摘要
目的探究心理-营养-体能综合康复干预模式在胃癌根治术患者围术期的应用价值.方法选择2019年1月—2023年7月于我院接受胃癌根治术治疗的70例患者为研究对象,按照随机数字表法分为对照组和观察组,对照组(n=35)采用常规胃癌根治术围术期护理,观察组(n=35)在常规围术期护理基础上增加心理-营养-体能综合干预模式.对比两组术后胃肠道功能恢复情况、焦虑抑郁评分、营养指标及免疫功能.结果干预后,观察组术后首次排气、术后肠鸣音恢复及术后首次排便时间分别为(22.36±3.65)h、(14.23±2.36)h、(36.56±4.11)h,均短于对照组的(30.26±4.01)h、(16.98±2.01)h、(46.35±4.18)h,组间差异有统计学意义(P<0.05).观察组SAS评分、SDS评分均低于对照组,组间差异有统计学意义(P<0.05).观察组前白蛋白和血红蛋白水平均高于对照组,组间差异有统计学意义(P<0.05).观察组CD4^(+)水平为(46.23±3.59)%,高于对照组的(38.98±4.01)%,CD8^(+)水平为(35.15±3.65)%,低于对照组的(39.55±4.07)%,组间差异有统计学意义(P<0.05).结论将心理-营养-体能综合康复干预模式应用于胃癌根治术患者中价值肯定,可加速患者围术期康复进程,有助于缓解患者焦虑抑郁情绪,改善患者围术期营养及免疫指标,具有一定的推广应用价值.
Objective To explore the application value of psychological-nutritional-physical comprehensive rehabilitation intervention mode in the perioperative period of patients with radical gastric cancer counting.Methods 70 patients who received radical gastrectomy for gastric cancer in our hospital from January 2019 to July 2023 were selected as the research objects,according to the random number table method,they were divided into a control group and an observation group.The control group(n=35)received routine perioperative nursing of radical gastrectomy,and the observation group(n=35)received psychological,nutrition and physical fitness comprehensive intervention model on the basis of routine perioperative nursing.The recovery of gastrointestinal function,anxiety and depression scores,nutritional indicators and immune function were compared between the two groups.Results After the intervention,the first postoperative exhaust,postoperative bowel sound recovery and the first postoperative defecation time of the observation group were(22.36±3.65)h,(14.23±2.36)h and(36.56±4.11)h,respectively,they were shorter than(30.26±4.01)h,(16.98±2.01)h,(46.35±4.18)h of the control group,the differences between the groups were statistically significant(P<0.05).The SAS and SDS scores of the observation group were lower than those of the control group,and the differences between the two groups were statistically significant(P<0.05).The levels of prealbumin and hemoglobin in the observation group were higher than those in the control group,and the differences between the two groups were statistically significant(P<0.05).The level of CD4^(+)was(46.23±3.59)%in the observation group,which was higher than(38.98±4.01)%in the control group,and the level of CD8^(+)was(35.15±3.65)%in the observation group,which was lower than(39.55±4.07)%in the control group,the differences between the two groups were statistically significant(P<0.05).Conclusion The value of applying the integrated psychological-nutritional-physical rehabilitation intervention model to patients undergoing radical gastric cancer surgery is certain,which can accelerate the process of perioperative rehabilitation,help alleviate the patients'anxiety and depression,and improve the patients'nutritional and immune indexes during the perioperative period,and is of certain value for popularization and application.
作者
王定萍
WANG Dingping(Department of Surgery,Chuzhou Hospital of Traditional Chinese Medicine,Huai'an Jiangsu,223200,China)
出处
《反射疗法与康复医学》
2023年第15期125-128,132,共5页
Reflexology And Rehabilitation Medicine
关键词
胃癌根治术
心理-营养-体能综合康复干预模式
焦虑抑郁
胃肠功能恢复
营养指标
免疫指标
Radical gastrectomy for gastric cancer
Comprehensive rehabilitation intervention model of psychological nutrition physical fitness
Anxiety and depression
Gastrointestinal function recovery
Nutritional indicators
Immune indicators
