艾灸联合思维导图督导管理在胃肠道肿瘤术后患者中的应用研究

目的:探讨艾灸联合思维导图督导管理在胃肠道肿瘤术后患者中的应用展开研,旨在为临床上更好的对胃肠道肿瘤患者进行护理提供依据;方法:2017年5月—2019年5月间来我院普外科、肿瘤外科、胃肠外科治疗的胃肠道肿瘤患者120例,随机分为观察组和对照组各60例。对照组采用常规护理,观察组进行艾灸联合思维导图督导护理。护理相同时间后,观察两组的干预效果。结果:(1)胃肠道肿瘤患者术中焦虑的调查结果显示:观察组和对照组入院时的术后状态焦虑(SAI)、特质焦虑(TAI)评分无差异,差异无统计学意义(P<0.05);护理后,观察组术后3天的SAI、TAI评分低于对照组,差异有统计学意义的(P<0.05);同组别中手术前后得分有差异,差异统计学意义(P<0.05);(2)手术后疼痛程度的对比:手术完毕后1h两组患者的疼痛等级评分比较无差异,差异无统计学意义(P>0.05);在手术后的6h、24h、48h、72h进行疼痛比较,观察组VAS得分远小于对照组,差异有统计学意义(P<0.05);组间的术前、术后进行对比,差异有统计学意义(P<0.05);(3)胃肠恢复时间比较:手术完毕后对患者的胃肠功能恢复情况进行评判,观察组的各项指标恢复时间短于对照组,两组之间比较,差异有统计学意义(P<0.05)。结论:艾灸联合思维导图督导管理使用后可以改善患者的心理焦虑,降低手术疼痛感,可以促进患者胃肠道功能的恢复,值得在临床推广。

Application of Moxibustion and Mind Map Supervision Management in Patients with Gastrointestinal Tumor After Operation

Objective:To investigate the application of moxibustion combined with Mind ap supervision and management in patients with gastrointestinal tumors after surgery,so as to provide basis for better nursing of gastrointestinal cancer patients.Methods:From May 2017 to may 2019,120 patients with gastrointestinal cancer were treated by general surgery,tumor surgery and gastrointestinal surgery in our hospital.They were randomly divided into observation group and control group with 60 cases in each group.General basic nursing was used in the control group,and moxibustion combined with mind map supervision nursing was used in the observation group.After the same nursing time,to observe the intervention effect of the two groups.Results:(1)Investigation results of intraoperative anxiety in patients with gastrointestinal tumors showed that there was no difference in the state anxiety inventory(SAI)and Trait Anxiety inventory(TAI)scores between the observation group and the control group at admission.There was no statistical significance(P<0.05);After nursing,the SAI and TAI scores of the observation group at 3 days after operation were lower than those of the control group,the difference was statistically significant(P<0.05);there were differences in the scores before and after surgery,the difference was statistically significant(P<0.05);(2)Comparison of postoperative pain intensity:there was no difference in pain scores between the two groups of patients at 1 hour after the operation,and there was no significant difference(P>0.05);After 6 hours,24 hours,48 hours,and 72 hours of pain comparison,the VAS score of the observation group was much smaller than that of the control group,and the difference was statistically significant(P<0.05);the comparison between the groups before and after the operation was different,and the statistical was significance(P<0.05);(3)Gastrointestinal recovery were compared:complete recovery after surgery judge on gastrointestinal function in patients,the indicators in the observation group recovery time was shorter than the control group,and it was statistically significant(P<0.05).Conclusion:The use of moxibustion combined with mind map supervision and management after surgery can improve the patient's psychological anxiety,reduce the pain of surgery,and promote the recovery of gastrointestinal tract of patients,and it is worthy of wide spread application in clinical practice.