护理干预对老年胃肠道手术患者治疗依从性和术后胃肠道功能恢复的影响

目的探讨护理干预对在全身麻醉下施行胃肠道手术的老年患者治疗依从性和术后胃肠道功能恢复的影响。方法将158例患者随机分为干预组和对照组各79例，2组患者手术后分别给予常规护理和系统护理干预，比较2组患者对治疗的依从性和术后胃肠道功能恢复的情况。结果肠鸣音恢复时间[（24．8±5．6）h比（38．5±6．7）h；t=-8．287，P〈0．05]、肛门排气恢复时间[（34．9±5．6）h比（64．6±6．5）h；t=2．922，P〈0．05]组间比较差异具有统计学意义，腹胀发生率低于对照组，组间比较差异具有统计学意义（2例比9例；x^2=4．788，P〈0．05），观察组患者治疗依从性明显高于对照组，组间比较差异具有统计学意义（x^2=3．384，P〈0．05）。结论护理干预可以提高老年胃肠道手术患者对医护人员的治疗依从性，并且对术后胃肠道功能的早期恢复有明显促进作用。

The influence of nursing intervention on the treatment compliance and recovery of gastrointestinal function of elderly patients undergoing gastrointestinal surgery

Objective To investigate the influence of nursing intervention on the compliance and recovery of gastrointestinal function of elderly patients undergoing gastrointestinal surgery under general anesthesia.Methods 158 cases were randomly divided into the intervention group and the control group(n =79).The patients in the intervention group received routine nursing care,while patients in the control group received systematic nursing interventions systematically.The effect on the improvement of compliance and recovery of gastrointestinal function were investigated.Results The patients' recovery time of gurgling sound in the intervention group were significantly earlier than those in the control group[(24.8 ±5.6)h vs(38.5 ±6.7)h;t =-8.287,P ＜ 0.05],and the same to the peristaltic movement of the intestinal[(34.9 ± 5.6)h vs(64.6 ±6.5)h ;t =2.922,P ＜ 0.05],abdominal distension was lower than the control group(2 vs 9; x2 =4.788,P ＜0.05),patients' compliance in the intervention group improved significantly(x2 =3.384,P ＜ 0.05).Conclusions Nursing interventions on elderly patients undergoing gastrointestinal surgery significantly improve patients' compliance for medical treatment and promote early recovery of gastrointestinal functional.