前馈控制干预联合三步式循序渐进训练对胃癌患者术后康复及生活质量的影响  

Effect of feedforward control intervention combined with three-step progressive training on postoperative rehabilitation and quality of life in patients with gastric cancer

作　　者：史娟[1] 孙晓林[1] 钱国武[1] 和青森 孙万日[1] 王新伟[1] SHI Juan;SUN Xiaolin;QIAN Guowu;HE Qingsen;SUN Wanri;WANG Xinwei(Department of General Surgery,Nanyang Central Hospital,Nanyang 473000,He’nan,China)

机构地区：[1]南阳市中心医院普外科,河南南阳4730000

出　　处：《癌症进展》2025年第3期352-356,共5页Oncology Progress

基　　金：南阳市2022年市级科技计划项目(KJGG099)。

摘　　要：目的 探讨前馈控制干预联合三步式循序渐进训练对胃癌患者术后康复及生活质量的影响。方法根据干预方法的不同将128例胃癌手术患者分为对照组(n=64,常规干预)和观察组(n=64,在常规干预的基础上实施前馈控制干预联合三步式循序渐进训练)。比较两组患者的术后康复指标、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]、并发症发生情况及满意度。结果 观察组患者首次肛门排气时间、首次下床活动时间、进流质饮食时间、住院时间均明显短于对照组,差异均有统计学意义(P﹤0.01)。干预后,两组患者EORTC QLQ-C30各维度评分均高于本组干预前,观察组患者EORTC QLQ-C30各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者术后并发症总发生率低于对照组,满意度评分高于对照组,差异均有统计学意义(P﹤0.05)。结论 前馈控制干预联合三步式循序渐进训练可促进胃癌患者术后胃肠功能恢复,提高生活质量和满意度,降低并发症发生率。Objective To explore the effect of feedforward control intervention combined with three-step progressive training on postoperative rehabilitation and quality of life in patients with gastric cancer.Method According to different intervention methods,128 patients with gastric cancer who underwent surgery were divided into control group(n=64,conventional intervention)and observation group(n=64,feedforward control intervention combined with three-step progressive training on the basis of conventional intervention).The postoperative rehabilitation indexes,quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)],complications and satisfaction were compared between the two groups.Result The first anal exhaust time,first getting out of bed time,liquid diet intake time and hospitalization time in the observation group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.01).After intervention,the dimensional scores of EORTC QLQ-C30 in both groups were higher than those before intervention,and the dimensional scores of EORTC QLQ-C30 in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group,and the satisfaction score was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion Feedforward control intervention combined with three-step progressive training can promote the recovery of gastrointestinal function in patients with gastric cancer,improve the quality of life and satisfaction,and reduce the incidence of complications.

关 键 词：胃癌 前馈控制干预 三步式循序渐进训练 术后康复 生活质量 

分 类 号：R735.2[医药卫生—肿瘤]