刘鸷 江莲香 温五梅

[摘要]目的 探讨综合护理模式在腹部手术后粘连性肠梗阻患者中的应用效果。方法 选取2017年1月～2019年1月我院收治的80例术后粘连性肠梗阻患者作为研究对象，按照抽签法分为对照组（n=40）与观察组（n=40）。对照组采用常规护理模式;观察组采用综合护理模式。比较两组生活质量、机体行为状态评分及临床各项指标。结果 护理后，观察组生活质量评分、机体行为状态评分高于对照组，差异有统计学意义（P<0.05）。观察组胃肠功能恢复时间、肛门首次排气时间、首次排便时间短于对照组，差异有统计学意义（P<0.05）。结论 在对腹部术后粘连性肠梗阻患者采取积极治疗同时，通过对术后实施综合护理模式，能明显提高护理效果，改善各项临床指标，提高患者生活质量及行为状态，临床应用价值较高。

[关键词]综合护理模式;粘连性肠梗阻;行为状态;生活质量

[中图分类号] R473.6          [文献标识码] A          [文章编号] 1674-4721（2020）7（b）-0228-03

Application of comprehensive nursing in patients with adhesive intestinal obstruction after abdominal surgery

LIU Zhi   JIANG Lian-xiang   WEN Wu-mei

Department of Surgery， Ji′an First People′s Hospital， Jiangxi Province， Ji′an   343000， China

[Abstract] Objective To explore the application effect of comprehensive nursing in patients with adhesive intestinal obstruction after abdominal surgery. Methods A total of 80 patients with postoperative adhesive intestinal obstruction treated in our hospital from January 2017 to January 2019 were selected as research subjects. They were divided into control group （n=40） and observation group （n=40） by drawing lots. Conventional nursing was adopted in the control group， and comprehensive nursing was applied in the observation group. The quality of life， body behavior status score and clinical indicators were compared between the two groups. Results After nursing， the life quality score and body behavior status score of the observation group were higher than those of the control group， and the differences were significant （P<0.05）. The recovery time of gastrointestinal function， the time of first exhaust， and the time of first defecation in the observation group were shorter than those of the control group， and the differences were statistically significant （P<0.05）. Conclusion In the active treatment of patients with adhesive intestinal obstruction after abdominal surgery， implementing comprehensive nursing for patients can significantly enhance nursing effect， improve various clinical indicators， and improve the life quality and behavior status of patients. It has a high application value in the clinic.

[Key words] Comprehensive nursing; Adhesive intestinal obstruction; Behavior status; Quality of life

腹部術后粘连性肠梗阻通常指患者在腹腔镜术后，其肠道内容物的正常运行发生障碍所导致粘连，且粘连性肠梗阻属于腹部术后较常见并发症[1-2]。一旦患者发生粘连性肠梗阻，不但会严重影响术后预后效果，还可能诱发出现腹腔感染、肠绞窄等并发症，给患者身体健康造成严重影响。当前，临床对粘连性肠梗阻患者护理时采用传统护理模式，虽在一定程度上提高生活质量，但护理效果却不理想，以至于延长康复时间。据陶应田等[3]研究表明，在对粘连性肠梗阻患者治疗同时，通过实施综合护理模式，具有良好效果。为更好表述综合护理模式的应用效果，本研究以我院近年收治的80例术后粘连性肠梗阻患者为研究对象，现报道如下。

1资料与方法

1.1一般资料

选取2017年1月～2019年1月我院收治的80例术后粘连性肠梗阻患者为研究对象，按照抽签法分为对照组（n=40）与观察组（n=40）。……