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目的探讨分级护理联合自我管理对胃癌患者根治术后感染及癌因性疲乏的影响。方法选取2014年10月至2015年10月凉山州第一人民医院收治的84例胃癌根治术患者,采用随机数字表法分为观察组和对照组,每组42例。观察组患者在常规对症护理基础上采用分级护理联合自我管理,对照组患者采用常规对症护理。比较两组患者术后的感染情况、癌因性疲乏程度、睡眠质量和护理满意率。结果护理干预后,观察组患者的术后感染发生率明显低于对照组患者;观察组患者的无癌因性疲乏比例显著高于对照组患者;观察组患者的睡眠质量明显高于对照组患者;观察组患者的护理满意率显著高于对照组患者,差异均有统计学意义(均P<0.05)。结论分级护理联合自我管理可有效改善胃癌根治术患者的术后感染情况及癌因性疲乏,改善睡眠质量,提高护理满意率。
Objective To investigate the effects of grading nursing combined with self-management on post-operative infection and cancer-related fatigue in patients with gastric cancer. Methods Eighty-four gastric cancer patients who underwent radical gastrectomy in Liangshan Prefecture First People’s Hospital from October 2014 to October 2015 were randomly divided into observation group and control group with 42 cases in each group. Patients in the observation group were treated with graded nursing combined self-management on the basis of conventional symptomatic care, and patients in the control group were treated with conventional symptomatic nursing. The postoperative infection, cancer-related fatigue, sleep quality and nursing satisfaction were compared between the two groups. Results After nursing intervention, the incidence of postoperative infection in the observation group was significantly lower than that in the control group; the proportion of cancer-free patients in the observation group was significantly higher than that in the control group; the sleep quality in the observation group was significantly higher than that in the control group . The nursing satisfaction rate of the observation group was significantly higher than that of the control group (all P <0.05). Conclusions Grading nursing combined with self-management can effectively improve postoperative infection and cancer-induced fatigue in patients with gastric cancer, improve sleep quality and improve nursing satisfaction rate.