营养干预联合中医情志护理对腹部手术患者胃肠功能的影响

Effect of Nutrition Intervention Combined with Chinese Medicine Emotional Nursing on Gastrointestinal Function of Patients Undergoing Abdominal Surgery

目的:探讨中医情志护理和营养干预联合治疗对腹部手术患者的临床价值。方法:将120例腹部手术患者随机分为对照组和观察组各60例。对照组实施常规护理干预,观察组给予营养干预联合中医情志护理,对比2组干预前后的营养学指标、免疫功能指标,对比2组胃肠功能和并发症发生率。结果:2组护理干预前营养学各项指标比较,差异无统计学意义(P>0.05),2组干预后营养学各项指标水平较术前降低,但观察组营养学各项指标水平较对照组高,差异有统计学意义(P<0.05)。2组护理干预前各项免疫学指标比较,差异无统计学意义(P>0.05),2组干预后各项免疫学指标水平较干预前高,观察组升高程度更为明显,差异有统计学意义(P<0.05)。观察组进食时间、肛门排气时间、肛门排便时间与对照组比较明显缩短,差异有统计学意义(P<0.05)。观察组并发症发生率(10.00%)与对照组(26.67%)比较,差异有统计学意义(χ^(2)=5.319,P<0.05)。结论:腹部手术患者采用中医情志护理和营养干预联合治疗,能明显改善患者营养状况和胃肠功能,提高免疫能力,降低并发症发生率,是一种安全有效的治疗方案。

Objective:To explore the clinical value of Chinese medicine emotional nursing combined with nutrition intervention for patients undergoing abdominal surgery.Methods:A total of 120 cases of patients undergoing abdominal surgery were randomly divided into the control group and the observation group,60 cases in each group.The control group was given routine nursing intervention,and the observation group was given nutrition intervention combined with Chinese medicine emotional nursing.The indexes of nutrition and immune function before and after intervention,the gastrointestinal function and the incidences of complication in the two groups were compared.Results:Before nursing intervention,there was no significant difference being found in the comparison of the indexes of nutrition between the two groups(P>0.05).After intervention,the levels of each index of nutrition in the two groups were decreased when compared with those before surgery,but the levels in the observation group were higher than those in the control group,the difference being significant(P<0.05).Before nursing intervention,there was no significant difference being found in the comparison of immunological indexes between the two groups(P>0.05).After intervention,the levels of each immunological index in the two groups were increased when compared with those before intervention,and the increase in the observation group was more obvious,the difference being significant(P<0.05).The time for taking food,anal exhaust time,and anal defecation time in the observation group were significantly shortened when compared with those in the control group,the difference being significant(P<0.05).The incidence of complication was 10.00%in the observation group and 26.67%in the control group,the difference being significant(χ^(2)=5.319,P<0.05).Conclusion:The application of Chinese medicine emotional nursing combined with nutrition intervention for patients undergoing abdominal surgery can significantly improve their nutritional status,gastrointestinal function and immunity as well as reduce the incidence of complications,which is a safe and effective treatment.