责任制小组在胃癌术后早期肠内营养护理中的应用及效果

Application and effect of responsibility system nursing team in early en-teral nutrition care after gastric carcinoma operation

目的探讨责任制小组在胃癌术后早期肠内营养护理中的应用及效果。方法回顾性分析2014年3月~2015年3月于中国医科大学附属盛京医院行手术的胃癌患者60例临床资料。根据护理方式不同将患者分为观察组与对照组,各组30例。对照组采用常规护理方式,观察组采用责任制小组的护理方式。比较两组术后一般情况（住院时间、肠鸣音恢复时间、排便及排气时间、进食时间）、术前及术后8 d的营养情况（体重、总蛋白、前白蛋白及清蛋白水平）、护理满意度、并发症情况。结果观察组住院时间、肠鸣音恢复时间、排便及排气时间、进食时间均较对照组短,差异有统计学意义（P〈0.05）。两组术前体重、总蛋白、前白蛋白及清蛋白水平比较,差异无统计学意义（P〉0.05）;两组术后8 d的总蛋白、前白蛋白及清蛋白水平比较差异均有统计学意义（P〈0.05）。观察组护理满意度高于对照组,差异有统计学意义（P〈0.05）。两组并发症发生率比较差异无统计学意义（P〉0.05）。结论责任制小组护理方案提高了肠内营养护理质量和水平,提高了服务满意度,促进了患者恢复,值得临床推广应用。

Objective To discuss application and effect of responsibility system nursing team in early enteral nutrition care after gastric carcinoma operation. Methods Clinical data of 60 patients with gastric carcinoma underwent operation in Shengjing Hospital Affiliated to China Medical University from March 2014 to March 2015 were analyzed retrospectively. According to the different nursing ways, patients were divided into observation group and control group, each group had 30 cases. Patients in control group were given usual care, patients in observation group were given responsibility system nursing team. Postoperative general condition（length of hospital stay, bowel sound recovery time, defecation and exhaust time and the time of food intake）, nutrient status（weight, total protein, prealbumin and albumin） preoperative and postoperative 8 d, nursing satisfaction, complication between two groups were compared. Results The length of hospital stay, bowel sound recovery time, defecation and exhaust time and the time of food intake in observation group were shorter than those in control group, with statistically significant differences（P 〈 0.05）. Before operation,the weight, levels of total protein, prealbumin and albumin were compared between two groups, the differences were not statistically significant（P 〉 0.05）. After operation of 8 d, levels of total protein, prealbumin and albumin between two groups had statistically significant differences（P 〈 0.05）. The nursing satisfaction rate in observation group was higher than that in control group, with statistically significant difference（P 〈 0.05）. There was no significant difference on incidence rate of complication between two groups（P 〉 0.05）. Conclusion Application of responsibility system nursing team can improve the quality of enteral nutrition care and level, improve the service satisfaction, promote the patients′recovery. It is worthy of clinical promotion and application.