变革理论下护理对胃癌切除术后早期肠内营养支持患者营养指数及预后的影响

Influence on nutritional index and prognosis of patients with early enteral nutrition support after gastrectomy under reform theory nursing

目的 探讨变革理论下护理对胃癌切除术后早期肠内营养支持患者营养指数及预后的影响。方法 选取南京医科大学附属淮安第一医院胃肠外科在2021年9月至2023年8月期间接收的118例胃癌切除术患者作为观察对象,根据随机数字表法将其分为对照组和研究组,各59例。对照组实施常规营养护理措施,研究组在常规护理措施基础上实施变革理论下营养护理措施,于干预前后观察两组营养指数、症状改善、并发症等指标变化。结果 两组干预前各营养指数比较,差异无统计学意义(P>0.05);干预后,两组各营养指数均高于干预前,且研究组高于对照组,差异有统计学意义(P<0.05);研究组肠鸣音恢复、首次进食、肛门首次排气、首次排便、平均住院时间短于对照组,差异有统计学意义(P<0.05);研究组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论 变革理论下护理有助于改善胃癌切除术后早期肠内营养支持患者各项营养指数,缩短症状改善时间,降低并发症。

Objective To explore the influence on nutritional index and prognosis of patients with early enteral nutrition support after gastrectomy under reform theory nursing.Methods A total of 118 patients with gastrectomy admitted to the Department of Enteric Surgery of the Affiliated Huaian No.1 People’s Hospital of Nanjing Medical University from September 2021 to August 2023 were selected as the observation objects,according to the random number table method,they were divided into control group and study group,with 59 cases in each group.The control group implemented conventional nutritional care measures and the study group implemented nutritional care measures under the change theory on the basis of routine care measures.Changes in nutritional indices,symptom improvement,complications,and other indicators were observed in the two groups before and after intervention.Results There was no significant difference in nutrition index between the two groups before intervention(P>0.05);after intervention,all nutritional indices of the two groups were higher than before intervention,and the study group was higher than the control group,the differences weres statistically significant(P<0.05);recovery of bowel sounds,first meal,first anal evacuation,first bowel movement,mean length of hospital stay time of study group was shorter than that of control group,the differences were statistically significant(P<0.05);the total complication rate of the study group was lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion Nursing under the change theory is helpful to improve the nutritional index of patients with early enteral nutrition support after gastrectomy,shorten the recovery time,and reduce complications.