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目的探讨行为护理对腹部手术患者术后肠蠕动恢复的影响。方法选取2014年4月至2015年7月在朝阳市中心医院行腹部手术的200例患者作为研究对象,按随机数字表法将其分为观察组和对照组,各100例。对照组患者接受常规护理,观察组患者在对照组基础上实施行为护理,比较两组患者胃肠道蠕动恢复时间及肛门排气时间、术后24 h腹胀发生情况、护理前后胃肠功能。结果观察组患者的胃肠道蠕动恢复时间、肛门排气时间均明显短于对照组,差异均有统计学意义(均P<0.05);观察组患者术后24 h腹胀发生率明显低于对照组,差异有统计学意义(P<0.05);护理后,观察组患者的胃肠功能评分为(2.1±0.4)分,明显低于对照组的(4.6±1.0)分,差异有统计学意义(P<0.05)。结论对腹部手术患者实施行为护理,可促进患者肠蠕动较快恢复,减轻腹胀程度,降低腹胀发生率,改善胃肠功能,效果显著。
Objective To investigate the effect of behavioral nursing on the recovery of postoperative intestinal motility in patients undergoing abdominal surgery. Methods A total of 200 patients undergoing abdominal surgery in Chaoyang Central Hospital from April 2014 to July 2015 were selected as study subjects and divided into observation group and control group according to random number table method, each with 100 cases. Patients in the control group received routine nursing care. Patients in the observation group were given behavioral nursing care based on the control group. The gastrointestinal peristalsis recovery time, anal exhaust time, abdominal distension 24 h after operation and gastrointestinal function before and after nursing were compared between the two groups. Results The recovery time of gastrointestinal motility and exhaust time of anus in observation group were significantly shorter than those in control group (all P <0.05). The incidence of abdominal distension 24 hours after operation in observation group was significantly lower than that in control group (P <0.05). After nursing, the score of gastrointestinal function in the observation group was (2.1 ± 0.4) points, which was significantly lower than that in the control group (4.6 ± 1.0), the difference was statistically significant (P <0.05). Conclusions The behavioral nursing for patients undergoing abdominal surgery can promote the recovery of intestinal peristalsis, reduce the degree of bloating, reduce the incidence of abdominal distension, and improve gastrointestinal function.