阶梯式心理护理联合早期活动对胃癌手术后患者心理健康及胃肠功能恢复的影响.

Objective To explore the effect of stepped psychological care combined with early activities on the mental health and gastrointestinal function recovery of patients with gastric cancer after operation. Methods A total of 106 patients who underwent gastric cancer surgery in our hospital from March 2020 to January 2023 were selected as the study subjects. According to the random number table method, they were divided into the control group and the observation group, with 53 cases in each group. The control group received routine care, while the observation group received stepped psychological care combined with early activities. The recovery time of gastrointestinal function, stress state, mental health and quality of life were compared between the two groups. Results The recovery time of gastrointestinal function in the observation group were shorter than those in the control group, and the difference was statistically significant(P <0.05). During the operation, the heart rate(HR), systolic blood pressure(SBP) and diastolic blood pressure(DBP) increased in both groups, but the observation group was lower than the control group, with statistically significant difference(P <0.05). After the operation, HR, SBP, and DBP decreased in both groups, and the observation group was lower than the control group, with a statistically significant differences(P <0.05). After intervention, the scores of the Self-rating Anxiety Scale(SAS) and Self-rating Depression Scale(SDS) in the observation group were lower than those in the control group, and the scores of all dimensions of the Quality of Life Inventory(QLICP) for cancer patients were higher than those in the control group, with statistically significant differences(P <0.05). Conclusion The application of stepped psychological care combined with early activities in patients with gastric cancer surgery accelerate the recovery of gastrointestinal function, effectively reduce the stress level during the operation, and improve their mental health and quality of life. [ABSTRACT FROM AUTHOR]