Pediatric Surgery Department of Gastrointestinal Surgery, The First People's Hospital, Jingmen, Hubei Province, China.
Department of Gastroenterology, The First People's Hospital, Jingmen, Hubei Province, China.
Comput Intell Neurosci. 2022 Aug 21;2022:1179321. doi: 10.1155/2022/1179321. eCollection 2022.
The objective is to explore the effect of comprehensive nursing on the recovery of gastrointestinal function in patients undergoing an abdominal operation.
Sixty patients undergoing abdominal surgery in our hospital from January 2019 to April 2021 were enrolled. The patients were arbitrarily assigned into control group and research group. The former group received routine nursing and the latter group received comprehensive nursing. Nursing satisfaction, gastrointestinal function, POMS-SF score, nutrition risk score, incidence of adverse reactions, and quality of life scores were compared.
The nursing satisfaction of the research group was higher than that of the control group, and the difference between the groups was statistically significant ( < 0.05). In terms of gastrointestinal function, the anal exhaust time eating time defecation time and bowel sound recovery time in the research group were significantly lower than those in the control group, and the difference between the groups was statistically significant ( < 0.05). In terms of POMS-SF score, the scores of tension-anxiety, depression-depression, fatigue-dullness, anger-hostility, and confusion-confusion in the research group were lower than those in the control group, while the energy-vitality score was higher than that in the control group, and the difference between the groups was statistically significant ( < 0.05). There was no significant difference in nutritional risk score among patients before nursing ( > 0.05); after nursing, the nutritional risk score decreased. Compared between the two groups, the nutritional risk score of the research group was lower when compared to the control group at 3 days, 5 days, and 7 days after nursing, and the difference between the groups was statistically significant ( < 0.05). In terms of the incidence of adverse reactions, the incidence of adverse reactions such as incision effusion, incision infection, incision dehiscence, and anastomotic leakage in the research group was lower when compared to the control group, and the difference between the groups was statistically significant ( < 0.05). Regarding quality of life scores, before nursing, there exhibited no significant difference of patients ( > 0.05); after nursing, the quality of life scores of patients decreased. Compared with the two groups, the physical function, psychological function, social function, and healthy self-cognition scores of the research group were all lower compared to the control group, and the difference between the groups was statistically significant ( < 0.05).
Abdominal surgery patients received comprehensive care, which improved their mental health, reduced anxiety and depression levels, relieved fatigue and dullness, improved energy and vitality, and enhanced their overall mood. Meanwhile, it can also promote the recovery of gastrointestinal function in patients and reduce the incidence of adverse reactions.
探讨综合护理对腹部手术患者胃肠功能恢复的影响。
选取我院 2019 年 1 月至 2021 年 4 月收治的 60 例行腹部手术患者，采用随机数字表法将其分为对照组和观察组，每组 30 例。对照组给予常规护理，观察组给予综合护理。比较两组护理满意度、胃肠功能、POMS-SF 评分、营养风险评分、不良反应发生率和生活质量评分。
观察组护理满意度高于对照组，差异有统计学意义（<0.05）。观察组肛门排气时间、进食时间、排便时间、肠鸣音恢复时间均短于对照组，差异有统计学意义（<0.05）。观察组紧张-焦虑、抑郁-沮丧、疲劳-迟钝、愤怒-敌意、困惑-迷茫评分均低于对照组，精力-活力评分高于对照组，差异有统计学意义（<0.05）。护理前两组患者营养风险评分比较，差异无统计学意义（>0.05）；护理后营养风险评分降低，观察组 3、5、7d 营养风险评分均低于对照组，差异有统计学意义（<0.05）。观察组切口积液、切口感染、切口裂开、吻合口漏等不良反应发生率低于对照组，差异有统计学意义（<0.05）。护理前两组患者生活质量评分比较，差异无统计学意义（>0.05）；护理后生活质量评分降低，观察组生理功能、心理功能、社会功能、健康自我认知评分均低于对照组，差异有统计学意义（<0.05）。
腹部手术患者接受综合护理，改善了心理健康，降低了焦虑和抑郁水平，缓解了疲劳和迟钝，提高了精力和活力，改善了整体情绪。同时，还能促进患者胃肠功能的恢复，降低不良反应的发生率。
