李静 赵滢

    [摘要] 目的 探討责任制小组在胃癌术后早期肠内营养护理中的应用及效果。 方法 回顾性分析2014年3月～2015年3月于中国医科大学附属盛京医院行手术的胃癌患者60例临床资料。根据护理方式不同将患者分为观察组与对照组，各组30例。对照组采用常规护理方式，观察组采用责任制小组的护理方式。比较两组术后一般情况(住院时间、肠鸣音恢复时间、排便及排气时间、进食时间)、术前及术后8 d的营养情况(体重、总蛋白、前白蛋白及清蛋白水平)、护理满意度、并发症情况。 结果 观察组住院时间、肠鸣音恢复时间、排便及排气时间、进食时间均较对照组短，差异有统计学意义(P 0.05)；两组术后8 d的总蛋白、前白蛋白及清蛋白水平比较差异均有统计学意义(P 0.05)。结论 责任制小组护理方案提高了肠内营养护理质量和水平，提高了服务满意度，促进了患者恢复，值得临床推广应用。

    [关键词] 责任制小组；肠内营养；胃癌

    [中图分类号] R473.73 [文献标识码] A [文章编号] 1673-7210(2016)03(a)-0173-04

    Application and effect of responsibility system nursing team in early enteral nutrition care after gastric carcinoma operation

    LI Jing1 ZHAO Ying2▲

    1.Ward of Colorectal Neoplasms and Anal Disease， Shengjing Hospital Affiliated to China Medical University， Liaoning Province， Shenyang 110004， China； 2.Gastrointestinal Nutrition Weight Loss Ward of the Third General Surgery， Shengjing Hospital Affiliated to China Medical University， Liaoning Province， Shenyang 110004， China

    [Abstract] Objective To discuss application and effect of responsibility system nursing team in early enteral nutrition care after gastric carcinoma operation. Methods Clinical data of 60 patients with gastric carcinoma underwent operation in Shengjing Hospital Affiliated to China Medical University from March 2014 to March 2015 were analyzed retrospectively. According to the different nursing ways ......