细节护理在胃癌根治术患者护理中的应用效果

Application of detailed care in patients underwent gastrectomy

目的探讨细节护理在胃癌根治术患者护理中的应用效果,以期为临床治疗提供参考。方法本研究选取2016年1月—2022年5月在江西省肿瘤医院行胃癌根治术治疗的500例患者为研究对象。将2019年5月—2022年5月实施细节护理干预的258例患者作为观察组,将2016年1月—2018年12月实施常规护理的242例患者作为对照组。对照组患者采用常规护理。观察组患者在对照组基础上进行细节护理干预。采用视觉模拟评分法(VAS)评估患者术后6 h、24 h、48 h疼痛程度;比较2组患者胃肠功能恢复情况,胃肠功能恢复指标包括肛门排气恢复时间、排便恢复时间、肠鸣音恢复时间。比较2组患者术后至出院时并发症发生情况。出院时,采用自制护理满意度调查问卷调查2组患者护理满意度。结果观察组患者术后6 h、24 h、48 h时VAS评分均低于对照组,差异均有统计学意义(P<0.05)。观察组患者肛门排气恢复时间、排便恢复时间、肠鸣音恢复时间均短于对照组,差异均有统计学意义(P<0.05)。观察组患者并发症发生率低于对照组,差异有统计学意义(P<0.05)。观察组患者满意度高于对照组,差异有统计学意义(P<0.05)。结论细节护理干预在胃癌根治术患者护理中的应用效果确切,可促进患者胃肠功能的恢复,减少并发症的发生,同时还能提高患者满意度,具有较高的应用价值。

Objective To explore the effect of detailed care in patients underwent gastrectomy for gastric cancer,so as to provide a reference for clinical treatment.Methods In this study,500 patients who underwent gastrectomy in the Jiangxi Cancer Hospital from January 2016 to May 2022 were selected as the study participants.A total of 258 patients underwent detailed care intervention from May 2019 to May 2022 were chosen as participants in the observation group,and 242 patients receiving routine care from January 2016 to December 2018 were selected in the control group.Patients in the control group received routine care.Patients in the observation group received detailed care intervention based on the care in the control group.The degree of pain at 6 h,24 h,and 48 h after the operation was evaluated using the Visual analogue scale(VAS).The recovery of gastrointestinal function was compared between the two groups.The recovery indicators of gastrointestinal function included recovery time to passage of gas by anus,defecation recovery time,and bowel sound recovery time.Complications were compared between the two groups from post-operation to discharge.At discharge,a self-made care satisfaction survey questionnaire was employed to investigate patient satisfaction with care in the 2 groups.Results The VAS scores at 6 h,24 h,and 48 h after operation in the observation group were significantly lower than those in the control group(P<0.05).The recovery time to passage of gas by anus,defecation recovery time,and bowel sound recovery time in the observation group were significantly shorter than those in the control group(P<0.05).The incidence rate of complications in the observation group was significantly lower than that in the control group(P<0.05).Patient satisfaction in the observation group was significantly higher than that in the control group(P<0.05).Conclusion Detailed care intervention is effective in patients underwent gastrectomy for gastric cancer,which can promote the recovery of gastrointestinal function,reduce the occurrence of complications,and improve patient satisfaction.These benefits justify a wider application of this procedure clinically.