改良呼吸训练操对食管癌术后患者恶心呕吐的影响
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女,博士在读,主管护师,护士长

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上海市卫生健康委员会科研项目(20214Y0249);上海市浦东新区卫生系统重要薄弱学科建设资助项目(PWZbr2022-04)


Effect of modified breathing exercise on postoperative nausea and vomiting in patients with esophageal cancer
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    目的 探讨改良呼吸训练操对食管癌术后患者经口进食期间恶心呕吐的影响。 方法 将57例择期行食管癌根治术患者分为对照组29例和观察组28例,对照组给予围手术期常规护理,观察组在此基础上采用改良呼吸训练操进行功能锻炼,入院时即开始,每天训练4次,每次20 min,共训练8周,术后1周、2周、4周及8周采用罗德恶心呕吐指数量表和呕吐生活功能指数量表评价干预效果。 结果 术后1周、2周、4周和8周观察组经口进食期间恶心呕吐症状及生活功能评分显著优于对照组(均P<0.05)。 结论 改良呼吸训练操可改善食管癌患者术后经口进食期间恶心呕吐症状,提高患者术后生活质量。

    Abstract:

    Objective To explore the effect of modified breathing exercise on nausea and vomiting during oral feeding in esophageal cancer patients after surgery. Methods A total of 57 patients undergoing elective radical resection of esophageal cancer were selected and divided into a control group (n=29) and an experimental group (n=28).The control group received routine perioperative nursing, while the experimental group additionally conducted functional exercise by modified breathing exercise, which started at admission, 4 times a day, 20 minutes each time, lasting 8 weeks.The intervention effect was evaluated at 1 week, 2 weeks, 4 weeks and 8 weeks after operation by using the Index of Nausea and Vomiting nd Retching (INVR) and Functional Living Index-Emesis (FLIE). Results During oral feeding, the scores of INVR and FLIE at 1 week, 2 weeks, 4 weeks and 8 weeks after operation in the experimental group were significantly better than those of the control group(all P<0.05). Conclusion The modified breathing exercise can improve the symptoms of nausea and vomiting during oral feeding in esophageal cancer patients after surge-ry, and promote their postoperative quality of life.

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白联缔,汪进益,刘杰.改良呼吸训练操对食管癌术后患者恶心呕吐的影响[J].护理学杂志,2023,28(5):62-65

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  • 收稿日期:2022-10-27
  • 最后修改日期:2022-12-27
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  • 在线发布日期: 2023-12-29