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目的探讨综合护理干预在预防胃肠道手术术后肠粘连的应用效果研究。方法本研究选取2014-02-2015-02中山大学附属第六医院进行胃肠道手术治疗的患者100例。随机将患者分为综合护理干预组和对照组,每组各50例。对照组在治疗过程中行常规护理,治疗组采用综合护理,观察两组患者首次下床活动时间、首次肛门排气时间及匹兹堡睡眠质量指数(PSQI)、粘连性肠梗阻的发生率及术后住院期间身体情况。结果干预组肛门排气时间、首次下床活动时间和PSQI评分分别为(29.3±7.7)h、(3.8±1.5)d和(2.7±1.3)分,对照组为(36.8±8.6)h、(4.7±2.0)d和(4.9±2.0)分,差异有统计学意义,P<0.05;综合护理干预组患者术后粘连性肠梗阻的发生率低于对照组,差异比较差异有统计学意义,P<0.05;术后住院期间综合护理干预组患者身体情况要优于对照组,P<0.05。结论综合护理干预可以降低胃肠道手术患者术后的粘连性肠梗阻的发生率,改善睡眠质量,有助于术后更好的康复。
Objective To investigate the effect of comprehensive nursing intervention on preventing intestinal adhesion after operation of gastrointestinal surgery. Methods This study selected 100 cases of patients undergoing gastrointestinal surgery from the 6th Affiliated Hospital of Sun Yat-sen University from February 2014 to February 2015. Patients were randomly divided into comprehensive nursing intervention group and control group, 50 cases in each group. The control group received routine nursing during the course of treatment. The treatment group adopted comprehensive nursing. The time of first bed ambulation, the time of the first anal exhaust, the Pittsburgh Sleep Quality Index (PSQI), the incidence of adhesive intestinal obstruction and postoperative hospital stay During the physical condition. Results The mean time to first extubation and PSQI in the intervention group were (29.3 ± 7.7) h, (3.8 ± 1.5) days and (2.7 ± 1.3) days, respectively, and the control group was (36.8 ± 8.6) 4.7 ± 2.0) d and (4.9 ± 2.0) points, the difference was statistically significant (P <0.05). The incidence of postoperative adhesive intestinal obstruction in the comprehensive nursing intervention group was lower than that in the control group, the difference was statistically significant, P <0.05. The physical condition of patients in comprehensive nursing intervention group after operation was better than that of control group (P <0.05). Conclusion Comprehensive nursing intervention can reduce the incidence of postoperative adhesive intestinal obstruction in patients with gastrointestinal surgery, improve the quality of sleep, and contribute to better postoperative recovery.