多模式健康宣教在ERAS胃癌病人术后早期饮水进食中的应用及效果评价

Application and evaluation of early drinking and eating for gastric cancer patients with multi-mode health propaganda and education during postoperative ERAS

目的:探讨多模式健康宣教对加速康复外科(ERAS)胃癌病人术后早期饮水进食的影响。方法:将行胃癌根治术的60例病人随机分为观察组(30例)和对照组(30例)。观察组采用多模式健康宣教,细化、量化了饮水进食的指导方案;对照组采取常规的健康宣教方法。比较两组病人术后饮水进食的依从性、并发症的发生率及病人的满意度。结果:观察组病人术后饮水进食的依从性高于对照组;病人出院满意度中的健康宣教项目,观察组与对照组比为(19.50±0.50)vs(16.12±3.21)分,差异有统计学意义;观察组病人胃肠道并发症的发生低于对照组,两组有统计学差异(P<0.05)。结论:多模式健康宣教在ERAS胃癌病人术后早期进食中的应用安全有效,提高了依从性,减少了并发症的发生,实现了术后早期饮水进食的量化指导,值得在临床推广应用。

Objective： To explore the effect of early drinking and eating for gastric cancer patients with multi- mode health propaganda and education during postoperative Enhanced Recovery After Surgery （ERAS）. Methods： Sixty patients who would received radical operation of gastric cancer were randomly divided into two groups： observation group （30 cases） and control group （30 cases）. Patients in the observation group were employed the multi-mode health propaganda and education which were guided more detailed and quantitative regimens for early drinking and eating. Patients in the control group were carried out with routine methods. The compliance of postoperative drinking and eating, the rate of complications and patients satisfaction were compared between the two groups. Results： The compliance of postoperative drinking and eating of the observation group was significantly higher than that of the control group. Hospital patient satisfaction in health-education projects （19.50 ＋ 0.50） of the observation group was significantly higher than that （16.12 ＋ 3.21） of the control group （P 〈 0.05）. The rate of gastrointestinal complications in the observation patients was significantly lower, compared with that in the control patients （P 〈 0.05）. Conclusion： During the postoperative ERAS for gastric cancer patients, early drinking and eating guided by multi-mode health propaganda and education is safe and effective, for which could increase the postoperative compliance, decrease the rate of complication. It is worth promoting early quantitative drinking and eating after operation.