摘要
目的 讨论及研究早期床上抗阻运动对胃肠道肿瘤患者术后康复护理的影响。方法 纳入本次研究患者的数量80例，时间范围2023年1月份至2023年12月份，依据患者入院治疗时间的先后顺序分成对照组和实验组，每组患者的数量为40例，对照组患者提供早期离床活动，实验组提供早期床上抗阻运动，分析两组患者干预前后的疼痛程度、惯用手握力、消化道功能恢复时间、导管留置时间、术后住院时间。结果 实验组患者疼痛程度更轻，而且患者的惯用手握力、消化道功能恢复时间、导管留置时间、术后住院时间明显更低，p<0.05。结论 对胃肠道肿瘤患者在术后康复护理期间，提供早期床上抗阻运动，可以改善患者的疼痛程度，缩短患者的导管留置时间、以及住院天数，减少患者住院期间产生的费用，值得提倡。
关键词： 早期床上抗阻运动；胃肠道肿瘤患者；术后康复护理
Abstract
Objective To discuss and study the effect of early bed resistance exercise on postoperative rehabilitation nursing of patients with gastrointestinal tumors. Methods A total of 80 patients were included in this study, with a time range from January 2023 to December 2023. They were divided into control group and experimental group according to the order of hospitalization time, with 40 patients in each group. Patients in the control group were provided with early get-out-of-bed activities, while those in the experimental group were provided with early anti-resistance exercise. The pain degree, dominant hand grip strength, digestive function recovery time, catheter retention time and postoperative hospital stay of the two groups were analyzed. Results The pain degree of the experimental group was less, and the dominant hand grip strength, digestive tract function recovery time, catheter retention time and postoperative hospitalization time were significantly lower, p<0.05. Conclusion Providing early bed resistance exercise during postoperative rehabilitation nursing for patients with gastrointestinal tumors can improve the pain degree of patients, shorten the catheter retention time and hospitalization days of patients, and reduce the costs incurred during hospitalization, which is worth advocating.
Key words： Early resistance movement in bed; Patients with gastrointestinal tumors; Postoperative rehabilitation nursing
参考文献 References
[1] 赵媛.加速康复外科理念对胃肠道恶性肿瘤根治术患者早期下床活动的影响[J].实用临床护理学电子杂志, 2020(005-052).
[2] 吴先群.外科快速康复模式在胃肠道恶性肿瘤手术患者中实施对术后康复影响[J].东方药膳, 2020, 000(003):99.
[3] 王凡,刘雅茹.抗阻运动康复训练对乳腺癌术后上肢淋巴水肿患者负性情绪,肩关节活动度的影响[J].反射疗法与康复医学, 2023(016):004.
[4] 张夕芬.术后早期运动护理对胃肠道肿瘤手术患者术后恢复的效果[J].中文科技期刊数据库(文摘版)医药卫生, 2022(12):3.
[5] 李晓娟,关碧,王慧,等.基于时机理论的综合性护理干预对胃肠道肿瘤患者疗效及术后并发症的影响[J].河北医药, 2021, 43(21):5.
[6] 吴茜,汪夏云,顾一帆,等.胃肠道肿瘤患者术后早期下床活动现状及影响因素分析[J].护理学杂志, 2021, 36 (15):3.
[7] 丰先立.人性化干预对胃肠道肿瘤术后患者自我效能感及生活质量的影响[J].中外医疗, 2022(007):041.
[8] 徐向宇,蒋朝阳.加速康复理念下胃肠道肿瘤患者术后早期活动的研究进展[J].中国科技期刊数据库 医药, 2022(9):4.
[9] 王硕,姜灿,张晓雪,等.早期渐进式抗阻运动方案对胰腺手术术后患者临床结局的影响及安全性评价[J].中国护理管理, 2021, 21(3):6.
[10] Yijin H ,Chunmei W ,Biyu W .Effects of Resistance Exercise on Symptoms, Physical Function, and Quality of Life in Gastrointestinal Cancer Patients Undergoing Chemotherapy[J].Integrative Cancer Therapies,2020,191 534735420954912-1534735420954912.