Perioperative nursing countermeasures for upper gastrointestinal ulcer perforation

  Objective  To explore the perioperative nursing strategies for upper gastrointestinal ulcer perforation.

  Methods  Seventy patients with upper gastrointestinal ulcer perforation were randomly divided into two groups. The routine nursing group was given perioperative routine care, and the comprehensive nursing group was given comprehensive nursing. The satisfaction, awareness score of surgical treatment necessity, the compliance of surgical treatment, the time of operation, the time of exhaustion and defecation and the length of hospital stay of two groups were compared. At the same time, the psychological and emotional scores of the Symptom Checklist (SCL) before and after treatment, as well as the incidence of nausea, vomiting, lung infection, and wound infections were compared.

  Results  The satisfaction of the comprehensive nursing group was significantly higher, and scores of the psychological and emotional indicators in the SCL of the comprehensive nursing group were significantly lower than that of the routine nursing group(P < 0.05). The cognitive scores of surgical treatment necessity and compliance of surgical treatment in the comprehensive nursing group were significantly higher than that in the routine nursing group (P < 0.05). The operation time, exhaust and defecation time, and hospitalization time of the comprehensive nursing group were significantly shorter than those of the routine nursing group (P < 0.05). The incidence of complications, such as nausea, vomiting, lung infection, and wound infection, was significantly lower in comprehensive nursing group than in the routine group (P < 0.05).

  Conclusion  Perioperative comprehensive nursing for patients with upper gastrointestinal ulcer perforation can effectively improve the patient′s cognition and compliance, shorten the operation time, reduce the complications, accelerate the recovery of postoperative gastrointestinal function, and reduce adverse mood and shorten hospitalization time, and improve care satisfaction.