摘要
Abstract
Objective:The objective of this study is to investigate the influence of perioperative nursing,grounded in the Neuman Systems Model,on the emotional well-being and postoperative recovery of patients undergoing laparoscopic radical gastrectomy for the treatment of gastric cancer,with the goal of providing new ideas and methods for perioperative nursing of gastric cancer patients and promoting the improvement of their overall recovery.Method:A total of 120 patients with laparoscopic radical gastrectomy treated in Jinan Integrated Traditional Chinese and Western Medicine Hospital from January to December 2023 were selected as the study objects and were divided into control group and an observation group by random number table method,with 60 cases in each group.The control group received standard nursing methods,while the observation group received nursing based on the Neuman Systems Model.The nursing effects of the two groups were evaluated and compared using indicators such as the Self-Rating Anxiety Scale(SAS),gastrointestinal function recovery,Health-Related Quality of Life Scale(HRQOL),Self-Rating Depression Scale(SDS),immune function indicators(CD4+T and CD8+T lymphocytes),perioperative indicators,nursing compliance,and nursing satisfaction.Result:After treatment,the scores of SAS,SDS and HRQOL in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Operation time,first time to get out of bed,ventilation time,defecation time and intraoperative fluid volume in the observation group were significantly lower than those in the control group,with statistical significance(P<0.05).And bowel sound recovery time,first feeding time,first exhaust time and hospital stay were also lower than those in the control group,with statistical significance(P<0.05).The proportion of CD4+T lymphocytes in the observation group was higher than that in the control group at 3 days after surgery and at discharge,with statistical significance(P<0.05).The proportion of CD8+T lymphocytes was lower than that of control group,and the difference was statistically significant(P<0.05).The nursing compliance and satisfaction of the observation group were also higher than that of the control group,with statistical significance(P<0.05).Conclusion:Perioperative care based on the Neumann system model has shown significant advantages in patients undergoing laparoscopic radical gastrectomy,which can effectively relieve patients'negative emotions and significantly improve their living standards.Promote postoperative recovery and immune function improvement,while enhancing patients'nursing compliance and satisfaction.关键词
纽曼系统模式/围术期护理/腹腔镜胃癌根治术/情绪状态/术后恢复Key words
Neuman Systems Model/Perioperative nursing/Laparoscopic radical gastrectomy/Emotional state/Postoperative recovery
