CAJ | 학술논문

目的：探讨围术期护理干预对胃肠手术患者胃肠功能及心理状态的影响。方法：进行胃肠手术的患者120例按照随机数字表法分为干预组和对照组，每组60例。对照组采取随机对症护理，干预组着重实施围术期护理干预，比较两组术后肛门恢复排气时间、胃管拔除时间、住院时间，术前及术后3 d SAS评分，并发症。结果：干预组患者术后肛门恢复排气时间、胃管拔除时间、住院时间分别短于对照组，两组比较差异均有统计学意义(P<0.05)。干预组患者SAS评分术后较对照组降低更显著，两组比较差异有统计学意义(P<0.05)。干预组患者并发症发生率仅13.33%，明显低于对照组40.00%，两组比较差异有统计学意义(P<0.05)。结论：围术期护理干预能够促进胃肠手术患者胃肠功能的恢复，降低患者的焦虑心理状态。
목적：탐토위술기호리간예대위장수술환자위장공능급심리상태적영향。방법：진행위장수술적환자120례안조수궤수자표법분위간예조화대조조，매조60례。대조조채취수궤대증호리，간예조착중실시위술기호리간예，비교량조술후항문회복배기시간、위관발제시간、주원시간，술전급술후3 d SAS평분，병발증。결과：간예조환자술후항문회복배기시간、위관발제시간、주원시간분별단우대조조，량조비교차이균유통계학의의(P<0.05)。간예조환자SAS평분술후교대조조강저경현저，량조비교차이유통계학의의(P<0.05)。간예조환자병발증발생솔부13.33%，명현저우대조조40.00%，량조비교차이유통계학의의(P<0.05)。결론：위술기호리간예능구촉진위장수술환자위장공능적회복，강저환자적초필심리상태。
Objective:To investigate the impact on gastrointestinal function and psychological status of perioperative nursing intervention for patients gastrointestinal surgery.Method:120 patients were randomly assigned to the intervention group(n=60) and control group(n=60),the control group took random symptomatic care,intervention group focused on the implementation of perioperative nursing intervention,postoperative flatus time,disconnect the tube, hospitalization time,preoperative and postoperative 3 days SAS score,complications were compared.Result:The flatus time,disconnect tube,hospitalization time of intervention group were shorter than the control group(P<0.05). SAS scores of intervention group decreased more significantly than the control group(P<0.05). The complication rate of intervention group was 13.33%,were significantly lower than the control group(P<0.05).Conclusion:Perioperative nursing intervention can promote the recovery of gastrointestinal function in patients with gastrointestinal surgery,reduce anxiety and psychological state of the patient.