食管癌根治术后鼻肠管应用的耐受性分析和护理

Tolerance analysis and nursing care of nasointestinal tube application after radical resection of esophageal carcinoma

目的研究食管癌根治术后患者鼻肠管应用过程中的不适症状,分析原因并提出针对性的护理措施。方法选择2016年6月—2017年9月接受食管癌手术、放置鼻肠管进行肠内营养的患者65例,发放鼻肠管耐受信息调查表,调查、汇总、分析各类不适症状,提出相应的护理对策。结果 65例患者均在术中放置鼻肠管,术后护理过程中患者因不适症状自行拔管的有2例,其他原因非计划拔管2例(1例为鼻肠管阻塞,1例为频繁呕吐后鼻肠管脱出),完成治疗流程后正常拔管的有61例。鼻肠管应用过程中患者的各类不适症状的发生比率有明显差异。结论鼻肠管应用过程中患者可发生多种不适症状,分析症状的原因并进行针对性的护理措施可以明显提高患者的耐受,有益于加快患者的康复过程。

Objective To study the uncomfortable symptoms of the patients who used nasointestinal tubes after radical resection of esophageal carcinoma,analyze causes,and offer corresponding nursing intervention measures.Methods Sixty-five cases who used nasointestinal tubes after radical resection of esophageal carcinoma were selected from The First People＇s Hospital,Hubei Institute of Medicine from June 2016 to September 2017. They completed questionnaires about the tolerance to nasointestinal tubes. Uncomfortable symptoms were collected and analyzed,and corresponding nursing interventions were put forward. Results All the sixty-five patients used nasointestinal tubes during operations. Two cases pulled out the tubes by themselves because of discomfort; 2 cases had unplanned extubation because of other reasons（ one for blocking in the tube,the other for frequent vomiting）; 61 cases removed the tubes after finishing treatment. The incidence rates of different uncomfortable symptoms varied. Conclusion There are many different comfortable symptoms during the use of nasointestinal tubes. Offering nursing care against the causes can obviously improve the tolerance with tubes and help recovery.