Department of Gastrointestinal Oncology Surgery, The First Affiliated Hospital of Hainan Medical University, Haikou, Hainan, China.
Department of Urology Surgery, the first affiliated hospital of Hainan Medical University, Haikou, Hainan, China.
Medicine (Baltimore). 2023 Jul 21;102(29):e34308. doi: 10.1097/MD.0000000000034308.
Evidence-based nursing practice was used to formulate the enhanced recovery surgery bundle nursing strategy and apply it to patients with gastric cancer, to explore its safety, effectiveness and feasibility in perioperative gastrointestinal function protection in patients with gastric cancer. Selected the clinical medical records of 100 gastric cancer patients treated in our hospital from June 2019 to June 2021 as the research objects, and divided them into the control group and the observation group with 50 cases in each group according to the random number table. Among them, the control group was given routine nursing measures for nursing intervention, and the observation group was given gastrointestinal enhanced recovery surgery cluster nursing on the basis of the control group. The differences in stress response, gastrointestinal function protection, negative emotions and pain scores of gastric cancer patients before and after nursing were compared between the 2 groups. The postoperative bowel sounds recovery time, first anal exhaust, and first defecation time in the observation group were lower than those in the control group, and the differences were statistically significant (P < .05). Before nursing, there was no significant difference in the scores of stress response changes between the 2 groups (P > .05). After nursing, heart rate (HR), mean arterial pressure (MAP), norepinephrine (NE), and epinephrine (E2) in the observation group were lower than those in the control group, and the difference was statistically significant (P < .05). The pain scores of the 2 groups were significantly improved at different time points, and the observation group was significantly less than the control group, and the difference was statistically significant (P < .05). Gastrointestinal enhanced recovery surgery bundle nursing can effectively improve the gastrointestinal function of patients with gastric cancer, improve the emotional response and stress response of patients, and has certain reference value for the nursing of patients with gastric cancer.
循证护理实践被用于制定强化康复手术包护理策略，并将其应用于胃癌患者，以探讨其在胃癌患者围手术期胃肠道功能保护中的安全性、有效性和可行性。选取 2019 年 6 月至 2021 年 6 月在我院治疗的 100 例胃癌患者的临床病历作为研究对象，根据随机数字表将其分为对照组和观察组，每组 50 例。其中，对照组给予常规护理措施进行护理干预，观察组在对照组基础上给予胃肠道强化康复手术群护理。比较两组胃癌患者护理前后应激反应、胃肠道功能保护、负性情绪和疼痛评分的差异。观察组术后肠鸣音恢复时间、首次肛门排气时间和首次排便时间均低于对照组，差异有统计学意义（P ＜.05）。护理前，两组应激反应变化评分差异无统计学意义（P ＞.05）。护理后观察组心率（HR）、平均动脉压（MAP）、去甲肾上腺素（NE）和肾上腺素（E2）均低于对照组，差异有统计学意义（P ＜.05）。两组疼痛评分在不同时间点均明显改善，观察组明显低于对照组，差异有统计学意义（P ＜.05）。胃肠强化康复手术包护理能有效改善胃癌患者的胃肠功能，改善患者的情绪反应和应激反应，对胃癌患者的护理具有一定的参考价值。
