预知护理干预对腹腔镜胃癌根治术后生活质量的影响

目的 研究预知护理干预对腹腔镜胃癌根治术后生活质量的影响。 方法 2012年8月-2016年2月选择在哈尔滨医科大学附属肿瘤医院进行诊治的早期胃癌患者132例,根据随机信封抽签原则分为观察组与对照组各66例,所有患者都给予腹腔镜胃癌根治术,对照组采用传统护理,而观察组采用传统护理同时也提供预知护理干预,观察与记录2组患者预后恢复情况。 结果 所有患者的手术都成功完成,无术中严重并发症发生,术后观察组肠鸣音恢复时间、住院时间以及肛门排气时间[(19.03±5.23) h、(76.76±22.30) h、(12.29±1.84) d]短于对照组[(25.98±6.76) h、(89.55±21.84) h和(16.39±1.73) d,均P<0.05]。观察组术后1个月的吻合口瘘、切口感染、肺部感染、肠梗阻、发热并发症发生率为4.5%,对照组为21.2%,观察组术后并发症发生率明显低于对照组(P<0.05)。观察组术后1个月的认知功能、躯体功能、角色功能、情绪功能、社会功能等方面的生活质量评分高于对照组(P<0.05)。 结论 预知护理干预在腹腔镜胃癌根治术中的应用能促进患者康复,减少术后并发症的发生,使患者最大限度的从手术中获益,提高其生活质量。 

Influences of predictive nursing intervention on the quality of life of patients with gastric cancer after radical gastrectomy

Objective To explore the influences of predictive nursing intervention on the quality of life of patients with gastric cancer after radical gastrectomy. Methods From August, 2012 to February, 2016, 132 patients with gastric cancer in our hospital for diagnosis and treatment were selected and randomly divided into observation group and control group, with 66 patients in each group. All patients received laparoscopic radical gastrectomy, while the control group was given routine nursing care in the perioperative period, and the observation group was given nursing intervention based on the control group. We observed and recorded recovery of patients in both groups. Results All patients had successfully completed surgery and no serious complications occurred during the operation. The postoperative bowel sound recovery exhaust time, hospitalization time and anal exhaust time in the observation group[(19.03±5.23) h, (76.76±22.30) h, (12.29±1.84) d respectively] were significantly less than those in the control group[(25.98±6.76) h, (89.55±21.84) h, (16.39±1.73) d]respectively(P<0.05). One month after the operation, complication rate of anastomotic fistula, incision infection, pulmonary infection, intestinal obstruction and fever in the observation group was 4.5%, which was significantly less than 21.2% in the control group(P<0.05). One month after the operation, the scores of cognitive function, physical function, role function, emotional function, and social function of the observation group were significantly higher than those of the control group(P<0.05). Conclusion The predictive nursing intervention can promote the recovery of patients with gastric cancer after radical gastrectomy, reduce the incidence of postoperative complications, and the patients can benefit from the surgery to maximize the quality of life.