The impact of incentive based and warning based nursing interventions on postoperative complications, psychological status, and quality of life in patients undergoing gastrointestinal surgery
激励式结合预警式护理干预对胃肠手术患者术后并发症、心理状态及生活质量的影响

摘要

目的 深入观察激励式结合预警式护理干预对胃肠手术患者术后并发症、心理状态及生活质量的影响。方法 文章研讨自2023年9月至2024年9月期间，纳入样本为本时段院内收治的80例胃癌根治术患者中，随机编号后按奇偶数原则进行分组处理，每组划入（n=40），分别命名为参照组与研究组，40例参照组患者接受常规预警式护理；40例研究组患者接受激励式联合预警式护理，而后对相关数据展开收集整理，利用统计学方法予以比对分析。比对数据包括：临床依从性、并发症发生率、心理状态（HAMA、HAMD）、生存质量表（WHOQOL-BREF）评分。结果 统计学分析后，关于HAMA、HAMD评分，研究均低于参照组，关于不良反应发生率，研究组仍低于参照组，而临床依从性和生活质量评分方面体现，则显高参照组，临床比对价值极高。结论 对于行胃癌根治手术的患者来讲，在其临床护理方案的横向选择中，建议优先采用激励式联合预警式护理，不仅能切实提升治疗依从性，改善负面情绪，降低并发症发生率，同时还可显著提升生活质量，值得推广。

Abstract

Objective To observe in depth the impact of incentive based combined with warning based nursing interventions on postoperative complications, psychological status, and quality of life in patients undergoing gastrointestinal surgery.
Methods The article discusses the period from September 2023 to September 2024, with a sample of 80 patients who underwent radical gastrectomy for gastric cancer admitted to the hospital during this period. After random numbering, they were grouped according to the odd even principle, with each group assigned to (n=40) and named as the reference group and the study group, respectively. 40 patients in the reference group received routine early warning nursing care; Forty patients in the study group received incentive based combined early warning nursing, and then collected and organized relevant data for comparative analysis using statistical methods. The comparative data includes clinical compliance, incidence of complications, psychological status (HAMA, HAMD), and quality of life scale (WHOQOL-BREF) scores.
Results After statistical analysis, the HAMA and HAMD scores in the study were lower than those in the reference group. As for the incidence of adverse reactions, the study group was still lower than the reference group. However, in terms of clinical compliance and quality of life scores, they were significantly higher in the reference group, and the clinical comparison value was extremely high.
Conclusion   For patients undergoing radical surgery for gastric cancer, it is recommended to prioritize the use of incentive based combined warning nursing in the horizontal selection of their clinical nursing plan. This not only effectively improves treatment compliance, improves negative emotions, and reduces the incidence of complications, but also significantly improves the quality of life, which is worth promoting.