快速康复外科护理路径在胃癌根治术中的应用  

Application of nursing path based on theory of fast-track surgery in patients with radical gastrectomy for gastric cancer

作　　者：杭凌[1] 丁晓艳[1] 唐树银 姚红[1] 

机构地区：[1]江苏省无锡市第四人民医院微创外科,江苏无锡214062

出　　处：《中西医结合护理（中英文）》2016年第10期46-48,52,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨基于快速康复外科(FTS)理念的护理路径在胃癌根治术中的应用效果。方法选取行胃癌根治术的患者447例,根据围手术期间护理干预方式不同分为实验组和对照组。对照组169例患者给予常规护理,实验组278例患者实施基于FTS理念的护理路径。对比2组术后临床指标差异。结果实验组术后3d疼痛程度评分低于对照组,首次下床活动时间、肠功能恢复时间,首次排便时间、尿管拔除时间、引流管拔除时间均早于对照组,住院时间短于对照组,差异有统计学意义(P<0.05或P<0.01)。结论 FTS护理路径在胃癌根治手术患者中应用安全有效,能促进患者术后康复。Objective To investigate the effect of nursing path based on theory of fast-track surgery（ FTS） in patients with radical gastrectomy for gastric cancer. Methods A total of 447 patients undergoing radical gastrectomy for gastric cancer were assigned to the study group（ n = 278） and the control group（ n = 169）） according to the nursing interventions received. The control group was given routing nursing care routing nursing care,and the study group was given FTS-based nursing path. The postoperative outcomes of patients were compared between two groups. Results The pain degree was lower in the study group than that of controls at 3 days after operation,with a significant difference（ P〈0.05）. Patients in the study group hand early time in off-bed activity,intestinal function recovery,defecation,urinary catheter extraction,drainage tube extraction,as well as shorter length of stay,compared with those in the control group（ P〈0.05 or P〈0.01）. Conclusion FTSbased nursing path is a safe and effective approach for surgical patients with gastric cancer. It helps to achieve clinically meaningful outcomes by accelerating rehabilitation and reducing the length of postoperative hospital stay.

关 键 词：快速康复外科 护理路径 胃癌根治术 

分 类 号：R473.73[医药卫生—护理学]