摘要
目的:分析目标管理路径护理模式对腹腔镜胃癌根治术患者生活质量和不良反应的影响。方法:将该院2015年8月至2016年7月收治的行腹腔镜根治术治疗的胃癌患者46例视为对照组,予以传统护理干预;将该院在2016年8月至2017年7月收治的行腹腔镜根治术治疗的胃癌患者44例视为研究组,在传统护理的基础上实施目标管理路径护理模式。两组患者的半流质饮食时间、肛门首次排气时间、首次排便时间、住院时间及在干预前和干预后第2周末的生活质量水平采取两独立样本t检验;两组患者的术后不良事件发生情况,采取χ^2检验。结果:研究组的半流质饮食时间(3.1±0.6)d、肛门首次排气时间(2.7±0.5)d、首次排便时间(3.6±0.7)d、住院时间(7.4±1.5)d均分别早于对照组(3.9±0.9)d、(3.4±0.7)d、(4.0±0.9)d、(9.6±2.0)d,差异有统计学意义(均P<0.05)。研究组干预后的生活质量评分(46.2±4.7)分,高于对照组(42.1±4.2)分,差异有统计学意义(P<0.05)。研究组术后不良事件发生率12.8%(6/47)低于对照组的36.9%(17/46),差异有统计学意义(P<0.05)。结论:将目标管理路径护理模式应用于行腹腔镜根治术治疗的胃癌患者,能降低不良反应发生率,且能提高患者的生活质量。
Objective:To analyze the influence of target management path nursing mode on the quality of life and incidence of adverse reactions in patients undergoing laparoscopic radical gastrectomy.Methods:A total of 46 patients with gastric cancer treated by laparoscopic radical gastrectomy admitted to the hospital from August 2015 to July 2016 were treated as the control group,and traditional nursing intervention was performed.A total of 44 patients with gastric cancer treated by laparoscopic radical gastrectomy admitted to the hospital from August 2016 to July 2017 were considered as the research group,and the objective management path nursing mode was implemented on the basis of traditional nursing.The time of semi-fluid diet,the time of first anal exhaust,the time of first defecation,the time of hospital stay,and the quality of life at the end of the second week after and before the intervention were tested by two independent sample T-tests.χ^2 test was used for the occurrence of postoperative adverse events in the two groups.Results:The half fluid diet time(3.1±0.6)days,anus first exhaust time(2.7±0.5)days,first defecation time(3.6±0.7)days,and hospitalization time(7.4±1.5)days of the research group were all earlier than those of the control group(3.9±0.9)days,(3.4±0.7)days,(4±2.7)days and(9.6±2.0)days,and the differences were statistically significant(P<0.05).The quality of life score of the study group was(46.2±4.7)points,which was higher than that of the control group's(42.1±4.2)points,and the difference was statistically significant(P<0.05).The incidence of adverse events in the study group was 12.8%(6/47),which was lower than that in the control group's 36.9%(17/46),and the difference was statistically significant(P<0.05).Conclusions:The application of target management path nursing mode in laparoscopic radical gastrectomy can reduce the incidence of adverse reactions and improve the quality of life of patients with gastric cancer.
作者
蔡丽萍
范桂娣
周群燕
Cai Liping;Fan Guidi;Zhou Quryan(Ceneral Surgery,the Second People's Hospital of Wuxi,214002,China;General Surgery,Wuxi Peoples Hospial Af-filiated to Nanjing Medical University,214023,Chind)
出处
《国际护理学杂志》
2020年第17期3163-3166,共4页
international journal of nursing
基金
无锡市卫生局青年科研项目(Q201404)。
关键词
腹腔镜
胃癌根治术
目标管理
生活质量
Laparoscopy
Radical gastrectomy
Target management
Quality of life
