足浴足底按摩对腹腔镜直肠癌术后患者胃肠功能影响.docVIP

足浴足底按摩对腹腔镜直肠癌术后患者胃肠功能影响 　　[摘要] 目的 探讨足浴联合足底按摩对腹腔镜直肠癌术后患者胃肠功能的影响。 方法 选取2016年1月23日～2017年3月23日在我院接受腹腔镜直肠癌手术的患者40例作为研究对象，知情同意后随机分为对照组和实验组，每组20例，对照组患者术后予以常规护理，实验组患者术后在常规护理基础上辅助足浴+足底按摩，比较两组患者的护理效果。结果 实验组患者肠鸣音恢复时间、肛门首次排气时间、首次排便时间均明显短于对照组，差异有统计学意义（P0.05），实验组患者的护理总满意度为95%，明显高于对照组患者的护理总满意度65%，差异有统计学意义（P0.05）。 结论 足浴+足底按摩对腹腔镜直肠癌患者术后促进胃肠功能的恢复效果显著，能够明显缩短肛门排气时间，提高患者护理满意度，值得在护理工作中借鉴使用。 　　[关键词] 足底按摩；腹腔镜；直肠癌；胃肠功能 　　[中图分类号] R735.34 [文献标识码] A [文章编号] 2095-0616（2017）13-91-03 　　[Abstract] Objective To explore the effect of foot bath+foot massage on gastrointestinal function in patients undergoing laparoscopic rectal cancer surgery. Methods 40 patients underwent laparoscopic rectal cancer surgery in our hospital from January 23th，2016 to March 23th，2017 were selected as the study object.After informed consent，they were randomly divided into control group and experimental group with 20 cases in each.Patients in control group were treated with routine nursing，and patients in experimental group were treated with foot bath+foot massage on the basis of routine nursing.Nursing effects of the two groups were compared. Results The bowel sound recovery time，anal exhaust time，first defecation time of experimental group were significantly shorter than those of control group （P0.05）.The total nursing satisfaction of the patients in the experimental group was 95%，which was higher than that of the control group，and the total satisfaction rate of the patients was 65% （P0.05）. Conclusion The recovery effect of foot bath+foot massage on gastrointestinal function in patients undergoing laparoscopic rectal cancer surgery is significant.It can obviously shorten the time of anal exhaust，and improve the satisfaction of patients.It is worth using for reference in nursing work. 　　[Key words] Foot massage；Laparoscopy；Rectal cancer；Gastrointestinal function 　　直肠癌是临床上普外科较为常见的疾病，是最常见的消化道肿瘤之一[1]。目前直肠癌主要还是依靠手术治疗，随着医疗水平的快速发展，腹腔镜在外科手术中的应用越发普遍，而腹腔镜下直肠癌手术也是较为常用的手段[2-3]。由于术后患者胃肠的神经及激素系统会发生不同程度的紊乱，患者胃肠功能受到抑制，加之患者由于术后疼痛