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健康教育干预在胃癌根治术患者围术期中的应用效果观察 被引量:4

The effect of health education intervention application radical on perioperative period of radical gastrectomy patients
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摘要 目的探讨健康教育干预在胃癌根治术患者围术期中的应用效果。方法 60例行胃癌根治术患者根据干预方法不同分为干预组和对照组,每组30例,对照组围术期采用常规对症护理及健康宣教,干预组在对照组的基础上着重实施健康教育干预,比较两组的出血量、肛门排气时间、住院时间,术后不同时间VAS评分、健康知识达标率、并发症。结果干预组患者的出血量明显少于对照组(P<0.05)。干预组患者术后肛门排气时间、住院时间明显短于对照组(P<0.05)。干预组患者术后12 h、术后1 d、术后3 d的VAS评分明显低于对照组(P<0.05)。干预组患者的健康知识掌握达标率达93.3%,明显高于对照组(P<0.05)。干预组患者并发症发生率6.7%,明显低于对照组(33.3%)(P<0.05)。结论在胃癌根治术围术期实施系统的健康教育干预措施,可以减轻患者的疼痛、缩短住院时间、减少并发症的发生,从而促进患者疾病的尽快恢复。 Objective To investigate the effect of health education intervention application radical gastrectomy in patients with perioperative period. Methods A total of 60 patients with gastric cancer patients according to the different interventions were randomly assigned to the intervention group and the control group, 30 patients in the control group took conventional random perioperative symptomatic care and health education, intervention group on the basis of the control group focused on health education interventions, bleeding, anal exhaust time, hospital stay, postoperative VAS scores at different times, health knowledge compliance rate, concurrent disease were compared. Results The bleeding amount of intervention group was significantly less than the control group (P〈0.05).The anal exhaust time, hospital stay of intervention group was significantly shorter than the control group (P〈0.05). After intervention 12 h, one day, three days, the VAS score of intervention group was significantly lower than the control group(P〈0.05). The health knowledge to master compliance rate of intervention group was 93.3%, was significantly higher than the control group(P〈0.05). The complication rate of intervention group was 6.7%, was significantly lower than the control group(33.3%)(P〈0.05). Conclusion The system health education interventions in the perioperative gastric cancer, can reduce the patient's pain, short hospital stays, reduce complications, thereby contributing to restore the patient's disease.
作者 郑云娅 盛红
出处 《中国现代医生》 2014年第23期87-90,共4页 China Modern Doctor
基金 浙江省医学会临床科研资助项目(2011ZYC-A66)
关键词 胃癌根治术 围术期 健康教育 护理 并发症 Radical gastrectomy Perioperative Health education Nursing Complications
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