胃大部切除术后残胃功能性胃排空障碍的临床护理

Clinical nursing of functional delayed gastric emptying after gastrectomy

目的探讨护理干预对胃大部切除术后残胃功能性排空患者抑郁及治疗依从性的影响。方法将26例胃大部切除术后胃功能性排空患者随机分为对照组和干预组,对照组采用常规治疗和护理,干预组在常规治疗和护理的基础上采用密切观察、心理干预、对症处理等综合干预方法。对两组患者治疗前后的SAS和SDS评分以及治疗依从性进行比较分析。结果两组患者干预后SAS和SDS评分均有所下降,且与对照组相比,干预组SAS和SDS评分明显降低,差异具有统计学意义(P<0.05)。与此同时,干预组与对照组相比,完全依从的比率明显提高,差异具有统计学意义(P<0.05),而一般依从的比率和不能依从的比率差异不显著(P>0.05)。结论全面系统的护理干预可以充分调动患者的主观能动性,使患者有充分的思想准备,调整心理状态,提高其对治疗的依从性及信心,从而有效地提高患者及其家庭的生活质量。

Objective To probe into the effect of nursing intervention on depression and treatment compliance of patients with functional delayed gastric emptying after gastrectomy. Methods 36 patients with functional delayed gastric emptying were divided into control group and intervention group randomly. The control group used conventional treatment and care. The intervention group in addition to conventional care,but also used of comprehensive nursing intervention such as close observation,psychological intervention and treatment of complications. Comparative analysis the SAS and SDS scores of before and after treatment,and treatment compliance of patients in the two groups. Results The two groups after the intervention in patients with SAS and SDS scores have declined. Compared with control group,the SAS and SDS scores of after treatment is higher,there were significant differences （ P 0. 05）. At the same time,Compared with control group,the rate of full compliance higher,and the compliance rate and not the general rate of compliance was not significant （ P 0. 05）. Conclusion Comprehensive and systematic nursing intervention can fully mobilize the initiative of patients,so that patients have adequate mental preparation,psychological adjustment,increase their compliance with treatment and confidence,thereby effectively improving the quality of life of patients and their families.