胃十二指肠溃疡穿孔术的干预性护理

申岩

doi:10.7619/jcmp.201920031

胃十二指肠溃疡穿孔术的干预性护理

申岩

中国医科大学附属盛京医院, 辽宁沈阳, 110004

详细信息

中图分类号: R656.6
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出版历程
- 收稿日期: 2019-06-24
- 录用日期: 2019-07-19
- 网络出版日期: 2021-02-28
- 发布日期: 2019-02-27

Interventional nursing for patients with gastroduodenal ulcer perforation surgery

SHEN Yan

Shengjing Hospital Affiliated to China Medical University, Shenyang, Liaoning, 110004

摘要

摘要:
目的探讨胃十二指肠溃疡穿孔术的干预性护理及效果。
方法将本院胃十二指肠溃疡穿孔患者80例随机分为常规组和干预组各40例，常规组给予常规护理方式，干预组开展干预性护理方式。比较2组护理满意度、胃十二指肠溃疡穿孔手术实施时间、胃十二指肠溃疡穿孔术后住院时间、溃疡穿孔愈合时间、护理前后汉密尔顿焦虑量表评分、生活质量QOL评分、手术后腹胀、便秘、出血发生率。
结果干预组满意度显著高于常规组(P < 0.05), 汉密尔顿焦虑量表评分显著低于常规组(P < 0.05), 生活质量QOL评分显著高于常规组(P < 0.05); 干预组胃十二指肠溃疡穿孔手术实施的时间、胃十二指肠溃疡穿孔术后住院时间显著短于常规组(P < 0.05); 干预组溃疡穿孔愈合时间显著短于常规组(P < 0.05), 手术后腹胀、便秘、出血发生率低于常规组(P < 0.05)。
结论胃十二指肠溃疡穿孔患者实施干预性护理方式效果确切，可减轻患者的焦虑情绪，并缩短手术的时间，减少术后的相关并发症，改善患者术后生活质量，提高胃十二指肠溃疡穿孔患者的满意度。
- 胃十二指肠溃疡穿孔术 /
- 生活质量 /
- 干预性护理
Abstract:
Objective To explore the interventional nursing of gastroduodenal ulcer perforation surgery and its effect.
Methods Eighty patients with perforated gastroduodenal ulcer in our hospital were randomly divided into two groups. The routine nursing group was given routine nursing and the intervention group was given intervention nursing. Nursing satisfaction, time of gastroduodenal ulcer perforation, hospitalization time after gastroduodenal ulcer perforation, healing time of ulcer perforation, Hamilton Anxiety Scale score before and after treatment, Quality of life (QOL) score, and the incidences of postoperative abdominal distension, constipation, and bleeding of two groups were compared.
Results The nursing satisfaction and QOL score of the interventional nursing group were higher than that of conventional nursing group(P < 0.05). The Hamilton Anxiety Scale score of the interventional nursing group was lower than that of the conventional nursing group(P < 0.05); the time of gastroduodenal ulcer perforation, hospitalization time after perforation of gastroduodenal ulcer and healing time of ulcer perforation in the interventional nursing group were shorter than that of the conventional nursing mode group(P < 0.05); the incidence of abdominal distension, constipation and hemorrhage in the interventional group was lower than that in routine nursing group(P < 0.05).
Conclusion Interventional nursing can reduce the anxiety, shorten operation time, reduce the postoperative complications, improve the postoperative quality of life and enhance nursing satisfaction of patients with perforated gastroduodenal ulcer.
- perforation of gastroduodenal ulcer /
- interventional nursing /
- interventional nursing

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表 1 护理前后汉密尔顿焦虑量表评分、生活质量QOL评分(x±s) 分

组别	时点	汉密尔顿焦虑量表评分	生活质量QOL评分
常规组(n=40)	护理前	21.27±7.38	62.31±2.27
	护理后	11.04±1.89^*	80.45±4.21^*
干预组(n=40)	护理前	21.21±7.68	62.35±2.21
	护理后	7.01±1.79^*#	95.11±4.78^*#
与护理前比较, *P < 0.05; 与常规组比较, #P < 0.05。

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表 2 手术实施时间、术后住院时间、溃疡穿孔愈合时间(x±s)

组别	手术实施时间/min	术后住院时间/d	溃疡穿孔愈合时间/d
常规组(n=40)	75.21±2.17	10.40±2.15	18.41±4.57
干预组(n=40)	63.68±1.56^*	8.78±1.57^*	14.56±2.61^*
与常规组比较, *P < 0.05。

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