基于问题导向的护理干预模式在腹腔镜辅助下胃癌根治术术后患者中的应用

Application of problem-oriented nursing intervention model in patients after laparoscopic-assisted radical gastrectomy for stomach neoplasms

目的探讨基于问题导向的护理干预模式在腹腔镜辅助下胃癌根治术术后患者中的应用效果。方法采用便利抽样法,选取2017年1月-2019年1月在吉林大学中日联谊医院行腹腔镜辅助下胃癌根治术患者96例为研究对象,按数字表法随机分为对照组和试验组,每组各48例。对照组给予常规护理,试验组给予基于问题导向的护理。比较术后两组患者胃肠功能恢复时间,采用SAS、SDS比较两组患者的心理状态。结果试验组患者术后初次进食、肠鸣音恢复、初次排气和初次排便时间均短于对照组,差异有统计学意义(P<0.01)。术后7 d试验组患者SAS和SDS评分均低于对照组,差异有统计学意义(P<0.01)。结论基于问题导向的护理干预应用于腹腔镜辅助下胃癌根治术术后患者中,可以加快其术后康复,消除不良情绪,值得临床推广应用。

Objective To explore the application effect of problem-oriented nursing intervention model in patients after laparoscopic-assisted radical gastrectomy for stomach neoplasms.Methods Using the convenient sampling method,96 patients who underwent laparoscopic-assisted radical gastrectomy for stomach neoplasms in China-Japan Union Hospital of Jilin University from January 2017 to January 2019 were selected as the research objects.According to the random number table method,they were randomly divided into the control group and experimental group,with 48 cases in each group.The control group was given routine nursing,while the experimental group was given problem-oriented nursing.The recovery time of gastrointestinal function was compared between the two groups after operation.Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used to compare the psychological status of patients in the two groups.Results The time of first feeding,bowel sound recovery,first exhaust and first defecation in the experimental group were shorter than those in the control group,and the differences were statistically significant(P<0.01).On 7 days after surgery,SAS and SDS scores of patients in the experimental group were lower than those in the control group,and the differences were statistically significant(P<0.01).Conclusions The application of problem-oriented nursing intervention model in patients after laparoscopic-assisted radical gastrectomy for stomach neoplasms can accelerate their postoperative recovery and eliminate bad emotions,which is worthy of clinical promotion and application.