[1]张红丹,唐莉贞,黄 淼,等.护理专案在降低妇科恶性肿瘤患者术后腹胀发生率中的应用[J].大众科技,2020,22(05):92-94.
　Application of Nursing Project in Reducing the Incidence of PostoperativeAbdominal Distention in Patients with Gynecological Cancer[J].Popular Science & Technology,2020,22(05):92-94.
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护理专案在降低妇科恶性肿瘤患者术后腹胀发生率中的应用()
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《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
22
期数:
2020年05
页码:
92-94
栏目:
医药与卫生
出版日期:
2020-05-20

文章信息/Info

Title:
Application of Nursing Project in Reducing the Incidence of PostoperativeAbdominal Distention in Patients with Gynecological Cancer
作者:
张红丹;  唐莉贞;  黄 淼;  范颖虹;  沈 怡;  董秋庆;  石洁琼
（广西壮族自治区民族医院，广西 南宁 530001）
关键词:
妇科; 恶性肿瘤; 术后; 腹胀; 护理专案
Keywords:
gynecology;  malignant tumor;  postoperation;  abdominal distention;  nursing project
文献标志码:
A
摘要:
目的：通过实施护理专案降低妇科恶性肿瘤患者术后腹胀发生率。方法：成立护理专案小组，对妇科恶性肿瘤患者术后腹胀的发生进行原因分析，结合工作实际，确定以“降低妇科恶性肿瘤患者术后腹胀发生率”为活动主题，设定目标为：恶性肿瘤患者术后腹胀发生率在 38%，选择 2019 年 2 月至 5 月开展专案改善活动前广西壮族自治区民族医院妇科行恶性肿瘤手术患者 30 例作为对照组，2019 年 6 月至 9 月开展专案改善活动后广西壮族自治区民族医院妇科行恶性肿瘤手术患者 30 例作为观察组，进行效果评价。结果：观察两组患者术后腹胀发生率，发现妇科恶性肿瘤患者术后腹胀发生率由 86%降至 37%，观察组首次肛门排气时间差异具有统计学意义（P＜0.05）。结论：针对恶性肿瘤患者术后腹胀实施有效干预，发挥团队精神，能降低恶性肿瘤患者术后腹胀，提高了患者术后的舒适度，促进恶性肿瘤患者的术后康复，提高了护士对预防恶性肿瘤患者术后腹胀的意识，提高了妇科护理质量。
Abstract:
Objective: to reduce the incidence of postoperative abdominal distention in patients with gynecological cancer bycarrying out nursing projects. Methods: a nursing team was set up to analyze the causes of postoperative abdominal distention of patientswith gynecological malignancies. Combined with the actual work, the theme of the activity was "reducing the incidence of postoperativeabdominal distention of patients with gynecological malignancies". The goal was: the incidence of postoperative abdominal distention ofpatients with gynecological malignancies was 38%. Before the activity of project improvement from February to may 2019, thedepartment of gynecology in our hospital was selected to carry out the malignant activities 30 patients with tumor operation were taken asthe control group, and 30 patients with malignant tumor operation were taken as the observation group after special improvementactivities were carried out from June to September 2019, evaluate the effect. Results: the incidence of postoperative abdominal distentionin the two groups was observed. It was found that the incidence of postoperative abdominal distention in the patients with malignanttumors in our department decreased from 86% to 37%. The difference of the first anal exhaust time in the observation group wasstatistically significant (P＜0.05). Conclusion: effective intervention for postoperative abdominal distention of patients with malignanttumor can reduce postoperative abdominal distention of patients with malignant tumor, improve postoperative comfort of patients,promote postoperative rehabilitation of patients with malignant tumor, improve nurses’ awareness of preventing postoperative abdominaldistention of patients with malignant tumor, and improve the quality of gynecological nursing.

参考文献/References:

[1] 聂立敏，高梦颖，王国英，等. 护理专案对提高颈内深静脉导管固定规范率的效果[J]. 护理实践与研究，2017，14(9): 115-117.[2] 刘丽艳，张雅丽，秦秀芳，等. 足部塌渍对经腹腔镜卵巢囊肿剥离术后腹胀的效果研究[J]. 护士进修杂志，2016，31(23): 2152-2154.[3] 郑建敏，黄一华，陈二玲. 护理路径在妇科高龄患者肠道准备中的应用[J]. 当代护士，2018，25(3): 80-81.[4] 黄淼. 个性化便签在妇科健康教育中的应用[J]. 大众科技，2019，21(3): 107-108.[5] 刘丽丽，朱丽娜，史婷奇. 术后早期饮水对妇科腹腔镜手术患者术后腹胀的影响[J]. 中国实用护理杂志， 2017，33(2): 106-108.[6] 薄海欣，葛莉娜，薄海欣，等. 加速康复妇科围手术期护理中国专家共识[J]. 中华现代护理杂志，2019，25(6):661.[7] 廖羽，陈志峰. 体位活动指导对妇科腹腔镜患者术后胃肠蠕动功能恢复的影响[J]. 护士进修杂志，2015(8):765-767.

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备注/Memo

备注/Memo:
【收稿日期】2020-03-07【作者简介】张红丹，广西壮族自治区民族医院妇科主管护师，研究方向为临床护理。
更新日期/Last Update: 2020-08-04