胃癌术后患者应用量化评估策略模式的作用分析

Applying quantitative evaluation strategy mode in postoperative patients with gastric cancer

目的 探究胃癌术后患者应用量化评估策略模式的作用分析。方法 选取2014年8月至2016年8月收治的行常规护理的胃癌术后患者60例作为对照组,另选取2016年9月至2018年9月收治的行量化评估策略模式的胃癌术后患者60例作为观察组。对比两组胃肠功能、并发症发生率及前后生活质量变化。结果 观察组腹胀消失时间、肠鸣音消失时间、排气时间、胃管拔除时间分别为(3.25±0.79)d、(2.69±0.63)d、(31.87±5.41)h、(3.42±0.69)d,均短于对照组,差异均有统计学意义(均P<0.05);观察组并发症发生率为6.67%,低于对照组33.33%,差异有统计学意义(P<0.05);观察组护理1个月后生理、心理、独立性、社会关系、环境、精神支柱评分分别为(84.52±10.56)分、(85.62±8.53)分、(84.53±9.26)分、(84.28±8.44)分、(86.46±9.62)分、(87.62±10.96)分,均高于对照组,差异均有统计学意义(均P<0.05)。结论 量化评估策略模式应用于胃癌术后患者可有效改善其胃肠功能,降低并发症发生率,提高生活质量,值得推广应用。

Objective To explore the effect of applying quantitative evaluation strategy mode in postoperative patients with gastric cancer. Methods 60 postoperative gastric cancer patients receiving routine care from August 2014 to August 2016 were selected as a control group, and another 60 receiving quantitative evaluation strategy mode from September, 2016 to September, 2018 an observation group. The gastrointestinal function, complication rate, and quality of life were compared between the two groups. Results The time for disappearance of abdominal distension, the time for disappearance of bowel sounds, the time to exhaustion, and the removal time of gastric tube were (3.25±0.79) d,(2.69±0.63) d,(31.87±5.41) h, and (3.42±0.69) d in the observation group, which were shorter than those in the control group (all P < 0.05). The incidence of complications was lower in the observation group than in the control group (6.67% vs. 33.33%, P < 0.05). After 1 month’s nursing, the physical, psychological, independent, social, environmental, and spiritual pillar scores were (84.52±10.56),(85.62±8.53),(84.53±9.26),(84.28±8.44),(86.46±9.62), and (87.62±10.96) in the observation group, which were higher than those in the control group (all P < 0.05). Conclusion The application of quantitative evaluation strategy mode in postoperative gastric cancer patients can effectively improve their gastrointestinal function and quality of life, and reduce the incidence of complications, so it is worth for promotion and application.