临床普外科电子杂志 ›› 2022, Vol. 10 ›› Issue (2): 102-.

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围手术期护理对胃癌根除术患者护理质量的影响

  

  1. 南通市通州区中医院 普外科,江苏 南通 226300
  • 出版日期:2022-04-01 发布日期:2022-07-20

Influence of perioperative nursing on nursing quality of patients with gastric cancer radical surgery

  1. General Surgery Department of Nantong Tongzhou District Hospital of Traditional Chinese Medicine, Jiangsu Nantong 226300, China
  • Online:2022-04-01 Published:2022-07-20

摘要:

目的 探讨在行胃癌根除术治疗的患者中实施围手术期护理干预的效果及对护理质量的影响。方法 选取2020 年5 月至2021 年5 月南通市通州区中医院收治的42 例胃癌根除术患者,根据不同的护理方式分为对照组(实施常规护理干预)与观察组(实施围手术期护理干预),每组21 例,分析两组护理前后肠胃激素水平与营养指标及护理质量评分。结果 护理后,观察组患者的胃动素、胃饥饿素分别为(189.22±22.63)ng/L、(61.58±5.73)ng/L,均高于对照组的(168.53±21.42)ng/L、(46.27±5.88)ng/L,观察组患者的血管活性肠肽为(62.35±7.07)ng/L,低于对照组的(83.18±7.14)ng/L,差异有显著性(P< 0.05)。护理后,对照组与观察组的白蛋白分别为(36.25±3.49)g/L、(42.77±4.96)g/L,视黄醇结合蛋白分别为(29.97±3.02)mg/L、(36.65±3.28)mg/L,血红蛋白分别为(87.13±5.56)g/L、(97.32±5.71)g/L,观察组均明显高于对照组(P < 0.05)。观察组的护理方式、护理态度、护理技巧、护理环境评分分别为(74.13±6.48)分、(71.02±5.95)分、(68.22±6.34)分、(72.13±6.34)分,均明显高于对照组的(56.23±5.47)分、(48.23±5.29)分、(51.17±4.57)分、(57.15±4.92)分(P < 0.05)。结论 围手术期护理在胃癌根除术患者中发挥重要的作用,可改善其营养状况,提高其胃肠功能,总体护理质量较高。

关键词: 围手术期护理, 胃癌根除术, 护理质量, 肠胃激素水平, 营养指标

Abstract:

Objective To investigate the effect of perioperative nursing intervention in patients undergoing radical gastrectomy for gastric cancer and its impact on nursing quality. Method A total of 42 patients with gastric cancer who underwent radical surgery in our hospital from May 2020 to May 2021 were selected for research, and they were divided into groups according to different nursing methods, namely the control group (implementing routine nursing intervention) and the observation group (implementing routine nursing intervention). Perioperative nursing intervention), 21 cases in each group, the levels of gastrointestinal hormones, nutritional indicators and nursing quality scores before and after nursing in the two groups were analyzed. Result After nursing, the motilin and serum ghrelin of the observation group were (189.22±22.63) ng/L and (61.58±5.73) ng/L, respectively,which were higher than those of the control group (168.53±21.42) ng/L and (46.27±5.88) ng/L, and vasoactive intestinal peptide of the observation group was (62.35±7.07) ng/L, which was lower than that of the control group (83.18±7.14) ng/L, and the difference was significant (P < 0.05). The albumin of the control group and the observation group after nursing were (36.25±3.49) g/L, (42.77±4.96) g/L, retinol binding protein were (29.97±3.02) mg/L, (36.65±3.28) mg/L, hemoglobin were (87.13±5.56) g/L, (97.32±5.71) g/L, the latter was significantly higher than the former (P < 0.05); the scores of nursing methods, nursing attitudes, nursing skills and nursing environment of the observation group were (74.13±6.48) points, (71.02±5.95) points, (68.22±6.34) points and (72.13±6.34) points, respectively, which were significantly higher than those of the control group (56.23±5.47) points, (48.23±5.29) points, (51.17±4.57) points and (57.15±4.92) points (P < 0.05). Conclusion Perioperative nursing plays an important role in gastric cancer patients undergoing radical operation, which can improve their nutritional status and gastrointestinal function, and the overall nursing quality is high.

Key words: Perioperative nursing, Gastric cancer eradication, Nursing quality, Gastrointestinal hormone levels, Nutritional indicators