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目的对中晚期胃癌姑息性手术治疗患者采用整体护理的效果进行探讨。方法选取2014-01-2015-12我科室77例行姑息性手术治疗的中晚期胃癌患者,其中2014-12前35例作为对照组,采用常规护理方法,2013-01后42例患者作为观察组,在对照组护理方法基础上给予整体护理,对两组患者护理效果进行观察对比。结果从肛门通气时间、切口愈合时间、住院时间方面对比,观察组均明显优于对照组,差异有统计学意义,P<0.05;观察组护理满意度97.62%,明显高于对照组77.14%;观察组术后并发症发生率为11.90%,明显低于对照组34.29%,差异有统计学意义,P<0.05。结论为中晚期胃癌姑息性手术患者采用整体护理干预措施,可有效提高缩短患者住院时间,降低术后并发症发生情况,护理满意度较高,可作为提高临床护理质量的有效措施推广应用。
Objective To investigate the effect of holistic nursing on palliative surgery in patients with advanced gastric cancer. Methods From January 2014 to December 2015, 77 patients with advanced gastric cancer undergoing palliative surgery were selected in our department from January 2014 to December 2015. Among them, the first 35 cases were treated as control group from 2014 to 2014-12, and routine nursing methods were used. From January 2013 to December 2013, 42 patients were treated as observation group , In the control group nursing method based on the overall care given, the two groups of patients were observed and compared the effect of nursing. Results Compared with the control group, the observation group was significantly better than the control group (P <0.05). The nursing satisfaction of the observation group was 97.62%, which was significantly higher than that of the control group (77.14%). The incidence of postoperative complications in the observation group was 11.90%, significantly lower than 34.29% in the control group, the difference was statistically significant (P <0.05). Conclusion The overall nursing intervention for patients with palliative surgery for advanced gastric cancer can shorten the hospitalization time, reduce the incidence of postoperative complications and improve the nursing satisfaction. It can be used as an effective measure to improve the quality of clinical nursing.