人性化干预对胃肠道肿瘤术后患者自我效能感及生活质量的影响

The Effect of Humanized Intervention on Self-efficacy and Quality of Life of Patients after Gastrointestinal Tumor Surgery

目的分析在胃肠道肿瘤术后护理中实施人性化干预对其自我效能感及生活质量的影响。方法方便选取该院2020年5月—2021年5月收治的胃肠道肿瘤手术患者180例为研究对象,采取随机数表法均分为两组,每组90例。两组患者均在早期实施早期肠内营养支持,在此基础上对照组实施常规护理干预,观察组则实施人性化干预。对比观察不同护理干预下两组患者的自我效能感、肠胃功能恢复情况及生活质量(SF-36评分)。结果护理后,观察组患者自我效能感评分(30.65±6.27)分显著高于对照组,差异有统计学意义(t=3.888,P<0.05)。观察组患者术后恢复肠道蠕动功能时间(3.20±0.28)d、肛门排气时间(3.23±0.39)d、排便时间(5.24±0.37)d及经口进食时间(5.90±0.54)d均显著短于对照组,差异有统计学意义(t=11.349、20.534、12.539、9.922,P<0.05)。观察组各维度SF-36评分均高于对照组,差异有统计学意义(P<0.05)。结论在胃肠道肿瘤术后护理中,实施早期肠内营养支持配合人性化干预能够有助于提升患者术后康复效果,促进其自我效能感及生活质量的提升,故建议在临床加以推广应用。

Objective To analyze the impact of humanized intervention on self-efficacy and quality of life in postoperative nursing of gastrointestinal tumors.Methods 180 patients with gastrointestinal tumors treated in the hospital from May 2020 to May 2021 were conveniently selected as the research objects.They were divided into two groups according to the random number tabel method,90 cases in each.Both groups of patients received early enteral nutrition support at an early stage.On this basis,the control group implemented routine nursing intervention,and the observation group implemented humanized intervention.Compared and observed the self-efficacy,gastrointestinal function recovery and quality of life(SF-36 score)of the two groups of patients under different nursing interventions.Results After nursing,the self-efficacy score(30.65±6.27)points of the observation group was significantly higher than that of the control group,and the difference was statistically significant(t=3.888,P<0.05).Postoperative recovery time for intestinal peristalsis function of patients in the observation group(3.20±0.28)d,anal exhaust time(3.23±0.39)d,defecation time(5.24±0.37)d,and oral eating time(5.90±0.54)d were significantly shorter than the control group,and the difference was statistically significant(t=11.349,20.534,12.539,9.922,P<0.05).The SF-36 scores in all dimensions of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion In the postoperative nursing of gastrointestinal tumors,the implementation of early enteral nutrition support combined with humanized intervention can help improve the postoperative rehabilitation effect of patients,promote their self-efficacy and improve their quality of life,so it is recommended to be promoted and applied in the clinic.