摘要
目的探讨护理干预对胃肠道手术患者术后心理状态、胃肠功能、血浆胃动素及胃泌素的影响。方法将80例胃肠道手术患者随机分为综合性护理组和常规护理组。常规护理组患者予以传统围手术期护理,综合性护理组在常规护理组基础上予以综合性护理干预。结果术后3d,综合性护理组患者SAS和SDS评分均较术前明显下降(P均<0.05)。综合性护理组肠蠕动恢复时间、肛门排气时间和排便时间均明显快于常规护理组(P<0.05)。术后3d,两组患者血浆胃动素及胃泌素水平均较术前明显上升(P<0.05或P<0.01),且综合性护理组上升幅度更明显(P<0.05)。结论综合性护理干预可改善胃肠道手术后患者的心理状态,促进患者胃肠功能尽快恢复,尽早恢复饮食,作用与提高患者血浆胃动素及胃泌素水平有关。
Objective To explore the effect of nursing intervention on the mental status, gastrointestinal function and plasma levels of motilin and gastrin of patients under going gastrointestinal tract operation. Methods All 80 patients undergoing gastrointestinal tract operation were divided randomLy into nursing intervention group and traditional nurs- ing group. All patients received traditional gastrointestinal perioperative care. Patients in nursing intervention group received comprehensive nursing intervention. Results Three days after surgery, SAS and SDS scores in nursing inter- vention group decreased significantly than that before surgery （P 〈 0.05）. Peristalsis recovery times, flatus time and defecations time of patients of nursing intervention group were significantly shorter than that of traditional nursing group（P 〈 0.05）. 3 days after surgery, the plasma levels of motilin and gastrin of the two groups increased significant- ly than that before surgery （P 〈 0.05 or P 〈 0.01 ）, and the increasing range is more obviously in nursing intervention group （P 〈 0.05）. Conclusion Nursing intervention can increase mental status, felicitate the recovery of gastrointesti- nal function and diet for patients under going gastrointestinal tract operation, and the mechanism may relate to the in- creasing levels of motilin and gastrin.
出处
《中国现代医生》
2013年第5期104-106,共3页
China Modern Doctor
基金
2012年温州市卫生局课题立项资助(2012B033)
浙江省医学会临床科研基金(2006ZYC15)
关键词
胃肠道手术
护理干预
心理状态
胃肠功能
胃动素
胃泌素
Gastrointestinal tract operation
Nursing intervention
Mental status
Gastrointestinal function
Motilin
Gastrin
