針對(duì)性護(hù)理在改善胃癌患者術(shù)后胃腸功能和生活質(zhì)量中的應(yīng)用

　　摘 要 目的：探討針對(duì)性護(hù)理在改善胃癌患者術(shù)后胃腸功能和生活質(zhì)量中的應(yīng)用效果。方法：收集2016年1月至2017年1月收治的行胃癌根治術(shù)患者58例，按隨機(jī)數(shù)字表法分為對(duì)照組29例，接受常規(guī)護(hù)理，觀察組29例，在對(duì)照組基礎(chǔ)上接受針對(duì)性護(hù)理。觀察兩組術(shù)后恢復(fù)時(shí)間、住院時(shí)間、生活質(zhì)量及護(hù)理滿意度。結(jié)果：觀察組住院時(shí)間為（17.58±3.77）d，低于對(duì)照組的（21.99±4.27）d，組間差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。觀察組術(shù)后胃腸功能恢復(fù)時(shí)間短于對(duì)照組（P<0.05），生活質(zhì)量各維度評(píng)分高于對(duì)照組（P<0.05）。觀察組護(hù)理滿意度為96.55%，高于對(duì)照組的79.31%（P<0.05）。結(jié)論：針對(duì)性護(hù)理能有效改善胃癌患者術(shù)后胃腸功能和生活質(zhì)量，提高護(hù)理滿意度，值得推薦應(yīng)用。
　　關(guān)鍵詞 胃癌；針對(duì)性護(hù)理；胃腸功能；生活質(zhì)量
　　中圖分類號(hào)：R735.2 文獻(xiàn)標(biāo)志碼：A 文章編號(hào)：1006-1533（2018）04-0030-03
　　Application of targeted nursing in improving gastrointestinal function and life quality of patients with gastric cancer after operation
　　ZHOU Xiaolian， ZHOU Wenxing， YUAN Wei
　�。⊿urgical Department of People’s Hospital of Xinyu， Xinyu 338000， Jiangxi Province， China）
　　ABSTRACT Objective： To explore the effect of targeted nursing in the improvement of gastrointestinal function and life quality of patients with gastric cancer after operation. Methods： From January 2016 to January 2017 58 cases treated with radical gastrectomy were collected and by the random digital table divided into a control group with 29 cases that received routine nursing care and an observation group with 29 cases that on the basis of the control group received the targeted nursing. The recovery time， the time of hospitalization， the quality of life and the satisfaction of nursing were observed in the two groups. Results： The time of hospitalization in the observation group was （17.58±3.77） d， which was lower than that of the control group（21.99±4.27） d and the difference between the groups was statistically significant（P<0.05）. The recovery time of gastrointestinal function in the observation group was shorter than that in the control group（P<0.05）， and the scores of each dimension of the quality of life in the observation group were higher than those in the control group（P<0.05）. The nursing satisfaction of the observation group was 96.55%， which was higher than that of the control group 79.31%（P<0.05）. Conclusion： Targeted nursing can effectively improve the gastrointestinal function and life quality of patients with gastric cancer after operation and improve the satisfaction of nursing. It is worthy of clinical recommendation.
　　KEY WORDS gastric cancer； targeted nursing； gastrointestinal function； quality of life
　　胃癌在臨床上較為常見(jiàn)，是消化道常見(jiàn)惡性腫瘤之一，隨著社會(huì)發(fā)展，人們飲食習(xí)慣和生活習(xí)慣的改變，胃癌的發(fā)病率不斷上升[1]。臨床治療胃癌方法多樣，但治療效果有較大區(qū)別。在治療過(guò)程中，配合適當(dāng)?shù)淖o(hù)理，對(duì)于改善臨床療效有積極的作用[2]。胃癌患者手術(shù)后胃腸功能恢復(fù)較慢，對(duì)患者的生活質(zhì)量造成了嚴(yán)重的影響[3]。本文報(bào)道針對(duì)性護(hù)理在改善胃癌患者術(shù)后胃腸功能和生活質(zhì)量中的應(yīng)用效果。
　　1 資料與方法

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