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目的观察优质护理干预对腹部手术患者术后胃肠功能与认知功能恢复的影响。方法将进行腹部手术治疗的120例患者随机平均分为2组,对照组60例选择常规护理,包括术前访视、病历查问、术前准备、护理配合、病情观察、术后指导等;观察组60例在对照组护理的基础上加用优质护理,包括术前心理护理、护理指导以及术后睡眠干预、疼痛干预、并发症干预与按摩干预。观察2组术后胃肠功能恢复指标以及护理前后MMSE简易智能量表评分,同时调查统计护理满意度。结果观察组患者术后肠鸣音、恢复排气、排便以及进食时间均明显短于对照组(P均<0.05),护理干预后MMSE评分和护理满意率明显高于对照组(P均<0.05)。结论优质护理干预方式能够有效改善腹部手术患者术后胃肠功能,并提高认知功能和护理满意度。
Objective To observe the effects of quality nursing intervention on postoperative gastrointestinal function and cognitive recovery in patients undergoing abdominal surgery. Methods A total of 120 patients undergoing abdominal surgery were randomly divided into two groups randomly. The control group of 60 patients received routine nursing care, including preoperative visit, medical record examination, preoperative preparation, nursing cooperation, disease observation and postoperative guidance. Group 60 patients in the control group based on the use of quality care, including preoperative psychological care, nursing guidance and postoperative sleep intervention, pain intervention, complications intervention and massage intervention. The indexes of postoperative gastrointestinal function recovery and MMSE simple intelligent score before and after nursing were observed. At the same time, the nursing satisfaction was surveyed. Results The postoperative bowel sounds, exhaust recovery, defecation and eating time in the observation group were significantly shorter than those in the control group (all P <0.05). MMSE score and nursing satisfaction rate after nursing intervention were significantly higher than those in the control group (all P <0.05 ). Conclusion The quality nursing intervention can effectively improve the postoperative gastrointestinal function in patients undergoing abdominal surgery and improve the cognitive function and nursing satisfaction.