Application of accelerated rehabilitation surgical care in patients with major gastrectomy
胃大部切除术患者中加速康复外科护理的应用体会

摘要

目的 分析体会加速康复外科护理在胃大部切除术患者中的应用效果。方法 此次研究病例抽取2023年10月至2024年10月期间在我院接受胃大部切除术患者80例，分组采取随机数字表法，组别类型为观察组与对照组，每一组中有患者40例，对照组患者接受常规护理，观察组患者采取加速康复外科护理，分析并对比两组最终获得的护理效果。结果 组间各指标结果比较后显示，观察组的护理管理质量以及患者遵医行为与对照组相比得到明显提高；患者的焦虑情绪同对照组相比明显改善；术后发生的并发症明显少于对照组；术后患者的首次排气、饮食恢复以及住院所用时间均短于对照组；生活质量与对照组相比明显提高，（P<0.05）。结论 对胃大部切除术患者及时开展加速康复外科护理，可进一步提升临床护理服务质量，增强患者的遵医行为，改善患者负性情绪,促进患者术后身体恢复，减少并发症发生，提高患者的生活质量。

Abstract

Objective To analyze and realize the application effect of accelerated rehabilitation surgery in patients with major gastrectomy.
Methods the study cases selected from October 2023 to October 2024 in our hospital under gastrectomy 80 patients, the group take random number table method, the group type for observation group and the control group, there are 40 patients in each group, the control group patients receive routine care, observation group patients take accelerated rehabilitation surgical care, analysis and compare the two groups finally obtained nursing effect.
Results The quality of the nursing management and patient compliance in the observation group was significantly improved; the anxiety of patients was significantly less than the control group; the first exhaust, diet recovery and hospitalization time were shorter than that of the control group; the quality of life was significantly improved compared with the control group (P <0.05).
Conclusion   Timely accelerated rehabilitation surgical care for large gastrectomy patients can further improve the quality of clinical nursing service, enhance the patients 'compliance behavior, improve the patients' negative mood, promote the patient's physical recovery after surgery, reduce the occurrence of complications, and improve the quality of life of patients.