个性化中医护理模式对胃大部切除患者的护理效果

Nursing effect of personalized traditional Chinese medicine nursing mode for patients with subtotal ;gastrectomy

目的：探讨个性化中医护理模式在胃大部切除患者护理中的应用效果。方法将符合标准的60例拟行胃大部切除术的患者作为研究对象，按照患者入院先后顺序进行编号，利用随机数字表法分为对照组和干预组各30例，对照组行常规护理，干预组在常规护理中行个性化中医护理干预，观察2组护理效果。结果干预组患者术前负性心境状态的得分，术后3h、第1天、第2天胃电图慢波，术后首次进食时间，下床活动时间，住院时间7项分别为（16.50±3.20）分，2.58±0.46、2.88±0.08、2.99±0.54、（28.70±4.43）h、（29.09±4.55）h、（8.24±1.38）d；对照组分别为（16.98±2.61）分，2.40±0.53、2.79±0.14、2.71±0.30，（31.45±3.80）h，（32.91±2.28）h，（10.40±1.99）d，2组比较差异有统计学意义（t=2.53～25.19，均P＜0.05）。术后第3天干预组和对照组的胃电图慢波分别为2.94±0.53、2.93±0.12，2组比较差异无统计学意义（t=0.40，P＞0.05）。结论对胃大部切除患者实施个性化中医护理可以有效缓解干预组患者围手术期的负性心境，缩短术后胃电图慢波恢复时间、首次进食时间、下床活动时间，使患者胃肠功能恢复较早，有效地促进患者康复，同时缩短了患者住院时间。

Objective To explore the application effect of individualized traditional Chinese medicine nursing mode in the nursing of patients with subtotal gastrectomy. Methods A total of 60 eligible patients who met the standard were divided into the control group and the intervention group with 30 cases in each group according to the random number table method, the control group received only normal nursing while the intervention group was subjected to the individualized TCM nursing based on the normal nursing. The nursing effect was compared between two groups. Results Scores of negative mood of patients of the intervention group before surgery, electrogastrogram slow wave 3 h, the first day and the second day after the operation, first feeding time after operation, early ambulation time, average length of stay was （16.50 ± 3.20） points, 2.58 ± 0.46, 2.88 ± 0.08, 2.99 ± 0.54, （28.70 ± 4.43） h, （29.09 ± 4.55） h, （8.24 ± 1.38） d. The control group was（16.98 ± 2.61）points, 2.40 ± 0.53, 2.79 ± 0.14, 2.71 ± 0.30,（31.45 ±3.80）h,（32.91±2.28）h,（10.40±1.99）d, there were significant differences between the two groups （t=2.53-25.19, P 〈 0.05）. In the third day after operation, the electrogastrogram slow wave in the intervention group and the control group were 2.94 ± 0.53, 2.93 ± 0.12, there was no significant difference between the two groups （t=0.40, P〉0.05）. Conclusions Individualized TCM nursing can effectively alleviate the patients′ negative mood, shorten the recovery time of postoperative electrogastrogram slow wave, first feeding time and early ambulation time, to restore the gastrointestinal function of patients earlier, effectively promote the rehabilitation of patients;at the same time, shorten the hospitalization time.