整体护理干预对胃癌根治术患者心理状态及康复效果的影响.docVIP

整体护理干预对胃癌根治术患者心理状态及康复效果的影响 　　[摘要] 目的 分析整体护理干预对胃癌根治术患者心理状态及康复效果的影响。 方法 选择陕西省咸阳市二一五医院2014年3月～2016年3月收治的胃癌根治术患者90例为研究对象，按照就诊时间顺序分为对照组与观察组，每组各45例。对照组给予常规护理与指导，观察组在对照组基础上给予整体护理干预，包括心理护理干预、疼痛护理干预、并发症护理干预、饮食指导、出院健康教育等。比较两组患者围术期情况、并发症发生率及生活质量评分。 结果 与对照组相比，观察组手术时间缩短，手术切口减小，术中出血量减少，SAS及SDS评分降低，术后进食时间、肛门排气时间、下床活动所需时间、引流置管时间及尿管留置时间均明显缩短，差异均有统计学意义（P 0.05）。与对照组相比，观察组并发症发生率较低，生活质量各项目评分较高，差异均有统计学意义（P 0.05）。 结论 将整体护理干预应用于胃癌根治术中可有效缓解患者焦虑、抑郁等情绪，缩短康复时间，降低并发症发生率，改善生活质量。 　　[关键词] 整体护理干预；胃癌根治术；心理状态；康复效果；生活质量 　　[中图分类号] R473 [文献标识码] A [文章编号] 1673-7210（2016）07（a）-0168-05 　　[Abstract] Objective To analyze the influence of overall nursing intervention on psychological state and rehabilitation effect of patients with radical gastrectomy for cancer. Methods 90 cases underwent radical gastrectomy for cancer in Xianyang 215 Hospital from March 2014 to March 2016 were selected. All patients were divided into the control group and the observation group according to the time sequence， 45 cases in each group. Patients in the control group were given routine care and guidance. Patients in the observation group patients were given overall nursing intervention， including psychological nursing， pain nursing， complication nursing intervention， diet guidance and discharged health education， on the basis of the control group. The perioperative situation， complication， quality of life were compared between the two groups. Results Compared with the control group， the operation time， incision length， intraoperative blood loss， SAS and SDS scores， meal time， anal exhaust time， postoperative bed time needed for activities， drainage tube and urine tube indwelling time were shorter or lower in the observation group， with statistically significant differences （P 0.05）. Compared with the control group， the complications incidence was lower and living quality scores were higher in the observation group， with statistically significant differences （P 0.05）. Conclusion The overall nursing intervention can effe