[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]
点击复制

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()
分享到:

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 gastrectomyMulti-disciplinary team nursing modelC-reactive proteinNutritional 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.

参考文献/References:

[1]许晨涵,王丽楠,陈亚青.加速康复外科理念联合无缝隙干预在腹腔镜下远端胃癌根治术患者中的应用效果[J].癌症进展,2022,20(21):2233-2236,2240.[2]Best LM,Mughal M,Gurusamy KS.Laparoscopic versus open gastrectomy for gastric cancer[J].Cochrane Database Syst Rev,2016,3(3):CD011389.[3]郎晓慧,刘磊.预知护理干预对腹腔镜胃癌根治术后生活质量的影响[J].中华全科医学,2018,16(2):316-318.[4]张燕,南宁.腹腔镜下胃癌根治术引入零缺陷理念的护理效果及对手术治疗效果的影响[J].贵州医药,2022,46(1):157-158.[5]李婧,高守君,张东成.基于加速康复外科理念的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].山西医药杂志,2021,50(10):1735-1738.[6]孙淑华.加速康复外科理念在腹腔镜胃癌根治术围术期护理中的应用观察[J].中国药物与临床,2020,20(21):3681-3682.[7]郭瑞娟,汤文丽,刘洁,等.思维导图引导康复护理对胃癌根治术患者围术期的护理效果研究[J].海南医学,2020,31(20):2717-2720.[8]杨拴元,党涛平,刘旭晨.腹腔镜胃癌根治术围术期并发症分析及预防对策[J].贵州医药,2020,44(1):28-30.[9]朱绍凤,张立娟,王婷婷.腹腔镜胃癌根治术围术期护理体会[J].中国微创外科杂志,2019,19(12):1148-1150.[10]程康文,王贵和,束宽山,等.加速康复外科在腹腔镜辅助胃癌根治术中的应用及其对患者术后恢复、营养及应激的影响[J].中国普通外科杂志,2019,28(10):1228-1236.[11]李曼,王红,陈娜,等.围手术期循证护理在腹腔镜远端胃癌D2根治术中的护理体会[J].腹腔镜外科杂志,2019,24(2):151,156.[12]付恩锋,和芳,李彩云,等.加强饮食干预对快速康复胃癌术后患者营养状况的影响[J].中国肿瘤临床与康复,2019,26(1):92-96.[13]刘红霞,程康文,王贵和.加速康复外科护理在腹腔镜胃癌根治术中的应用效果[J].安徽医学,2018,39(5):613-616.[14]魏雪莲.腹腔镜辅助胃癌根治术对胃癌肠道屏障功能、血清炎性因子水平影响及护理对策分析[J].基因组学与应用生物学,2018,37(10):4595-4601.[15]蒋玲,施悦.加速康复外科护理在腹腔镜胃癌根治术患者中的应用[J].齐鲁护理杂志,2018,24(20):34-36.[16]毛绪凤,王亮亮.围术期多学科干预对腹腔镜胃癌根治术患者术后恢复效果的影响[J].现代消化及介入诊疗,2019,24(1):99-102.[17]侯海玲,许景洪,杨西宁,等.集束化护理对腹腔镜胃癌根治术后胃肠功能恢复的影响[J].广西医学,2018,40(9):1109-1111.[18]闵腊英,任明扬,周群丽,等.快速康复外科护理路径在腹腔镜胃癌根治术围术期护理中的应用[J].中国肿瘤临床与康复,2018,25(3):377-380.[19]贺雪菲,赵建梅,杨婕,等.营养不良五阶梯模式在腹腔镜胃癌根治术患者营养干预中的应用及对术后恢复、体能状态的影响[J].现代消化及介入诊疗,2022,27(3):339-344.[20]刘瑛.腹腔镜下胃癌根治术后患者医院感染的危险因素分析与预防对策[J].中国实用护理杂志,2019,35(19):1462-1466.[21]宋应明,连长红,韩超,等.快速康复外科理念指导下的医护一体模式在腹腔镜胃癌根治术中的应用效果[J].中华普通外科杂志,2018,33(10):871-872.

更新日期/Last Update: 1900-01-01