预见性护理对胰腺癌手术患者胃肠功能恢复及并发症的影响

Effect of predictive nursing on gastrointestinal function recovery and complications in patients with pancreatic cancer surgery

目的探讨预见性护理对胰腺癌手术患者胃肠功能恢复及并发症的影响。方法选取南平市第二医院2017年5月—2019年5月择期行手术治疗的100例胰腺癌患者作为研究对象,采用随机数字表法分为观察组(50例)与对照组(50例),对照组选用常规护理模式,观察组在对照组基础上实施预见性护理,2组患者均干预至出院。对比2组肠胃功能恢复、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]及并发症发生情况。结果观察组患者术后首次排气、排便、肠鸣音恢复、进食时间、首次下床时间及住院时间与对照组相比明显缩短,差异均有统计学意义(P<0.05);干预1周,2组SAS评分、SDS评分均较干预前降低,且观察组低于对照组,差异有统计学意义(P<0.05);观察组术后胰瘘、血糖异常、胃排空延迟发生率均低于对照组,差异有统计学意义(P<0.05)。结论预见性护理可缩短胰腺癌手术患者术后胃肠功能恢复时间,降低并发症发生率。

Objective To explore the effect of predictive nursing on the recovery of gastrointestinal function and complications in patients undergoing pancreatic cancer surgery.Methods 100 cases of pancreatic cancer patients who underwent elective surgical treatment in Nanping Second Hospital from May 2017 to May 2019 were selected as the research objects,and were divided into observation group(50 cases)and control group(50 cases)by random number table method.The control group selected the conventional nursing model,and the observation group implemented predictive nursing based on the conventional nursing of the control group.Both groups of patients intervened until they were discharged from the hospital.The recovery of gastrointestinal function,negative emotion[self-rating anxiety scale(SAS),self-rating depression scale(SDS)scores]and the occurrence of complications were compared between the observation group and the control group.Results The observation group was significantly shorter than the control group for first exhaust,defecation,bowel sound recovery,eating time,first time to get out of bed,and hospital stay,and the difference was statistically significant(P<0.05);intervention for 1 week The SAS score and SDS score of the two groups were lower than before the intervention,and the observation group was lower than the control group,the difference was statistically significant(P<0.05);the incidence of postoperative pancreatic fistula,abnormal blood sugar,and delayed gastric emptying in the observation group Lower than the control group,the difference was statistically significant(P<0.05).Conclusion Predictive nursing can shorten the recovery time of gastrointestinal function in patients with pancreatic cancer surgery and reduce the incidence of complications.