PDF(Pubmed)
Abstract：
BACKGROUND: Gastric cancer-related morbidity and mortality rates are high in China. Patients who have undergone gastric cancer surgery should receive six cycles of chemotherapy according to their condition. During this period, intestinal obstruction is likely to occur. Electrolyte balance disorders, peritonitis, intestinal necrosis, and even hypovolemic shock and septic shock can seriously affect the physical and mental recovery of patients and threaten their health and quality of life (QoL).
OBJECTIVE: To quantitatively explore the effects of enhanced recovery after surgery (ERAS)-based nursing on anxiety, depression, and QoL of elderly patients with postoperative intestinal obstruction after gastric cancer.
METHODS: The clinical data of 129 older patients with intestinal obstruction after gastric cancer surgery who were treated and cared for in our hospital between January 2019 and December 2021 were examined retrospectively. Nine patients dropped out because of transfer, relocation, or death. According to the order of admissions, the patients were categorized into either a comparison group or an observation group according to the random number table, with 60 cases in each group.
RESULTS: After nursing care, the observation group required significantly less time to eat for the first time, recover bowel sounds, pass gas, and defecate than the comparison group (P < 0.05). No significant difference was noted in nutrition-related indicators between the two groups before care. Before care, the Symptom Check List-90 scores between the two groups were comparable, whereas anxiety, depression, paranoia, fear, hostility, obsession, somatization, interpersonal sensitivity, and psychotic scores were significantly lower in the observation group after care (P < 0.05). The QoL scores between the two groups before care did not differ significantly. After care, the physical, social, physiological, and emotional function scores; mental health score; vitality score; and general health score were significantly higher in the observation group, whereas the somatic pain score was significantly lower in the observation group (P < 0.05).
CONCLUSIONS: ERAS-based nursing combined with conventional nursing interventions can effectively improve patient\'s QoL, negative emotions, and nutritional status; accelerate the time to first ventilation; and promote intestinal function recovery in elderly patients with postoperative intestinal obstruction after gastric cancer surgery.
OBJECTIVE: To quantitatively explore the effects of enhanced recovery after surgery (ERAS)-based nursing on anxiety, depression, and QoL of elderly patients with postoperative intestinal obstruction after gastric cancer.
METHODS: The clinical data of 129 older patients with intestinal obstruction after gastric cancer surgery who were treated and cared for in our hospital between January 2019 and December 2021 were examined retrospectively. Nine patients dropped out because of transfer, relocation, or death. According to the order of admissions, the patients were categorized into either a comparison group or an observation group according to the random number table, with 60 cases in each group.
RESULTS: After nursing care, the observation group required significantly less time to eat for the first time, recover bowel sounds, pass gas, and defecate than the comparison group (P < 0.05). No significant difference was noted in nutrition-related indicators between the two groups before care. Before care, the Symptom Check List-90 scores between the two groups were comparable, whereas anxiety, depression, paranoia, fear, hostility, obsession, somatization, interpersonal sensitivity, and psychotic scores were significantly lower in the observation group after care (P < 0.05). The QoL scores between the two groups before care did not differ significantly. After care, the physical, social, physiological, and emotional function scores; mental health score; vitality score; and general health score were significantly higher in the observation group, whereas the somatic pain score was significantly lower in the observation group (P < 0.05).
CONCLUSIONS: ERAS-based nursing combined with conventional nursing interventions can effectively improve patient\'s QoL, negative emotions, and nutritional status; accelerate the time to first ventilation; and promote intestinal function recovery in elderly patients with postoperative intestinal obstruction after gastric cancer surgery.
摘要：
背景：胃癌相关的发病率和死亡率在中国很高。接受过胃癌手术的患者应根据病情接受6个周期的化疗。在此期间,有可能发生肠梗阻。电解质平衡紊乱,腹膜炎,肠坏死,甚至低血容量性休克和感染性休克都会严重影响患者的身心恢复，威胁其健康和生活质量（QoL）。
目的：定量探讨基于加速康复外科（ERAS）的护理对焦虑的影响，抑郁症,老年胃癌术后肠梗阻患者的QoL。
方法：回顾性分析我院2019年1月至2021年12月收治的129例老年胃癌术后肠梗阻患者的临床资料。九名病人因为转院而退出治疗,搬迁,或死亡。根据录取顺序,根据随机数字表法将患者分为对照组或观察组，每组60例。
结果：经过护理，观察组首次进食时间明显减少，恢复肠鸣音,通过气体,且排便优于对照组(P<0.05)。护理前两组之间的营养相关指标没有显着差异。在护理之前，两组之间的症状检查表-90评分具有可比性，而焦虑，抑郁症,偏执狂,恐惧,敌意,痴迷，躯体化，人际关系敏感，观察组护理后精神病性评分明显低于对照组(P<0.05)。护理前两组之间的QoL评分没有显着差异。护理后,物理，社会,生理,和情绪功能评分;心理健康评分;活力评分;一般健康评分明显高于观察组,观察组躯体疼痛评分明显低于对照组(P<0.05)。
结论：以ERAS为基础的护理联合常规护理干预能有效改善患者的生活质量,负面情绪,对老年胃癌术后肠梗阻患者的治疗效果及改善营养状况；加快首次通气时间；促进肠功能恢复。
目的：定量探讨基于加速康复外科（ERAS）的护理对焦虑的影响，抑郁症,老年胃癌术后肠梗阻患者的QoL。
方法：回顾性分析我院2019年1月至2021年12月收治的129例老年胃癌术后肠梗阻患者的临床资料。九名病人因为转院而退出治疗,搬迁,或死亡。根据录取顺序,根据随机数字表法将患者分为对照组或观察组，每组60例。
结果：经过护理，观察组首次进食时间明显减少，恢复肠鸣音,通过气体,且排便优于对照组(P<0.05)。护理前两组之间的营养相关指标没有显着差异。在护理之前，两组之间的症状检查表-90评分具有可比性，而焦虑，抑郁症,偏执狂,恐惧,敌意,痴迷，躯体化，人际关系敏感，观察组护理后精神病性评分明显低于对照组(P<0.05)。护理前两组之间的QoL评分没有显着差异。护理后,物理，社会,生理,和情绪功能评分;心理健康评分;活力评分;一般健康评分明显高于观察组,观察组躯体疼痛评分明显低于对照组(P<0.05)。
结论：以ERAS为基础的护理联合常规护理干预能有效改善患者的生活质量,负面情绪,对老年胃癌术后肠梗阻患者的治疗效果及改善营养状况；加快首次通气时间；促进肠功能恢复。
