目的：探讨督导式护理干预对肠梗阻导管治疗患者治疗效果的影响。方法将90例肠梗阻患者按住院时间分为干预组(2012年10月至2013年5月)和对照组(2012年3月至9月)各45例。对照组给予常规护理,干预组在此基础上,按督导式护理策略实施,团体督导、同伴督导、自我督导。比较两组患者带管期间症状困扰、睡眠质量及综合指标。结果(1)干预组症状困扰发生率51.77%明显低于对照组73.80%,差异具有统计学意义(χ2=10.382,P=0.001),且频繁程度、严重程度及困扰程度均较对照组低(P<0.05)；(2)两组患者睡眠质量存在时间效应,交互效应,组间效应差异具有统计学意义(P<0.05),干预组睡眠质量程度优于对照组；(3)干预组腹胀腹痛缓解率、自主排气时间、肠鸣音恢复时间、开始肠内营养时间均优于对照组,两者比较差异有统计学意义(t=3.902、5.845、3.633,P<0.05)。结论督导式护理干预可以提高治疗效果,使患者明确自己的治疗目标,积极主动参与到疾病护理过程中,加快患者康复。%Objective To identify the intervention of supervisory nursing intervention measurement in intestinal obstruction with ileus tube treatment. Methods Ninety cases of intestinal obstruction were divided equally into intervention group ( from October 2012 to May 2013, n=45) and control group (from March to September 2012, n=45). The patients in control group accepted standardized nursing in-tervention, and those in intervention group accepted supervisory nursing intervention in the whole process, including group supervision, peer supervision, and self supervision. Results (1) The incidence of symptom distress was 51. 77% in intervention group, which was signifi-cantly lower than that of the control group (73. 80%)(χ2 =10. 382,P=0. 001), and the degree of severity and distress levels were lower than the control group(P<0. 05). (2) The quality of sleep between the two groups had significant differences in time, interaction and group effect(P<0. 05), and the intervention group was significantly better than the control group;(3)The intervention group was better than the control group in abdominal pain, bloating relief, self-recovery exhaust time, recovery time of satisfactory sound, and there was statistically significant difference between them(P<0. 05). Conclusion Supervisory nursing intervention is feasible in clinical practice for its positive effects, such as improving the treatment effect, making clear the therapeutic goals for the patients, motivating them to the nursing process, and thus speeding up the recovery of the patients.
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