自护理论在胃癌根治手术患者护理中的应用

The Application of Self-care Theory to the Patients with Stomach Cancer after Operation

目的:针对患者不同病程阶段的护理需求,选择有效的护理系统,最佳的护理方法,更好地实施以病人为中心的整体护理。方法:将166例胃癌根治手术患者随机分为两组:观察组86例,对照组80例。观察组采用自护理论进行护理,对照组采用常规护理方法进行护理。记录两组患者术后下床活动时间、术后肛门排气时间、拔除胃管时间及拔管后腹胀发生情况,并进行对比分析及卡方检验。结果:两组患者术后下床活动、肛门排气、拔除胃管时间及拔管后腹胀情况,差异有显著性。结论:采用自护理论,选择有效的护理系统对患者实施护理优于常规方法护理。

Objective:To choose the effective care system and best care methods in order to carry out the plan of whole care concerning patient at different stage of recovery. Methods: One hundred and sixty six patients after the operation of stomach cancer were randomly divided into two groups: observation group for 86 patients and control group for 80 patients. The care for the first group was to adopt the self-care theory while for the second group was to take the normal one. Then the time when they got to walk, passed air, and gastric tubes were removed were recorded. Their abdominal distention was observed as well. Meanwhile, a contrast analysis and the X2 tests were conducted. Results: The above testing data showed an obvious difference between groups. Conclusion:The adoption of self-care theory and the choice of effective care system are better than the application of normal care to the patients .