舒适护理干预改善腹部手术患者术后各项胃肠功能指标的效果评价

Evaluation on effect of comfort nursing intervention on improving postoperative gastrointestinal function fndicators of patients with abdominal operation

目的探讨舒适护理干预改善腹部手术患者术后各项胃肠功能指标的效果评价。方法将2016年1月～2018年3月在我院普外科治疗的100例腹部手术患者随机分为两组,对照组采用常规护理,观察组采用舒适护理干预,比较两组患者的术后各项胃肠功能指标、胃肠功能恢复效果、胃肠功能异常率、护理满意率。结果观察组腹痛腹胀缓解时间、首次排气时间、首次排便时间、肠鸣音恢复时间、进食时间与对照组相比明显缩短,差异有统计学意义(P <0.05);观察组胃肠功能恢复率明显高于对照组,差异有统计学意义(P <0.05);观察组腹内压增高、便秘、腹围改变、肠鸣音消失、肠内营养不耐受等发生率明显低于对照组,差异有统计学意义(P <0.05);观察组对医护水平、医护态度、健康宣教、心理护理等满意率明显高于对照组,差异有统计学意义(P <0.05)。结论舒适护理干预改善腹部手术患者术后各项胃肠功能指标的效果显著,能有效促进胃肠功能的恢复,降低胃肠功能异常率,提升护理满意率,具有积极的临床意义。

Objective To explore the effect of comfort nursing intervention on improving postoperative gastrointestinal function indicators of patients with abdominal operation.Methods One hundred patients with abdominal operation who were treated in department of general surgery in our hospital from January 2016 to March 2018 were selected and they were randomly divided into two groups.The control group was givenconventional nursing while the observation groupwas givencomfort nursing intervention.Postoperative gastrointestinal function indicators,the effect of gastrointestinal functional recovery,rate of gastrointestinaldysfunctionand nursing satisfaction rate of patients in two groups were compared.Results Relief time of abdominal bloating and pain,the first exhaust time,the first time of defecation,the recovery time of bowel sound and eating time of the observation group were all significantly shortened compared with the control group(P<0.05).The recovery rate of gastrointestinal function in the observation group was significantly higher than that in the control group(P<0.05).In the observation group,the incidence of Increasedintraabdominal pressure,constipation,abdominal circumference change,disappearanceof bowel soundand intestinal nutrition intolerance of the observation group were significantly lower than those in the control group(P<0.05).The satisfaction rates ofmedical level,medical attitude,health education and psychological nursing in the observation groupwere significantly higher than thosein the control group(P<0.05).Conclusion Comfort nursing intervention can significantly improve postoperative gastrointestinal function indicators of patients with abdominal operation.It can effectively promote the recovery of gastrointestinal function,decrease the rate of gastrointestinal dysfunction and improve nursing satisfaction rate,which is of positive clinical significance.