摘要：目的 讨论个体化护理肠胃手术后肠瘘患者护理中的应用效果。方法选取2023年8月~ 2024年2月收治的肠瘘患者92例作为研究对象，以就诊状态分为观察组(n = 46)和对照组(n = 46)。对照组实施常规护理的方法，观察组在常规护理的基础上再加上实施个体化护理。记录患者住院时间,手术瘘管愈合时间,患者进食时间,排气时间。采用自制护理满意度问卷患者对护理质量进行评价的方式。结果观察组患者住院时间,瘘管愈合时间,进食时间,排气时间均短于对照组，差异均有统计学意义(P < 0.05)。其中对照组护理满意度为84.78%(39 / 46)，另外观察组护理满意度大约为97.83%(45 / 46)。所以观察组护理满意度高于对照组，差异有统计学意义(P < 0.05)。结论术后护理能有效缩短肠瘘患者的康复时间，提高护理质量。

关键词：肠胃手术;并发症;胃肠肠瘘;护理

Nursing care of patients with intestinal fistula after gastrointestinal operation

Abstract: Objective To discuss the application effect of individualized nursing in patients with intestinal fistula after gastrointestinal surgery. Methods 92 patients with intestinal fistula from August 2023 to February 2024 were selected as the research objects and divided into observation group (n = 46) and control group (n = 46) according to the treatment status. The control group received routine nursing, while the observation group received individualized nursing on the basis of routine nursing. The hospitalization time, fistula healing time, eating time and exhaust time were recorded. The self-made nursing satisfaction questionnaire was used to evaluate the nursing quality. Results the hospitalization time, fistula healing time, eating time and exhaust time of the observation group were shorter than those of the control group, and the differences were statistically significant (P < 0.05). The nursing satisfaction of the control group was 84.78% (39 / 46), and that of the observation group was 97.83% (45 / 46). So the nursing satisfaction of the observation group was higher than that of the control group, the difference was statistically significant (P < 0.05). Conclusion postoperative nursing can effectively shorten the recovery time of patients with intestinal fistula and improve the quality