标准化早期运动护理对胃肠恶性肿瘤手术患者预后影响的分析

Analysis of the Effect of Standardized Early Exercise Nursing on the Prognosis of Patients Undergoing Surgery for Gastrointestinal Malignancy

目的:研究标准化早期运动护理对胃肠恶性肿瘤手术患者预后影响。方法:采用随机双色球法对蚌埠医学院第一附属医院(以下简称“本院”)胃肠外科于2021年1月至2022年6月收治的60例胃肠恶性肿瘤手术患者进行分组,对照组和观察组各30例。对照组胃肠恶性肿瘤手术患者采用常规护理,观察组胃肠恶性肿瘤手术患者采用标准化早期运动护理,对比两组胃肠恶性肿瘤手术患者的临床恢复指标、护理满意度、免疫学指标、并发症情况。结果:观察组(标准化早期运动护理)胃肠恶性肿瘤手术患者肠鸣音恢复时间、进食时间、排气时间、排便时间、下床活动时间、住院时间低于对照组,总满意度高于对照组,IgA、IgG、IgM高于对照组,感染、粘连、腹腔脓肿、肠梗阻总发生率低于对照组,对比结果差异显著(P<0.05)。结论:标准化早期运动护理对胃肠恶性肿瘤手术患者预后具有积极影响,因此标准化早期运动护理更具推广价值。

Objective:To study the effect of standardized early exercise nursing on the prognosis of patients undergoing surgery for gastrointestinal malignancy.Methods:A total of 60 patients with gastrointestinal malignancies admitted to the First Affiliated Hospital of Bengbu Medical College from January 2021 to June 2022 were divided into two groups by random bicolor method,with 30 in the control group and 30 in the observation group.The control group received routine nursing,and the observation group received standardized early exercise nursing.The clinical recovery indexes,nursing satisfaction,immunological indexes and complications of the two groups were compared.Results:The recovery time of bowel sound,feeding time,exhaust time,defecation time,getting out of bed time and hospital stay of patients undergoing surgery for gastrointestinal malignancy in the observation group were lower than those in the control group,the total satisfaction in the observation group was higher than that in the control group,the IgA,IgG and IgM in the observation group were higher than that in the control group,and the total incidence of infection,adhesion,abdominal abscess and intestinal obstruction in the observation group was lower than those in the control group.The difference was significant(P<0.05).Conclusion:Standardized early exercise nursing has a positive effect on the prognosis of patients undergoing surgery for gastrointestinal malignancy,so standardized early exercise nursing is more valuable to popularize.