快速康复外科理念为导向的人文关怀护理对胃癌患者身心状态的改善效果

Effect of humanistic care nursing guided by concept of rapid rehabilitation surgery in improvement of physical and mental state of patients with gastric cancer

目的 分析快速康复外科(ERAS)理念为导向的人文关怀护理在胃癌患者中的应用价值。方法 随机将甘肃省肿瘤医院胃肠外科的120例胃癌患者分为观察组(以ERAS理念为导向的人文关怀护理)和对照组(常规护理),每组60例。比较2组患者术后恢复情况,并观察2组干预后营养指标、负性情绪及生活质量的改善情况。结果 与对照组比较,观察组术后排气时间、排便时间、首次进食时间、肠鸣音恢复时间较短,差异有统计学意义(P<0.05)。与对照组比较,观察组干预后的营养指标(转铁蛋白、血红蛋白、前清蛋白)水平较高,差异有统计学意义(P<0.05)。干预后,观察组生活质量(社会功能、情感职能、健康状况、精力)评分均高于对照组,焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分均低于对照组,差异有统计学意义(P<0.05)。结论 以ERAS理念为导向的人文关怀护理能有效促进胃癌患者康复,对于其身心状态、生活质量的改善均有重要意义。

Objective To analyze the application value of humanistic care nursing guided by the concept of rapid rehabilitation surgery(ERAS) in patients with gastric cancer. Methods A total of 120 patients with gastric cancer in the Department of Gastrointestinal Surgery of Gansu Cancer Hospital were randomly divided into observation group(ERAS-oriented humanistic care) and control group(routine care), with 60 cases in each group. The postoperative recovery of the two groups was compared, and the improvement conditions of nutritional indicators, negative emotions and quality of life were observed before and after the intervention. Results Compared with the control group, postoperative exhaust time, defecation time, first feeding time and bowel sound recovery time in the observation group were shorter(P<0.05). Compared with the control group, the nutritional indexes(transferrin, hemoglobin and prealbumin) of the observation group after intervention were higher(P<0.05). After intervention, the scores of quality of life(social function, emotional function, health status, energy) in the observation group were higher than those in the control group, and the scores of Self-rating Anxiety Scale(SAS) and Self-rating Depression Scale(SDS) were lower than those in the control group(P<0.05). Conclusion Humanistic nursing guided by ERAS concept can effectively promote the rehabilitation of gastric cancer patients, which is of great significance for the improvement of their physical and mental status as well as quality of life.