基于快速康复理论的精细化护理对胃癌近端胃切除术后患者生活质量及负性情绪的影响

The Impact of Refined Nursing based on Rapid Rehabilitation Theory on the Quality of Life and Negative Emotions of Gastric Cancer Patients after Proximal Gastrectomy

目的 探讨基于快速康复理论的精细化护理对胃癌近端胃切除术后患者生活质量及负性情绪的影响。方法 选取2022年2月—2023年2月在福建省泉州市第一医院行近端胃切除术的90例胃癌患者,根据随机数字表法分为对照组和观察组各45例,对照组实施常规护理,观察组采用基于快速康复理论的精细化护理方案,对比两组的护理效果。结果 观察组肠鸣音恢复时间、首次肛门排气时间、下床时间、进食时间、住院时间均短于对照组,差异具有统计学意义(P<0.05)。护理后观察组生活质量评分优于对照组,差异具有统计学意义(P<0.05)。护理后观察组焦虑和抑郁量表评分均低于对照组,差异具有统计学意义(P<0.05)。结论 基于快速康复理论的精细化护理能够有效加快胃癌近端胃切除术患者的术后恢复,提高其生活质量,缓解其负性情绪,值得临床推广使用。

Objective To explore the impact of refined nursing based on rapid rehabilitation theory on the quality of life and negative emotions of gastric cancer patients after proximal gastrectomy.Methods A total of 90 gastric cancer patients who underwent proximal gastrectomy at the Quanzhou First Hospital,Fujian Province from February 2022 to February 2023 were selected.They were randomly divided into a control group and an observation group,with 45 patients in each group.The control group received routine nursing,while the observation group received a refined nursing plan based on the theory of rapid rehabilitation.The nursing effects of the two groups were compared.Results The observation group had significantly shorter recovery time for bowel sounds,first anal exhaust time,ambulation time,feeding time,and hospital stay than the control group(P<0.05).The quality of life score of the observation group after nursing was significantly better than that of the control group(P<0.05).The anxiety and depression scale scores of the observation group after nursing were significantly lower than those of the control group(P<0.05).Conclusion The refined nursing based on the theory of rapid rehabilitation can effectively accelerate the postoperative recovery of gastric cancer patients undergoing proximal gastrectomy,improve their quality of life,alleviate their negative emotions,and is worthy of clinical promotion and use.