加快康复护理模式对腹腔镜右半结肠切除术患者术后康复的影响  

Effects of accelerated rehabilitation nursing mode on postoperative rehabilitation of patients undergoing laparoscopic right hemicolectomy

作　　者：聂凤妹[1] 黎少芳[1] 严业华 苏焕玲[1] 李海燕[1] Nie Fengmei;Li Shaofang;Yan Yehua;Su Huanling;Li Haiyan(Gastrointestinal Hepatobiliary Surgery, the Second People's Hospital of Foshan City, Guangdong Province, Foshan 528000, China)

机构地区：[1]广东省佛山市第二人民医院胃肠肝胆外科,528000

出　　处：《国际护理学杂志》2019年第8期1060-1064,共5页international journal of nursing

基　　金：广东省佛山市科技局科研基金项目(2017AB001721).

摘　　要：目的探讨加快康复护理模式对腹腔镜右半结肠切除术后患者康复的影响。方法选取2016年1月~2017年12月该院收治的拟行腹腔镜右半结肠切除术的右半结肠癌患者52例为研究对象。其中2016年1~12月收治的患者26例为对照组,实施常规护理模式。2017年1~12月收治的患者26例设为观察组,在常规护理的基础上实施加快康复护理模式。观察两组患者术后胃肠功能恢复情况及住院时间,观察两组患者住院期间并发症,采用EORTC QLQ-C30量表评价两组患者生活质量。结果观察组术后肠鸣音恢复时间、初次排气、排便时间、恢复普食时间及术后住院时间均少于对照组,差异有统计学意义(均P<0.05);观察组术后并发症发生率19.23%明显低于对照组53.85%,差异有统计学意义(χ^2=6.717,P<0.05);观察组术后1周恶心/呕吐、疼痛、疲乏、便秘、食欲下降等部分生活质量指标评分均明显低于对照组,差异有统计学意义(均P<0.05);观察组护理满意度96.15%(25/26)明显优于对照组76.92%(20/26),差异有统计学意义(χ^2=4.127,P<0.05)。结论加快康复护理模式有助于促进腹腔镜右半结肠癌术后患者胃肠功能的恢复、缩短住院时间,可有效改善患者的生活质量。Objective To explore the effect of accelerated rehabilitation nursing mode on rehabilitation of patients after laparoscopic right hemicolectomy. Methods From January 2016 to December 2017, 52 patients with right colon cancer who were admitted to the hospital for laparoscopic right hemicolectomy were selected as subjects.Among them, 26 patients admitted from January to December 2016 were the control group, and the routine nursing mode was implemented.26 patients admitted to the hospital from January to December 2017 were set as observation group, and the accelerated rehabilitation nursing mode was implemented on the basis of routine nursing.The postoperative recovery of gastrointestinal function and the length of hospitalization in the two groups were observed, and complications during hospitalization in the two groups were observed. EORTC QLQ-C30 scale was used to evaluate the quality of life of the patients in the two groups. Results The recovery time of postoperative bowel sounds, initial exhaust, defecation time, recovery time of normal diet and postoperative hospitalization time in the observation group were all less than those in the control group, and the differences were statistically significant(P<0.05). The incidence of postoperative complications in the observation group was 19.23% lower than that in the control group(53.85%), and the difference was statistically significant(χ^2=6.717, P<0.05). The scores of nausea/vomiting, pain, fatigue, constipation, appetite loss and other quality of life indicators in the observation group were significantly lower than those in the control group 1 week after surgery, with statistically significant differences(P<0.05). The nursing satisfaction of the observation group was 96.15%(25/26), which was obviously better than the control group's 76.92%(20/26). The difference was statistically significant(χ^2=4.127, P<0.05). Conclusions To accelerate the rehabilitation nursing mode is helpful to promote the recovery of gastrointestinal function after laparoscopic right col

关 键 词：加快康复护理模式 腹腔镜右半结肠切除术 胃肠功能 生活质量 

分 类 号：R473.73[医药卫生—护理学]