两种不同护理方法对腹部手术患者术后肠胃功能恢复的效果观察.doc

两种不同护理方法对腹部手术患者术后肠胃功能恢复的效果观察 摘要：目的：观察并评价两种不同护理方法对腹部手术患者术后肠胃功能恢复的效果。方法：取我科自2008年以来收治的行腹部手术患者160例，将所有患者随机分为实验组和对照组两组，对其中80例术后实施系统化的护理干预；对另外80例患者仅采取常规护理。通过对两组患者胃肠功能指标如首次排气时间、肠鸣音恢复时间和首次排便时间的进行统计后对比分析；并根据患者的上述指标对其肠胃功能恢复情况进行综合评价；同时护理工作完成后，以问卷调查的形式，让患者对接受的护理服务的满意度进行调查评价两组护理方式对患者临床疗效的影响。结果：；实验组患者综合评价，好59例，良好18例，差3例，恢复率为96.3%，对照组患者综合评价，好28例，良好36例，差16例，恢复率为80.0%；且实验组对护理服务的满意率为（75/80）93.8%，对照组的患者满意率为（63/80）78.8%；上述比较项差异均具统计学意义（P＜0.05）。结论：系统护理干预能更快的使腹部手术患者的胃肠功能恢复，且患者满意度高，值得在临床上进一步推广。 关键词：系统护理干预；腹部手术；肠胃功能恢复；效果观察 ? Two different methods of nursing effect on recovery of gastrointestinal function of patients after abdominal operation ? Abstract: Objective: To observe the effect and evaluation of two different nursing methods on the recovery of gastrointestinal function of patients after abdominal operation. Methods: 160 patients with abdominal operation in our department since 2008 from patients, all patients were randomly divided into experimental group and control group two group, nursing intervention on the experimental group of 80 cases of postoperative systematic implementation; another 80 cases of patients in the control group only received routine nursing. By the analysis and comparison of statistics of two groups of patients after gastrointestinal function indexes such as the first exhaust time, recovery time of bowel sound and the first defecation time; and according to the above indices in patients with the gastrointestinal function recovery was evaluated; complete nursing work at the same time, with the questionnaire form, let patients to nursing service acceptance satisfaction survey, evaluation of the effects of two groups of nursing methods on the patients with clinical efficacy. Results: In the experimental group, the first exhaust time was (23.7 ± 2.1) h, and the control group (32.4 ± 4.7) when h; experimental group, the recovery time of bowel sound was (15.4 ± 2.7) h, the control group (23.7 ± 6.9) H; experimental group first defecation time was (36.1 ± 5.7) h, the