护理干预对早期肝癌患者术后胃肠功能的恢复及疼痛评分的影响分析

Effect of nursing intervention on recovery of gastrointestinal function and pain score of patients with early liver cancer after operation

目的分析护理干预对早期肝癌患者术后胃肠功能的恢复及疼痛评分的影响。方法选取本科室90例肝癌手术患者,采用随机数字表分成观察组和对照组,各45例。2组患者均给予积极完善术前准备,对照组采取随机对症护理,观察组实施心理护理、饮食护理及引流管护理等综合性护理干预,对2组患者术后胃肠功能的恢复及疼痛评分的影响和护理满意度进行比较。结果观察组患者胃肠功能如肠鸣音恢复时间、肛门首次排气时间及肛门首次排便时间均显著优于对照组;观察组患者术后6h、24h、48h及72h的疼痛评分均显著优于对照组;观察组护理总满意度高于对照组,差异均具有统计学意义(P<0.05)。结论护理干预能显著促进早期肝癌患者术后胃肠功能的恢复,降低其疼痛评分及增加其护理满意度,故值得临床推广应用。

Objective To analyze the effect of nursing intervention on the recovery of gas- trointestinal function and the pain score of patients with early liver cancer after operation. Methods A total of 90 patients with liver cancer were randomly divided into observation group and control group, with 45 cases in each group. Patients of two groups were given actively preoperative prepara- tion, symptomatic care was taken in control group, the observation group implemented psychological care, diet care and drainage tube nursing care intervention, postoperative gastrointestinal function re- covery and pain scores and nursing satisfaction were compare. Results Gastrointestinal function such as bowel sound recovery time, anal exhaust time and the first defecation time were significantly better than the control group, pain scores after 6 h, 24 h, 48 h and 72 h of operation in the observation group were significantly better than the control group. Nursing satisfaction of observation group was significantly higher than the control group （ P 〈 0.05 ）. Conclusion Nursing intervention can signifi- cantly promote the recovery of gastrointestinal function in patients with early stage liver cancer, reduce the pain score and increase the nursing satisfaction, so it is worthy of clinical popularization and application.