妇科恶性肿瘤全面分期术后嚼口香糖对肠功能恢复的影响

摘要

目的：观察妇科恶性肿瘤全面分期术后咀嚼口香糖对肠功能恢复的影响，为临床护理提供新思路和理论依据，提高术后护理水平。方法：选择本院2014年1月至2015年7月妇科恶性肿瘤患者104例，均接受全面分期术治疗，随机分为对照组和干预组，两组各52例，对照组患者术后进行常规护理；干预组患者在对照组基础上应用咀嚼口香糖法进行护理；主要观察患者的排气时间、排便时间、肠蠕动时间、正常进食时间及住院时间，观察患者术后不良反应，并评估患者生活质量及护理依从度和满意度。结果：干预组患者排气时间、肠蠕动恢复时间、排便时间、正常进食时间和住院时间分别为（25．46±3．08）h、（37．62±3．77）h、（39．20±4．15）h、（2．82±0．16）d 和（11．29±0．69）d，均低于对照组，差异有统计学意义（P＜0．05），干预组患者术后不良反应发生率为9．62％（5／52），低于对照组19．23％（10／52），差异有统计学意义（P＜0．05），干预组患者术后生活质量和护理满意度结果分别为（84．93±5．98）分和（96．82±7．11）分，均高于对照组，差异有统计学意义（P＜0．05）。结论：妇科恶性肿瘤全面分期术后嚼口香糖对能够显著缩短肠功能恢复时间，降低术后不良反应，提高患者生活质量和护理满意度，并具有一定的护理依从性。%Objective: To observe the influence of chewing gum on the intestinal function recovery after comprehensive stage surgery in patient with gynecological malignant tumor .And to provide new ideas and theo-retical basis for clinical nursing and improve the level of postoperative care .Methods: 104 cases of gynecolog-ic malignant tumor patients, received comprehensive stage surgery , were selected as objects in our hospital from January 2014 to July 2015.They were randomly divided into the control group and the intervention group , 52 cases in each group.The patients in control group given were routine postoperative nursing , and the inter-vention group application method of chewing gum care based on the control group .Mainly observed the patient's exhaust time, defecation time, intestinal peristalsis, normal eating time and length of hospital stay , the postoperative adverse reactions incidence , and evaluated patient's quality of life, the compliance and nursing satisfaction.Results:The exhaust time, intestinal peristalsis recovery time, defecation time, normal eating time and hospital stay time of the intervention group were respectively (25.46±3.08) h, (37.62±3.77) h, (39.20±4.15) h, (2.82±0.16) d and (11.29±0.69) d, which were lower than the control group, the differ-ence was statistically significant (P<0.05).The postoperative adverse reactions incidence of the intervention group was 9.62% (5/52), which was lower than the control group 19.23% (10/52), the difference was sta-tistically significant (P<0.05).The postoperative quality of life and nursing satisfaction results of the interven -tion group were respectively (84.93±5.98) points and (96.82±7.11) points, which was higher than the con-trol group, the difference was statistically significant (P <0.05).Conclusion: Chewing gum after gynecologic malignant tumor staging comprehensive surgery can significantly shorten the intestinal function recovery time , reduce the postoperative adverse reactions ,and it can improve the quality of life and nursing satisfaction , and they have the certain nursing compliance .