【摘要】 目的 探讨同理心护理联合临床护理路径对结直肠癌手术患者心理韧性及胃肠功能恢复的影响。方法 随机选取2022年2月—2023年6月滨州医学院附属医院行结直肠癌手术的患者80例为研究对象，按随机数表法分为两组，各40例。对照组实施常规护理，观察组实施同理心护理联合临床护理路径。比较两组心理韧性、胃肠功能恢复时间、生活质量、并发症发生率。结果 干预后，观察组坚韧性（34.64±5.26）分、力量性（26.75±3.18）分和乐观性（12.43±2.61）分，明显高于对照组的（30.06±7.33）分、（24.61±5.34）分、（10.32±2.87）分，差异有统计学意义（t=3.211、2.178、3.440,P均<0.05）；观察组肛门通气时间（2.94±0.42）d、肠鸣音恢复时间（1.45±0.31）d、进食半流质食物时间（3.26±0.76）d，明显短于对照组，差异有统计学意义（P均<0.05）；干预后，观察组生活质量综合评定问卷各维度评分均高于对照组，差异有统计学意义（P均<0.05）；观察组并发症率低于对照组，差异有统计学意义（P<0.05）。结论 同理心护理联合临床护理路径对结直肠癌手术患者心理韧性及胃肠功能恢复有积极影响，且有助于减少并发症发生。更多还原

【Abstract】 Objective To explore the effects of empathetic nursing combined with clinical nursing pathway on mental toughness and gastrointestinal function recovery in patients undergoing colorectal cancer surgery. Methods A total of eighty patients who underwent colorectal cancer surgery in Binzhou Medical College Affiliated Hospital from February 2022 to June 2023 were randomly selected as the study objects and divided into two groups according to random number table method, with forty patients in each group. The control group was given routine nursing, and the observation group was given empathetic nursing combined with clinical nursing pathway. The mental toughness, gastrointestinal function recovery time, quality of life and complication rate of the two groups were compared. Results After intervention, the toughness scores was(34.64±5.26) points, strength scores was(26.75±3.18) points and optimism scores was(12.43±2.61) points of the observation group were significantly higher than(30.06±7.33) points,(24.61±5.34) points and(10.32±2.87) points of the control group, the differences were statistically significant(t=3.211, 2.178, 3.440, all P<0.05). The anal ventilation time was(2.94±0.42) d, bowel sound recovery time was(1.45±0.31) d and eating semiliquid food time was(3.26±0.76) d in observation group, which were significantly shorter than those in control group,the differences were statistically significant(all P<0.05). After intervention, the scores of all dimensions of comprehensive quality of life assessment questionnaire in the observation group were higher than those in the control group, and the differences were statistically significant(all P<0.05). The complication rate of the observation group was lower than that of the control group, and the difference was statistically significant(P<0.05). Conclusion Empathetic nursing combined with clinical nursing pathway has positive effects on mental toughness and gastrointestinal function recovery of patients undergoing colorectal cancer surgery, and helps to reduce complications.更多还原