Effects of nursing intervention based on quantitative evaluation strategy on gastrointestinal function and QOL in patients with gastric cancer after surgery
10.3760/cma.j.issn.1674-2907.2017.05.012
- VernacularTitle:基于量化评估策略的护理干预对胃癌术后患者胃肠功能恢复及生活质量的影响
- Author:
Jie SHEN
1
;
Zhilong YAN
;
Xiuchong YU
;
Liang YANG
Author Information
1. 315000,浙江省宁波市第一医院肝胆胰外科
- Keywords:
Stomach neoplasms;
Perioperative nursing;
Quality of life;
Gastrointestinal function;
Quantitative evaluation
- From:
Chinese Journal of Modern Nursing
2017;23(5):642-645
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of nursing intervention based on quantitative evaluation strategy on gastrointestinal function and quality of life in patients with gastric cancer after surgery. Methods Totally 94 gastric cancer patients who received surgery during January 2013 to December 2014 were enrolled in the study by using convenience sampling method. According to the random number table,the participants were divided into two groups. Patients in the control group (n=47) received routine perioperative nursing care,while patients in the intervention group (n=47) received quantitative evaluation based intervention care. The recovery of gastrointestinal function,complications,and the quality of life (QOL) (evaluated by QLQ-C30 scale) that three months after intervention were compared between two groups.Results In the intervention group,the time spent in abdominal distension improvement,bowel sound recovery,exhaust,and extubation was [(3.45±0.45) d,(2.86±0.49) d,(32.64±6.02) d and (3.59±0.26) d],and they were all shorter than that in the control group [(4.16±0.67) d,(3.57±0.53) d,(45.71±7.53) d and (5.17±0.84) d] (t=2.292, 2.412,2.559,2.084;P<0.05]. The intervention group had lower incidence of postoperative pulmonary infection compared with the control group (6.38% vs. 23.04%;χ2=5.371;P<0.05). After intervention,the QLQ-C30 scale indicated that the intervention group had higher scores in each dimension and higher total score than the control group (t=2.537,2.147,2.549,2.573,2.823,2.559;P<0.05).Conclusions The nursing intervention based on quantitative evaluation strategy can effectively improve the gastrointestinal function recovery and QOL of patients,and it can also reduce the related complications of patients with gastric cancer after surgery.
