【摘要】 目的:探讨路径式护理对卵巢癌术后患者胃肠功能恢复及预后的影响。方法:选取126例卵巢癌手术患者为研究对象，按照护理干预方式不同分为观察组和对照组，每组各63例。对照组患者予以手术常规护理干预；观察组患者在对照组基础上予以路径式护理干预，干预时间均为3个月。比较两组患者术后胃肠功能恢复时间及住院时间、肠鸣音恢复、首次排便时间)、疲乏症状[癌症疲乏量表(CFS)]、心理状态[焦虑自评量表(SAS)及抑郁自评量表(SDS)评分]、生活质量[癌症生命质量核心量表(QLQ-C30)及卵巢癌患者生活质量问卷评分(QLQ-OV28)]。结果:干预后，观察组患者术后胃肠功能恢复时间及住院时间短于对照组(P<0.05);CFS各项评分、SAS及SDS评分、QLQ-OV28中消化道症状、外在形象和治疗依从性评分均低于对照组(P<0.05);QLQ-C30总分高于对照组(P<0.05)。结论:路径式护理可改善卵巢癌患者术后胃肠功能及心理状况，缓解癌性疲乏，改善患者生活质量。更多还原

【Abstract】 Objective:To investigate the effect of pathway nursing on the recovery of gastrointestinal function and prognosis in patients with ovarian cancer after surgery.Methods:126 patients with ovarian cancer undergoing surgical treatment were divided into the observation group and the control group according to nursing mode, with 63 cases in each group.The patients in the control group were given routine nursing care, while the patients in the observation group were given pathway nursing on the basis of the control group.The recovery time, hospital stay of postoperative gastrointestinal function, recovery of bowel sounds, and first bowel movement time, fatigue symptoms [Cancer Fatigue Scale(CFS)],psychological status [Self Rating Anxiety Scale(SAS) and Self Rating Depression Scale(SDS) scores],quality of life [Core Cancer Quality of Life Scale(QLQ-C30) and Quality of Life Questionnaire score for ovarian cancer patients(QLQ-OV28)]were compared between two groups.Results:The postoperative gastrointestinal function recovery time and hospitalization time of the observation group were lower than those in the control group(P<0.05).The CFS scores, SAS and SDS scores, and the gastrointestinal symptoms and external image in the QLQ-OV28 score, and treatment attitude of the observation group were lower than those of the control group(P<0.05),the total score of QLQ-C30 in the observation group was higher than that in the control group(P<0.05).Conclusion:Pathway nursing can improve the gastrointestinal function and psychological status of patients with ovarian cancer after surgery, relieve cancer fatigue and significantly improve the quality of life of patients.更多还原