手术室护理干预对直肠癌患者术后快速康复作用的研究  

The effect of operating room nursing intervention on rapid postoperative rehabilitation of patients with rectal cancer

作　　者：李旭阳 李明睿 刘鑫 王欣欣[2] Li Xuyang;Li Mingrui;Liu Xin;Wang Xinxin(Operating room,the Third Affiliated Hospital of Harbin Medical University,Harbin 150081,China;Operating room,the Second Affiliated Hospital of Harbin Medical University,Harbin 150081,China)

机构地区：[1]哈尔滨医科大学附属肿瘤医院手术室,150081 [2]哈尔滨医科大学附属第二医院手术室,150081

出　　处：《中华结直肠疾病电子杂志》2020年第6期633-635,共3页Chinese Journal of Colorectal Diseases(Electronic Edition)

基　　金：国家自然科学基金青年项目(No.8170031418)。

摘　　要：目的探讨手术室护理干预对直肠癌患者术后快速康复的辅助作用。方法选取哈尔滨医科大学附属肿瘤医院于2017年12月至2019年6月收治的120例行腹腔镜下直肠癌根治术的手术患者,根据入组的先后顺序分为两组,常规护理组60例,特殊护理组60例。常规护理组实施传统手术护理,特殊护理组则在此基础上,开展手术室综合护理干预,而后对其年龄、性别、手术时间等基础情况进行基线分析,对比两组术后首次排气时间、术后首次进食时间、住院时间及并发症的发生情况。结果特殊护理组在术后首次进食时间(t=2.739,P=0.009)、术后首次排气时间(t=2.237,P=0.026)及术后住院天数(t=2.012,P=0.046)上要优于常规护理组,且两组比较差异有统计学意义。结论针对行直肠癌手术患者,对其实施强化的、系统化的手术室护理干预,能加快患者的胃肠道功能恢复,缩短住院时间,契合快速康复理念,具有临床应用价值。Objective Explore the auxiliary effect of nursing intervention in the operating room on the rapid postoperative recovery of rectal cancer patients.Medthods A total of 120 patients undergoing radical laparoscopic colorectal cancer surgery who were admitted to the Cancer Hospital of Harbin Medical University from December 2017 to June 2019 were selected and divided into two groups.Sixty cases in each group,the conventional nursing group implemented traditional surgical care,and the special nursing group based on this,carried out comprehensive nursing interventions in the operating room,and then performed a baseline analysis of their basic conditions such as age,gender,and operation time.The time of exhaustion,the time of first meal after surgery,the length of hospitalization and the occurrence of complications.Results The special care group was superior to the conventional care group in the time of first postoperative feeding(t=2.739,P=0.009),time of first postoperative exhaust(t=2.237,P=0.026)and postoperative hospital stay(t=2.012,P=0.046),and the difference between the two groups was statistically significant.Conclusion For patients undergoing rectal cancer surgery,the implementation of intensive and systematic nursing intervention in the operating room can accelerate the recovery of patients′gastrointestinal function and shorten the length of hospitalization,which conforms to the concept of rapid rehabilitation and has clinical application value.

关 键 词：直肠肿瘤 手术室护理 干预 快速康复理念 

分 类 号：R472.3[医药卫生—护理学]