药物治疗联合综合护理干预对胃肠外科术后患者的影响

Effect of drug therapy combined with comprehensive nursing intervention on patients after gastrointestinal surgery

目的探讨药物治疗联合综合护理干预对胃肠外科术后患者胃肠功能恢复及早期炎性肠梗阻的影响。方法选取我院2014年10月至2017年11月行胃肠手术的患者240例为研究对象,随机等分为对照组和研究组,对照组给予常规药物治疗联合一般护理,研究组给予常规药物治疗联合综合护理干预,比较两组患者胃肠功能恢复及术后炎性肠梗阻发生情况。结果研究组早期炎性肠梗阻发生情况低于对照组,差异有统计学义(P<0.05);研究组肠鸣音恢复时间、排气时间、恢复排便时间及下床活动时间均短于对照组,差异有统计学意义(P<0.05);研究组情感职能、生理职能、躯体疼痛、活力、社会功能、健康状况、生理功能、精神健康等评分均高于对照组,差异有统计学意义(P<0.05)。结论胃肠外科术后给予患者药物治疗联合综合护理干预可促进术后胃肠功能恢复,降低早期炎性肠梗阻的发生概率,提高患者生存质量。

Objective To explore the effect of drug therapy combined with comprehensive nursing intervention on gastrointestinal function recovery and early inflammatory bowel obstruction in patients after gastrointestinal surgery. Methods A total of 240 patients who underwent gastrointestinal surgery from October 2014 to November 2017 in our hospital were selected as study subjects,and they were randomly divided into control group and study group with equal numbers of people. The control group was given conventional drug treatment combined with general care. The study group was given conventional drug therapy combined with comprehensive nursing interventions. The recovery of gastrointestinal function and the occurrence of postoperative inflammatory bowel obstruction in the two groups were compared. Results The incidence of early inflammatory bowel obstruction was lower in the study group than in the control group. The difference was statistically significant（ P〈0. 05）. The study group＇s bowel sound recovery time,exhaust time,defecation time and out of bed activity time were all shorter than those in the control group. The difference was statistically significant（ P〈0. 05）. The scores of emotional role,physiological role,body pain,vitality,social function,health status,physiological function,and mental health of the study group were all higher than those of the control group. The difference was statistically significant（ P〈0. 05）. Conclusion The combination of drug therapy and postoperative comprehensive nursing intervention for patients after gastrointestinal surgery can promote the recovery of postoperative gastrointestinal function,and reduce the incidence of early inflammatory bowel obstruction. In addition,it can improve the quality of life of patients.