The postoperative recovery of gastrointestinal function effects observation of nurse-patient cooperation QCC for the gastric cancer patients
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摘要: 目的 手术在早期胃癌的治疗中占主导地位,但是术后很多患者发生不同程度的胃肠功能障碍;品管圈活动是指同一个工作场所的人自主集合形成小的活动团体,现场管理方式轻松愉快,团体成员会自发主动地参与现场管理活动,能提高护理质量。本文探讨护患合作品管圈活动促进胃癌患者术后胃肠功能恢复的效果。 方法 选择2011年8月—2015年2月于哈尔滨医科大学附属肿瘤医院进行胃癌根治性手术后的140例患者,根据完全随机方法分为治疗组与对照组各70例,对照组给予常规干预,治疗组在对照组干预的基础上给予护患合作品管圈活动干预,2组护理观察周期为2周。 结果 研究发现护理后对照组的总有效率为78.6%,治疗组为92.9%,对比分析显示治疗组的疗效显著优于对照组(P<0.05)。治疗组的术后肛门排气时间和排便时间分别为(87.24±13.98) h和(80.01±15.90) h,都明显低于对照组的(103.98±18.13) h和(92.76±11.99) h,差异有统计学意义(P<0.05)。2组护理后的血清胃动素含量分别为(173.87±12.76) pg/ml和(137.39±13.11) pg/ml,都明显高于护理前的(95.33±10.39) pg/ml和(95.10±11.32) pg/ml,差异有统计学意义(P<0.05),同时组间对比差异也有统计学意义(P<0.05)。 结论 护患合作品管圈活动在胃癌患者术后的应用能促进胃动素的分泌,有利于胃肠功能的恢复,从而提高总体康复疗效,值得推广应用。Abstract: Objective Surgery is dominant in the treatment of early gastric cancer,but a lot of postoperative patients had different degrees of gastrointestinal dysfunction;QCC activity refers to the same workplace spontaneous composition of a small group by relaxing the on-site management,which can make oneself volunteered to participate in the management of activities and can improve the quality of nursing.This study aims to investigate the postoperative recovery of gastrointestinal function effects observation of nurse-patient cooperation QCC for the gastric cancer patients. Methods We selected 140 gastric cancer patients with elective surgery from August,2011 to February,2015 treated in our hospital and equally divided into treatment group and control group based on a completely random method.The control group received conventional intervention,while the treatment group was given nurse-patient cooperation QCC intervention on the basis of the control group interventions,with two weeks' nursing observation. Results The total effective rates after nursing care in the treatment group and the control group were 92.9% and 78.6% respectively,while the total effective rate in the treatment group was significantly higher(P<0.05).The postoperative anal exhaust time and defecation in the treatment group were (87.24±13.98)h and (80.01±15.90)h that were significantly lower than the control group of (103.98±18.13)h and (92.76±11.99)h (P<0.05).The serum motilin contents after care in the treatment group and the control group were (173.87±12.76)pg/ml and (137.39±13.11)pg/ml which were significantly higher than those before nursing care (95.33±10.39)pg/ml and (95.10±11.32)pg/ml(P<0.05),while the differences between the two groups were statistically significant(P<0.05). Conclusion The nurse-patient cooperation QCC for the gastric cancer patients can promote the secretion of motilin,which is conducive to the recovery of gastrointestinal function,thereby enhances the overall efficacy of rehabilitation and should be widely applied.
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Key words:
- Nurse-patient cooperation /
- QCC /
- Gastric cancer /
- Motilin /
- Gastrointestinal function
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