渐进式床上康复操对结直肠癌患者术后早期肠道功能恢复的效果研究  

Effects of gradual and early rehabilitation exercise in bed on intestinal function recovery of patients undergoing colorectal resection

作　　者：宋舒[1] 李陵君 冯芳茗[2] 陈益清[1] 周嫣[2] 

机构地区：[1]上海市东方医院胃肠肛肠外科,200120 [2]上海市东方医院护理部,200120

出　　处：《中国护理管理》2017年第6期747-751,共5页Chinese Nursing Management

基　　金：上海市护理学会2015年度学会级立项课题(2015QN-B04)

摘　　要：目的 :分析渐进式床上康复操对结直肠癌患者术后早期肠道功能恢复的临床效果。方法 :将80例择期结直肠癌根治手术患者随机分为实验组和对照组各40例。实验组术后6 h开始指导患者做渐进式床上康复操,对照组采用术后常规护理。比较两组患者术后肠道功能恢复情况。结果 :实验组术后肠鸣音恢复时间、首次排气时间、首次排便时间、首次进流食时间及达到出院标准的时间均早于对照组,差异有统计学意义(P<0.05)。结论 :术后早期渐进式床上康复操具有安全性和可行性,可有效促进结直肠癌患者术后早期肠道功能的恢复。Objective： To analyze the effects of gradual and early rehabilitation exercises in bed on promoting postoperative bowel recovery in patients with colorectal cancer. Methods： Eighty colorectal cancer patients having radical surgery were randomly divided into experimental group and control group, with 40 cases in each group. The patients in experimental group began to do rehabilitation exercise in bed gradually 6 hours after the operation under nurses＇ direction, and the control group received routine care after the operation. Patients＇ recovery situation of intestinal function was compared between two groups. Resuks： The recovery time of bowel sounds, the first flatus time, first defecation time, first time of eating liquid and time of meeting the discharge standards were all earlier than those of the control group （P〈0.05）. Conclusion： The gradual and early rehabilitation exercises in bed are safe and feasible, which can effectively promote the early bowel recovery of patients with colorectal cancer after surgery.

关 键 词：渐进式床上康复操 早期 结直肠癌 肠道功能恢复 

分 类 号：R47[医药卫生—护理学]