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Application effect of situational health education in gastrointestinal function exercise for patients undergoing gastrointestinal surgery |
JIANG Huiye1 LIU Lili2▲ |
1.Department of Enteric Surgery, the Affiliated Huai’an No.1 People’s Hospital of Nanjing Medical University, Jiangsu Province, Huai’an 223300, China;
2.Department of Colorectal Surgery, the Affiliated Huai’an No.1 People’s Hospital of Nanjing Medical University, Jiangsu Province, Huai’an 223300, China |
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Abstract Objective To explore the application effect of situational health education in gastrointestinal function exercise for patients undergoing gastrointestinal surgery. Methods A total of 82 patients who planned to undergo elective gastrointestinal surgery in the Affiliated Huai’an No.1 People’s Hospital of Nanjing Medical University from January 2018 to June 2019 were selected as the subjects. By random number table method, 44 cases were divided into experimental group and 38 cases were control group. Both groups were given preoperative and postoperative gastrointestinal function exercise. The control group was treated with routine gastrointestinal function exercise and health education methods such as centralized or individual instruction, and the experimental group adopted the health education method of scenario simulation. The recovery time of gastrointestinal function, length of hospital stay, gastrointestinal complications and patient satisfaction were compared between the two groups. Results The first anal exhaust time, bowel sound recovery time, first defecation time and hospital stay in the experimental group were shorter than those in the control group, and the differences were statistically significant (P < 0.05); the incidence of gastrointestinal complications was lower than that in the control group, and the difference was statistically significant (P < 0.05); the satisfaction of experimental group was higher than that of control group, and the difference was statistically significant (P < 0.05). Conclusion Gastrointestinal function exercise scenario simulation health education is helpful to promote the recovery of gastrointestinal function in patients with gastrointestinal surgery, reduce the incidence of gastrointestinal complications, and improve patient satisfaction.
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[1] 胡叶,李萌,王毛毛,等.消化系统恶性肿瘤术后胃肠道功能紊乱的中药治疗方法分析[J].现代中医临床,2017, 24(1):48-52.
[2] 王梓鑫,魏云巍.胃肠道术后胃肠功能评估及影响因素研究进展[J].中国现代普通外科进展,2019,22(7):576-579.
[3] 乔丽君.个体化健康教育结合康复锻炼在腹腔镜结肠癌根治术患者中的应用效果[J].中国肛肠病杂志,2019,39(2):49-51.
[4] Kim E. Effect of simulation-based emergency cardiac arrest education on nursing students’ self-efficacy and critical thinking skills:Roleplay versus lecture [J]. Nurse Educ Today,2018,61:258-263.
[5] 侯亚红,燕朋波,邸红军.情景模拟演练在提高部队医院ICU护理人员灾难救援能力中的效果研究[J].中国实用护理杂志,2018,34(17):1307-1309.
[6] 汤玉梅,李芳芳,王丽,等.呼吸功能锻炼对老年腹部手术患者术后肺部感染及免疫功能的影响[J].中华医院感染学杂志,2017,27(19):4468-4471.
[7] 肖玲,曾纯,马伟钦.快速康复外科理念在胃癌根治术后患者护理中的应用[J].护理实践与研究,2019,16(11):82-84.
[8] Asrani VM,Brown A,Bissett I,et al. Impact of Intravenous Fluids and Enteral Nutrition on the Severity of Gastrointestinal Dysfunction:A Systematic Review and Meta-analysis [J]. J Crit Care Med (Targu Mures),2020,6(1):5-24.
[9] 郭苗苗,朱慧杰,薄晗,等.老年患者胃肠道手术术后恶心呕吐的危险因素分析[J].国际麻醉学与复苏杂志,2019, 40(1):25-29.
[10] 赵旻,任晖,李慧,等.个案管理模式在胃肠道肿瘤患者围手术期的应用与效果分析[J].中国实用护理杂志,2018, 34(33):2620-2625.
[11] 林瑞娇,余美红,王娟,等.品管圈在提高胃肠道术后患者功能锻炼依从性中的应用[J].解放军护理杂志,2015, 32(5):52-54,68.
[12] 陈曦,沈洪,徐萍.回馈教学对胃癌手术患者胃肠功能锻炼依从性的影响[J].中西医结合护理:中英文,2017, 3(12):142-144.
[13] 黄萍,刘文娟,范雪,等.硬膜外麻醉联合健康教育在分娩中的应用效果研究[J].解放军预防医学杂志,2019, 37(2):198.
[14] 李长风,李芳,刘素,等.健康中国背景下发展家庭医生健康行为干预技能SWOT分析[J].中国社会医学杂志,2019,36(1):73-76.
[15] 王飞宇,张玉莲.情景模拟健康教育对冠心病PCI术后患者手术认知水平及自我管理能力的影响[J].心脑血管病防治,2019,19(2):192-194.
[16] Tait L,Lee K,Rasiah R,et al. Simulation and Feedback in Health Education:A Mixed Methods Study Comparing Three Simulation Modalities [J]. Pharmacy(Basel),2018, 6(2):E41.
[17] 李冰石,侯庆梅.小群体情景模拟训练对经外周置入的中心静脉导管肿瘤患者的自我护理能力及自我效能的影响[J].解放军护理杂志,2016,33(13):28-31.
[18] 王庆菊,杜娟,许香.团体认知干预联合情景模拟体验在老年2型糖尿病患者中的应用价值[J].医学临床研究,2019,36(9):1727-1729,1732.
[19] 林郁清,周益君,史定妹.视频宣教结合回授法在头颈部肿瘤放疗患者口腔功能锻炼中的应用[J].中华护理杂志,2016(9):1090-1093.
[20] Dudi-Venkata NN,Kroon HM,Bedrikovetski S,et al. Systematic scoping review of enhanced recovery protocol recommendations targeting return of gastrointestinal function after colorectal surgery [J]. ANZ J Surg,2020, 90(1/2):41-47.
[21] 蔡小聪.胃癌术后早期康复功能锻炼结合腹部按摩对肛门排气的影响分析[J].中华肿瘤防治杂志,2016,23(S2):371-372.
[22] 杨逸潇,张炜,戚思华.胃肠道手术患者术后胃肠道功能障碍的发病机制和治疗研究进展[J].医学综述,2019, 25(15):3076-3080.
[23] 张红红,叶运廷,温静兰,等.基于循证的多学科合作快速康复护理模式在腹部肿瘤手术病人中的应用[J].循证护理,2018,4(3):250-254.
[24] 蔡桂程,王宗花,邢春苗,等.循证护理模式对胃肠手术患者早期胃肠功能恢复的影响[J].海南医学,2018,29(3):443-444.
[25] 崔皓,李颜君.健康教育联合心理干预在胃肠道手术患者中的护理效果及对术后胃肠功能的影响[J].国际护理学杂志,2018,37(19):2682-2684.
[26] 韩小英,陈春花.标准化病人运用于护理不良事件情景模拟教学的效果[J].中国当代医药,2020,27(21):177-179.
[27] 俞璐.情景模拟与病例讨论结合模式在中医住院医师规范化培训临床教学中的实践和思考[J].中国医药导报,2019,16(28):99-102. |
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