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目的:调查胃肠手术患者术后恢复不佳的影响因素,观察循证护理的临床效果。方法:对100例胃肠手术患者的临床资料进行回顾性分析,总结影响胃肠手术患者术后恢复不佳的因素。将100例患者按随机数字表法分为观察组和对照组各50例,两组患者均接受常规护理干预,包括术前指导、饮食指导、生命体征监测等,观察组在此基础上进行循证护理干预,比较两组患者并发症发生率、胃肠功能恢复及生活质量情况。结果:调查发现,年龄、排便习惯、术前流质饮食时间、术前禁食时间、麻醉方式的不同引起术后患者肠功能恢复状况不同(P<0.01)。干预后观察组并发症发生率为22%,明显低于对照组的44%,两组比较差异有统计学意义(P<0.01);观察组肠鸣音恢复时间、首次排便及排气时间明显短于对照组,腹胀程度、疼痛评分明显优于对照组(P<0.05);观察组物质生活、心理功能、社会功能、躯体功能及总评分均明显高于对照组(P<0.01)。结论:对胃肠手术后恢复不佳患者实施循证护理干预可以准确满足患者所需,能有效促进患者胃肠功能恢复,提高生活质量,值得临床推广应用。
Objective: To investigate the influencing factors of postoperative poor recovery in patients undergoing gastrointestinal surgery and to observe the clinical effect of evidence-based nursing. Methods: The clinical data of 100 patients with gastrointestinal surgery were retrospectively analyzed, and the factors affecting the poor postoperative recovery of patients undergoing gastrointestinal surgery were summarized. 100 patients were divided into observation group and control group according to random number table method, 50 cases in each group. Both groups received routine nursing intervention, including preoperative guidance, dietary guidance and vital signs monitoring. On the basis of this, Cardiopulmonary care interventions were compared between the two groups complication rate, gastrointestinal function recovery and quality of life. Results: The age, defecation habits, preoperative fluid quality diet time, preoperative fasting time and different anesthesia methods caused different postoperative recovery of intestinal function (P <0.01). The incidence of complication in the observation group was 22% after intervention, which was significantly lower than that in the control group (44%), the difference was statistically significant (P <0.01); the bowel recovery time, defecation and exhaust time Shorter than the control group, abdominal distension and pain scores were significantly better than those in the control group (P <0.05). The physical, mental, social, physical and total scores of the observation group were significantly higher than those of the control group (P <0.01). Conclusion: The evidence-based nursing intervention for patients with poor recovery after gastrointestinal surgery can accurately meet the needs of patients, which can effectively promote the recovery of gastrointestinal function and improve the quality of life of patients. It is worthy of clinical application.