目标管理模式在胃癌术后留置胃管患者中的应用

Application of target management model in patients with indwelling gastric tube after gastric cancer surgery

目的探讨目标管理模式在胃癌术后留置胃管患者中的应用效果。方法选取2018年1月~2020年4月在抚州市第一人民医院就诊的80例胃癌术后留置胃管患者作为研究对象,根据随机数字表法将其分为对照组与观察组,每组各40例。对照组患者采用常规护理方案,观察组患者在对照组的基础上加用目标管理模式,两组患者均干预7 d。比较两组患者的康复相关指标、并发症发生情况及生活质量。结果观察组患者的术后首次肛门排气时间、流质饮食转变为半流质饮食时间、住院时间均短于对照组,差异有统计学意义(P<0.05)。观察组患者的术后并发症总发生率为10.00%,低于对照组的27.50%,差异有统计学意义(P<0.05)。干预7 d后,两组患者的生命质量量表(FACT-G)评分均高于干预前,差异有统计学意义(P<0.05);干预7 d后,观察组患者的FACT-G评分高于对照组,差异有统计学意义(P<0.05)。结论目标管理模式应用于胃癌术后留置胃管患者的效果较好,可促进患者康复,减少并发症的发生风险,提高生活质量。

Objective To explore the application effect of target management model in patients with indwelling gastric tube after gastric cancer surgery.Methods A total of 80 patients with indwelling gastric tube after gastric cancer surgery in the First People′s Hospital of Fuzhou City from January 2018 to April 2020 were selected as the research objects and divided into the control group and the observation group by random number table method,with 40 cases in each group.The control group adopted the routine nursing plan,and the observation group used the target management model on the basis of the control group,and both groups were intervened for 7 days.The rehabilitation-related indicators,complications and quality of life were compared between the two groups.Results The exhaust time of first postoperative anal,time from liquid diet to semi-liquid diet and hospital stay time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).the total complications rate of the observation group(10.00%)was lower than that of the control group(27.50%),and the difference was statistically significant(P<0.05).After 7 days of intervention,the quality of life scale(FACT-G)scores of the two groups were higher than those before intervention,and the differences were statistically significant(P<0.05).The FACT-G score of the observation group after 7 days of intervention was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The target management model is effective for patients with indwelling gastric tube after gastric cancer surgery,which can promote the recovery of patients,reduce the risk of complications,and improve the quality of life.