[1]赖辛凤.多学科协作护理模式对腹腔镜胃癌根治术患者应激情况、营养状况及术后并发症的影响[J].医学信息,2024,37(07):156-159.[doi:10.3969/j.issn.1006-1959.2024.07.032]
　LAI Xin-feng.Effect of Multi-disciplinary Team Nursing Model on Stress, Nutritional Status and Postoperative Complications in Patients Undergoing Laparoscopy Gastrectomy[J].Journal of Medical Information,2024,37(07):156-159.[doi:10.3969/j.issn.1006-1959.2024.07.032]
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多学科协作护理模式对腹腔镜胃癌根治术患者应激情况、营养状况及术后并发症的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年07期
页码:
156-159
栏目:
护理研究
出版日期:
2024-04-01

文章信息/Info

Title:
Effect of Multi-disciplinary Team Nursing Model on Stress, Nutritional Status and Postoperative Complications in Patients Undergoing Laparoscopy Gastrectomy
文章编号:
1006-1959（2024）07-0156-04
作者:
赖辛凤
（寻乌县人民医院普外科，江西 寻乌 342200）
Author(s):
LAI Xin-feng
(Department of General Surgery,Xunwu County People’s Hospital,Xunwu 342200,Jiangxi,China)
关键词:
腔镜胃癌根治术; 多学科协作护理模式; C-反应蛋白; 营养状况
Keywords:
Laparoscopy gastrectomy; Multi-disciplinary team nursing model; C-reactive protein; Nutritional status
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2024.07.032
文献标志码:
A
摘要:
目的 研究多学科协作护理模式对腹腔镜胃癌根治术（LG）患者应激情况、营养状况及术后并发症的影响。方法 选取2019年12月-2021年12月于寻乌县人民医院行LG治疗的71例患者，按照随机数字表法分为对照组（35例）与观察组（36例），对照组采用常规护理模式，观察组则应用多学科协作护理模式，比较两组术后恢复指标（肛门排气时间、首次下床时间、首次进食时间、术后住院时间）、应激指标[C-反应蛋白（CRP）、白介素-6（IL-6）、肿瘤坏死因子α（TNF-α）]、患者主观整体营养评估量表（PG-SGA）评分、术后并发症发生情况。结果 观察组肛门排气时间、首次下床时间、首次进食时间、术后住院时间短于对照组（P＜0.05）；两组术后CRP、IL-6、TNF-α水平高于术前，但观察组低于对照组（P＜0.05）。两组护理后患者自评及医务人员评估评分均低于护理前，且观察组低于对照组（P＜0.05）；观察组术后并发症发生率为5.56%，低于对照组的20.00%（P＜0.05）。结论 多学科协作护理模式可缩短LG患者的术后恢复时间，减轻手术应激反应，同时改善患者的营养状况，降低其术后并发症发生风险。
Abstract:
Objective To study the effect of multi-disciplinary team nursing model on stress, nutritional status and postoperative complications in patients undergoing laparoscopy gastrectomy (LG).Methods A total of 71 patients who underwent LG treatment in Xunwu County People’s Hospital from December 2019 to December 2021 were selected and divided into control group (35 patients) and observation group (36 patients) according to the random number table method. The control group was given routine nursing mode, while the observation group was given multi-disciplinary team nursing model. The postoperative recovery indicators (anal exhaust time, first time to get out of bed, first time to eat, postoperative hospital stay), stress indicators [C-reactive protein (CRP), interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α)], patient-generated subjective global assessment (PG-SGA) score, and postoperative complications were compared between the two groups.Results The anal exhaust time, the first time to get out of bed, the first time to eat, and the postoperative hospital stay in the observation group were shorter than those in the control group (P<0.05). The levels of CRP, IL-6 and TNF-α in the two groups after operation were higher than those before operation, but those in the observation group were lower than those in the control group (P<0.05). The scores of patients’ self-evaluation and medical staff evaluation in the two groups after nursing were lower than those before nursing, and those in the observation group were lower than those in the control group (P<0.05). The incidence of postoperative complications in the observation group was 5.56%, which was lower than 20.00% in the control group (P<0.05).Conclusion Multi-disciplinary team nursing model can shorten the postoperative recovery time of LG patients, reduce the surgical stress response, improve the nutritional status, and reduce the risk of postoperative complications.

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更新日期/Last Update: 1900-01-01