| Purpose:Method:Trough this study,we collected the cases of colorectal surgery patients after abdominal surgery,analysis and search for the best nursing way to improve the recovery of intestinal peristalsis.In order to provide scientific basis for the clinical use of effective nursing measures,to determine and promote safe,feasible and effective way to promote the recovery of intestinal peristalsis function,to make a contribution to the development of clinical of clinical nursing.collected in April 2015- June 2016 jilin university first hospital, Bethune the inpatient cases of hospitalized patients in colorectal surgery.(2) the self-designed nursing observation records Patients with clinical information collected by way of collecting data and reading medical records.(3) collect relative factors may affect the recovery of intestinal function Contents include age, gender, health forms, cultural degree, nutritional status, the main basic diseases(diabetes, heart disease, high blood pressure, thyroid disease), prompt the recovery of gastrointestinal peristalsis index(the recovery time of bowel sounds, for the first time, for the first time the anus exhaust time defecation time, stomach tube, urine tube, pull out the drainage tube time, parenteral nutrition stop time, eat, water for the first time what is happening, patients with postoperative abdominal distention, wound healing time and complications), promote intestinal peristalsis function recovery nursing measures(mainly includes the following seven aspects: chewing gum, hot compress, massage abdomen, bed turn, effective cough, take a deep breath, hot water foot bath, bed early, carry buttock movement.)(4) Described the analysis the Nursing intervention of the collected cases.Through single factor analysis method,analysis method and the highest frequency of many factors,get the effectiveness of individual nursing measures,analysis of nursing clinical application of frequent,and the effective measures of combined nursing methods.Result:Included in the total 232 cases of patients, among which 145 were male, female 87 cases, age distribution, 20-90 years old. Selected patients with nursing intervention, including individual take chewing gum with 127 cases, accounting for 54.74% of the total number of cases; Take hot compress, massage abdomen in 61 patients, accounted for 26.29% of the total; To bed turn 166, or 71.55% of the total; Take effective cases of cough, take a deep breath a way of nursing for 113 cases, accounted for 48.71%; Take the hot water foot bath nursing methods of 95 patients, 40.95% of the total; Early ambulation the nursing measures of patients with the proportion is 56.9%, there are about 132 cases. Take up 111 patients with hip movement, or about 47.84% of the total; Seven nursing measures through the combination of frequency calculation, it is concluded that the two,three nursing combination frequency. Through the above data analysis, combined with clinical nursing measures of operability, and the patient's compliance, finally determine the chewing gum combined bed turn combined early ambulation are frequently used for clinical nursing. The results of single factor analysis showed that the recovery of intestinal function recovery over the bed, early ambulation on intestinal peristalsis, there are significant effects for the first time to exhaust the difference(P<0.05); turn over in bed on the first defecation was statistically significant(P<0.05); early ambulation dynamic effect on abdominal distension was statistically significant(P<0.05); turn over in bed effect on intestinal function of the combined index of the difference was statistically significant(P<0.05). The Logistic multi factor indexes of intestinal function regression analysis showed that early ambulation is restoration of bloating and intestinal peristalsis; age, early ambulation is the influence factors of the first exhaust time; the degree of culture turn over in bed, duration of anesthesia, and early ambulation are the factors influencing the first defecation time management; anesthesia, combined with nursing measures(chewing gum, double bed As well as early bed activities combined application) is a comprehensive index of gastrointestinal evaluation of the impact factor.All nursing measures(chew gum, roll over on the bed, bed and early to rise, etc.) on wound healing bad happens, complications had no obvious effect, P > 0.05, no statistical significance.Conclusion:(1) Early bed activities can effectively reduce the incidence of abdominal distension, promote intestinal peristalsis and shorten the first exhaust, defecation time, and can improve the comprehensive index of gastrointestinal evaluation;(2) In patients after abdominal operation, it is beneficial to promote the recovery of gastrointestinal function after operation;(3) The nursing measures for the patients in bed after abdominal intestinal surgery is conducive to the early first defecation time, improve the comprehensive index of gastrointestinal evaluation, and accelerate the rehabilitation of patients.(4) Combined nursing methods(combined with the application of chewing gum, three kinds of nursing measures in bed and early bed activities) can promote the recovery of intestinal function in patients after intestinal surgery.(5) All the nursing measures for the occurrence of postoperative complications and poor wound healing situation had no obvious effect, for clinical safe and effective nursing intervention measures. |
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