加速康复外科护理对胃癌术后早期离床活动的影响

Effect of Accelerating the Nursing in the Department of Rehabilitation Surgery on the Early Ambulation after the Gastric Cancer Surgery

目的探究加速康复外科护理对胃癌术后患者早期离床活动的影响。方法该次研究中共选择50例在于2016年3月—2018年4月份在该院进行胃癌手术的患者,将患者随机分成两组,即对照组和观察组,每组患者各25例。给予对照组常规护理方法,给予观察组加速康复外科护理方法。结果对照组患者的胃肠功能康复时间为(21.87±5.22)h,术后疼痛评分为(4.22±1.03)分,离床活动量为(53.06±21.03)m,离床活动时间为(21.38±5.25)h,发热时间(2.46±0.62)d,排便时间为(3.58±0.73)d,肛门排气时间为(2.74±0.54)d,住院时间为(10.45±1.26)d。观察组患者的胃肠功能康复时间为(17.81±3.42)h,术后疼痛评分为(2.21±1.12)分,离床活动量为(79.22±27.06)m,离床活动时间为(14.96±4.32)h,发热时间(3.75±0.75)d,排便时间为(5.18±1.06)d,肛门排气时间为(4.37±0.82)d,住院时间为(15.22±1.86)d。观察组患者各项康复指标均优于对照组(t=12.653、14.365、15.856、13.652、14.523、13.845、17.265、23.506,P<0.05。观察组患者肠梗阻发生0例,感染1例,胃肠道反应1例,总并发症发生2例,发生率为8.00%。对照组患者肠梗阻发生2例,感染3例,胃肠道反应4例,总并发症发生9例,发生率为36.00%。观察组并发症发生率低于对照组(χ~2=5.710 96,P<0.05)。观察组总满意例数为24例,满意度为96.00%,对照组患者总满意例数为17例,满意度为68.00%,观察组护理满意度高于对照组(χ~2=6.369 57,P<0.05)。结论在胃癌术后采用加速康复外科护理方法,优化了患者的康复指标,并发症发生率明显下降,对医院护理工作有着较高的满意度。

Objective To study the effect of accelerating the nursing in the department of rehabilitation surgery on the early ambulation after the gastric cancer surgery. Methods 50 cases of patients with gastric cancer surgery in our hospital from March 2016 to April 2018 were selected and randomly divided into two groups with 25 cases in each, the control group used the routine nursing method, while the observation group accelerated the nursing in the department of rehabilitation surgm7. Results The recovery time of gastrointestinal function, postoperative pain score, ambulation amount, ambulation time, fever time, defecation time, anus exhaust time, length of stay in the control group were lower than those in the observation group [（21.87 ±5.22）h, （4.22 ±1.03）points, （53.06 ±21.03）m, （21.38 ±5.25）h, （2.46 ±0.62）d, （3.58±0.73）d, （2.74±0.54）d, （10.45±1.26）d vs （17.81±3.42）h, （2.21±1.12）marks, （79.22±27.06）m, （14.96±4.32）h, （3.75± 0.75）d, （5.18±1.06）d, （4.37±0.82）d, （15.22±l.86）d]（t=12.653, 14.365, 15.856, 13.652, 14.523, 13.845, 17.265, 23.506, P〈0.05）, and in the observation group, there was 0 ease with intestinal obstruction, and 1 ease with infection, ＂1 ease with gastrointestinal reaction, 2 cases in total, and the incidence rate was 8.00%, and in the control group, there were 2 cases with intestinal obstruction, 3 cases with infection, 4 cases with gastrointestinal reaction, 9 cases in total, and the incidence rate was 36.00%, and the incidence rate of complications in the observation group was lower than that in the control group （χ^2=5.7109 6, P〈 0.05）, and the total satisfaetotT cases in the observation group and in the control group were respectively 24 cases and 17 cases, and the satisfactery degrees were respectively 96.00% and 68.00%, and the satisfaetory degree in the observation group was higher than that in the control group （X2=6.369 57, P〈0.05）. Conclusion The acceleration of nursing method in the department of rehabilitation surgery after the gastric cancer surgery can optimize the rehabilitation indicators, obviously decrease the incidence rate of complications, with higher satisfaetory degree to the hospital nursing work.