶性肿瘤手术患者术后生活质量、运动功能的影响。方法选取2020年5月至2024年5月本院诊断为胃肠恶性肿瘤并且行胃肠恶性肿瘤手术患者268例为研究对象,根据护理方法的不同分为标准化早期运动护理组和常规护理组,各134例,常规护理组给予常规护理,标准化早期运动护理组给予标准化早期运动护理,比较两组患者术后胃肠功能恢复情况、炎性因子指标、生活质量、运动功能、并发症发生情况。结果标准化早期运动护理组首次肠道通气时间、首次排便时间点、肠鸣音恢复时长低于常规护理组(P<0.05);术后72 h标准化早期运动护理组炎性因子指标低于常规护理组(P<0.05);标准化早期运动护理组生活质量评分高于常规护理组(P<0.05);术后1个月和术后3个月标准化早期运动护理组6MWT高于常规护理组(P<0.05);标准化早期运动护理组术后并发症发生率均低于常规护理组(P<0.05)。结论标准化早期运动护理,对术后肠道功能明显改善,并有效调控炎性因子水平,提高术后生活质量,增强运动功能,促进胃肠恶性肿瘤患者术后恢复。Objective To explore the impact of standardized early exercise nursing on postoperative quality of life and exercise function in patients undergoing gastrointestinal cancer surgery.Methods A total of 268 patients diagnosed with gastrointestinal malignancies and undergoing gastrointestinal cancer surgery at our hospital between May 2020 and May 2024 were selected as study subjects.They were divided into a standardized early exercise nursing group and a routine nursing group,with 134 patients in each group.The routine nursing group received conventional care,while the standardized early exercise nursing group received standardized early exercise nursing.The postoperative gastrointestinal function recovery,inflammatory cytokine levels,quality of life,motor function,and complication occurrence were compared between the two groups.Results The standardized early exercise nursing group exhibited shorter times for first flatus,first bowel movement,and return of bowel sounds compared to the routine nursing group(P<0.05).At 72 hours postoperatively,inflammatory cytokine levels were lower in the standardized early exercise nursing group than in the routine nursing group(P<0.05).The quality of life scores were higher in the standardized early exercise nursing group than in the routine nursing group(P<0.05).Additionally,the 6-minute walk test(6MWT)distances at both 1 month and 3 months postoperatively were greater in the standardized early exercise nursing group compared to the routine nursing group(P<0.05).The incidence of postoperative complications was lower in the standardized early exercise nursing group than in the routine nursing group(P<0.05).Conclusions Standardized early exercise nursing can significantly improve postoperative intestinal function,effectively regulate the level of inflammatory factors,improve postoperative quality of life,enhance motor function,and promote postoperative recovery of patients with gastrointestinal malignancies.

关 键 词：标准化早期运动护理 恶性肿瘤 胃肠道 术后生活质量 术后运动功能 

分 类 号：R735[医药卫生—肿瘤] R473.73[医药卫生—临床医学]