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临床护理进展

Journal of Advances in Clinical Nursing

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Journal of Advances in Clinical Nursing. 2025; 4: (9) ; 10.12208/j.jacn.20250475 .

The effect of early nutritional intervention combined with comfort care on stress response and gastrointestinal function in patients undergoing abdominal surgery
早期营养干预联合舒适护理对腹部手术患者应激反应及胃肠功能的影响

作者: 李冬梅 *

湖北省十堰市太和医院 湖北十堰

*通讯作者: 李冬梅,单位:湖北省十堰市太和医院 湖北十堰;

引用本文: 李冬梅 早期营养干预联合舒适护理对腹部手术患者应激反应及胃肠功能的影响[J]. 临床护理进展, 2025; 4: (9) : 115-117.
Published: 2025/9/17 10:50:32

摘要

目的 为缓解腹部手术患者应激反应,促进胃肠功能修复,对早期营养干预联合舒适护理的效果进行探究。方法 择取2023年1月-2024年12月期间在本院行腹部手术患者中的100例为研究对象,随机分组,对照组(50例)实施常规护理,观察组(50例)实施早期营养干预联合舒适护理,从应激反应指标、血清营养学指标、胃肠功能恢复时间展开数据研究。结果 通过早期营养干预联合舒适护理的观察组患者应激反应指标、血清营养学指标明显优于对照组,胃肠功能恢复时间更短,数据差异明显,P<0.05,具有统计学意义。结论 早期营养干预联合舒适护理可有效缓解患者应激反应,促进胃肠功能修复,对腹部手术患者应激反应及胃肠功能有积极的影响。

关键词: 早期营养干预;舒适护理;腹部手术;应激反应;胃肠功能

Abstract

Objective To explore the effect of early nutritional intervention combined with comfort care in order to alleviate stress reactions in patients undergoing abdominal surgery and promote gastrointestinal function repair.
Methods A total of 100 patients who underwent abdominal surgery in our hospital from January 2023 to December 2024 were selected as the research subjects. They were randomly divided into two groups: the control group (50 cases) received routine nursing care, and the observation group (50 cases) received early nutritional intervention combined with comfort care. The data was studied from stress response indicators, blood nutrition indicators, and gastrointestinal function recovery time.
Results The observation group of patients who received early nutritional intervention combined with comfort care showed significantly better stress response indicators and serum nutritional indicators than the control group. The recovery time of gastrointestinal function was shorter, and the data differences were significant, P<0.05, Has statistical significance.
Conclusion   Early nutritional intervention combined with comfort care can effectively alleviate patients' stress response, promote gastrointestinal function repair, and have a positive impact on stress response and gastrointestinal function in patients undergoing abdominal surgery.

Key words: Early nutritional intervention; Comfort care; Abdominal surgery; Stress response; Gastrointestinal function

参考文献 References

[1] 侯丽萍,张东艳,梁利红,等. 术后早期营养干预对胆管癌术后患者恢复效果及胃肠功能的影响[J]. 河北医药, 2022, 44(14):2179-2181+2185.

[2] 张玉伟. 早期营养干预对腹腔镜胆囊切除术后患者胃肠功能及应激反应的影响[J]. 医学理论与实践,2022, 35(07): 1229-1230. 

[3] 丁春棉. 麻醉医师和专科医师指导下改良APS管理对腹部手术患者术后疼痛和生理功能恢复的影响[J]. 微量元素与健康研究,2023,40(06):19-21.

[4] 潘巧,李漓,王灵晓,等. 基于指南的成人腹部手术患者术后疼痛评估与管理的循证实践[J]. 现代临床护理,2021, 20(12): 13-20.

[5] 陈婷. 舒适护理在胃肠道手术患者中的应用及对胃肠功能、睡眠质量的影响分析[J]. 世界睡眠医学杂志,2023, 10(12): 2941-2943.

[6] 施晓兰,李鹤,卞丽芳,等. 肝癌患者术后胃肠功能障碍预防和管理的最佳证据总结[J]. 加速康复外科杂志,2024, 7(04):145-151.

[7] 高娣,李敏,张锦,等. 早期营养干预联合舒适护理对腹部手术患者应激反应及胃肠功能的影响[J]. 中国医药导报, 2021, 18(24):163-166. 

[8] 林钐. 舒适护理在胃肠道手术患者中的应用及对胃肠蠕动功能恢复的影响[J]. 中外医疗,2022,41(15):134-137+142. 

[9] 徐莉娜. 舒适护理在阑尾炎手术护理中的应用效果观察与分析[J]. 黑龙江中医药,2021,50(04):400-401.

[10] 黄菲,吴晨曦. 心理护理干预对腹部手术患者的护理效果[J]. 西藏医药,2024,45(06):120-121.