综合护理在胃癌术后护理中的应用体会

目的探究在胃癌术后对于患者采用综合护理的应用效果与感受体会。方法 60例确诊并接受治疗的胃癌患者,采用随机数字法分为实验组和对照组,各30例。对照组采用常规护理,实验组采用综合护理。观察记录两组患者护理满意度、并发症发生情况、体重下降情况及复发情况。结果实验组患者护理满意度为96.7%(29/30),明显高于对照组的66.7%(20/30)(P<0.05);实验组患者并发症发生率为3.3%(1/30),明显低于对照组的23.3%(7/30)(P<0.05);实验组患者体重下降率为0,明显低于对照组的53.3%(16/30)(P<0.05);实验组患者术后复发率为0,明显低于对照组的13.3%(4/30)(P<0.05)。结论综合护理可以有效的减少胃癌患者术后的心理负担与病情,对于患者的恢复治疗具有良好的疗效,适用于在临床中广泛推广。

优质护理在胃癌患者手术后应用的效果分析

目的探讨优质护理在胃癌患者术后的应用效果。方法选取2016年6月—2017年3月河南省鹤壁市人民医院总院收治的90例胃癌患者,所有患者均接受手术治疗,随机分为观察组和对照组,各45例。对照组进行常规化护理,观察组接受优质护理。采用自制量表评估并比较两组胃癌术后患者对护理服务满意度,观察并比较两组患者术后胃肠道功能恢复时间和平均住院时间,采用焦虑自评量表(SAS)、健康调查简表(SF-36量表)评估并比较两组患者焦虑与生存质量,观察并比较两组患者并发症发生情况。结果观察组患者对护理服务满意度为95.56%,高于对照组的68.89%,差异有统计学意义(P<0.05)。护理前,两组焦虑和生存质量评分比较,差异无统计学意义(P>0.05);护理后,观察组SAS评分低于本组护理前和同期对照组,SF-36量表评分高于本组护理前和同期对照组,差异有统计学意义(P<0.05)。观察组术后胃肠道功能恢复时间和平均住院时间均低于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率为6.67%,低于对照组的22.22%,差异有统计学意义(P<0.05)。结论优质护理可有效改善胃癌患者术后焦虑情绪,提升生存质量,加速胃肠功能康复,缩短住院时间,并提高患者对护理服务满意度。

The Quality of Life of Chinese Middle-Aged Male Patients with Gastric Carcinoma After Total Gastrectomy and Nursing Intervention

OBJECTIVE The purpose of this study was to evaluate the quality of life （QOL） in Chinese middle-aged male patients with gastric carcinoma after total gastrectomy, to investigate the factors affecting their QOL, and to Study the effectiveness of nursing intervention.METHODS Structured questionnaire （EORTC QLQ-C30） was used among 162 middle-aged male patients after total gastrectomy （the patients finished the whole process of chemotherapy, and returned home, and society） for data collection and reevaluate the patients＇ aualitv of life with 2 months nursing intervention.RESULTS The patient＇s quality of life was related to their education level, economic condition, family support, and pathological staging. This study showed that patients got higher scores in Functional scales （except for CF）, and lower scores in Symptom scales and single items （except for FI） after receiving intervention than before it was received before.CONCLUSION The study revealed that the QOL in middleaged male patients after total gastrectomy was worse when there was inadequate attention. After implementing pertinent nursing intervention implementing, patients＇ mental attitude and negative behavior were improved, and their QOL was enhanced after returning home and into society.