KAP护理模式对肠癌手术患者术后肠胃功能恢复与心理状态的影响

The impact of KAP nursing model on the recovery of gastrointestinal function and psychological status of patients with colorectal cancer surgery

目的 探讨KAP护理模式对肠癌手术患者术后肠胃功能恢复与心理状态的影响.方法 我院于2014年9月开始实施KAP护理干预措施,回顾性分析2013年9月至2015年9月我院收治的60例结肠癌患者的临床资料.其中,2013年9月至2014年8月30例患者实施常规护理,作为对照组;2014年9月至2015年9月30例患者实施KAP护理措施,作为观察组.对两组护理后患者的睡眠质量、心理状态、胃肠功能恢复情况及护理满意度进行评价.结果 护理7、14 d后,观察组AIS量表评分、腹胀及恶心发生率均显著低于对照组,差异具有统计学意义（P〈0.05）;观察组HAMA及HAMD量表为阴性者比例、护理满意度显著高于对照组,差异均有统计学意义（P〈0.05）;观察组肠鸣音恢复时间、肛门排气时间、开始进食时间均显著短于对照组,差异具有统计学意义（P〈0.05）.结论 KAP护理模式可改善结肠癌根治术后患者的不良心理状态,提高睡眠质量,促进胃肠功能的恢复,减少不良反应,使护理满意度大大提高,值得临床推广应用.

Objective To explore the effect of KAP nursing model on the recovery of gastrointestinal function and psychological status of patients with colorectal cancer surgery. Methods The KAP-nursing intervention measures were implemented in September 2014 in our hospital, and the clinical data of 60 patients with colon cancer treated in our hospital from September 2013 to September 2015 were retrospectively analyzed. 30 cases of patients treated from September 2013 to August 2014 were taken as the control group and were given the regular nursing, while another 30 patients with colon cancer treated in our hospital from September 2014 to September 2015 were selected as the observa-tion group and were given the KAP-nursing measures. The quality of sleep, mental status, the recovery of gastrointesti-nal function and satisfaction for nursing of the two groups after nursing were evaluated. Results After 7 days ＇ and 14 days＇ nursing, the AIS score and the incidence of abdominal distension of the observation group were significantly lower than that of the control group, and the difference was statistically significant （ P〈0. 05 ） . The ratio of HAMA and HAMD shown negative and degree of satisfaction of the observation group was significantly higher than that of the control group, and the difference was statistically significant （ P〈0. 05 ） . The borborygmus recovery time, anal exhausting time, starting time for food of the observation group were significantly shorter than that of the control group, and the difference was statistically significant （ P〈0. 05 ） . Conclusions KAP nursing mode can improve the bad psychological state of the patients with colon cancer after radical resection and improve the quality of sleep, promote the recovery of gastrointestinal function, reduce adverse reactions and highly improve the satisfaction for nursing, hence it is worthy of a clinical application.