The Effects Of Cluster Nursing On The Incidences Of Gastroparesis Syndrome, Negative Emotions, And The Curative Effect After Laparoscopic Radical Gastrectomy

Objective: To investigate the effects of cluster nursing on the incidences of gastroparesis syndrome, negative emotions, and the curative effect after laparoscopic radical gastrectomy. Methods: A total of 195 patients undergoing laparoscopic radical gastrectomy in Harbin Medical University Cancer Hospital were recruited as the study cohort. Among them, 95 patients receiving routine nursing were enrolled in the routine group, and 100 patients receiving cluster nursing were included in the research group. The incidences of gastroparesis syndrome, the cure time, the self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores, the incidences of adverse reactions, the gastrointestinal function index (bowel sound recovery time, first exhaust time, first defecation time, feeding time, gastric tube indwelling time, gastric fluid drainage 3 days after operation), the quality of life scores (SF-36), the visual analogue scale (VAS) scores, and the nursing satisfaction were observed and compared. Results: The incidences of gastroparesis syndrome, the cure time, the SAS and SDS scores, and the incidences of adverse reactions in the research group were notably lower than the corresponding values in the routine group. The bowel sound recovery time, the first exhaust time, the first defecation time, the feeding time, the gastric tube indwelling time, and the number of patients with pain at level III in the research group were notably lower than the corresponding values in the routine group. SF 36, the number of patients with pain at levels I and II, and the nursing satisfaction of the research group were notably higher than the corresponding levels in the routine group. And there was no significant difference in the gastric fluid drainage at 3 days after the operations. Conclusion: Cluster nursing has an excellent positive effect on gastroparesis syndrome, negative emotions, and the curative effect after laparoscopic radical gastrectomy operations for gastric cancer.