三腔鼻空肠喂养管护理对全胃切除术患者营养恢复的影响

Observation on the Efficacy of Three Cavity Nasal Jejunal Feeding Tube Nursing for the Recov-ery of Nutrition Status in Patients with Total Gastrectomy

【目的】探讨三腔鼻空肠喂养管护理（TCNJ-FTN）对全胃切除术患者营养的恢复情况。【方法】选择因胃癌实施全胃切除术患者86例，其中留置普通胃管并进行常规护理的患者43例作为对照组，实施T C-NJ-FTN护理措施的患者43例作为观察组。对比两组术后的恢复情况、伤口愈合时间、住院时间及两组护理满意情况。【结果】观察组在术后的恢复情况显著优于对照组，其差异有统计学意义（ P ＜0．05）；观察组的平均伤口愈合时间、平均住院时间均显著少于对照组，其差异均有统计学意义（ P ＜0．05）；观察组的护理满意率显著高于对照组，其差异均有统计学意义（ P ＜0．05）。【结论】对于全胃切除术的患者实施 TCNJ-FTN治疗及护理，能促进患者康复，并增加护理满意度，值得临床推广。

[Objective]To explore the efficacy of three cavity nasal jejunal feeding tube nursing （TCNJ-FTN） for the recovery of nutrition status in patients with total gastrectomy .[Methods]A total of 86 patients with total gastrectomy were chosen .Among them ,43 patients treated with indwelling stomach tube and rou-tine care were selected as control group ,and 43 patients treated with TCNJ-FTN were selected as observation group .The recovery status after operation ,wound healing time ,hospitalization time and nursing satisfaction were compared between two groups .[Results] The postoperative recovery in observation group was markedly better than the control group ,and there was significant difference （ P 〈 0 .05） .The average wound healing time and hospitalization time of observation group were markedly less than those of control group ,and there was significant difference（ P〈0 .05） .Nursing satisfaction rate of observation group was markedly higher than that of control group ,and there was significant difference（ P 〈0 .05） .[Conclusion] For patients with total gastrectomy ,TCNJ-FTN treatment and care can promote the rehabilitation of patients and increase nursing satisfaction .It is worthy of clinical promotion .