基于快速康复外科理念并借助通信软件的护理管理在结直肠癌患者腹腔镜手术围手术期的应用观察  

Nursing care based on enhanced recovery after surgery with communications software support in the perioperative management of colorectal cancer patients undergoing laparoscopic surgery

作　　者：聂敏[1] 路瑶[2] Nie Min;Lu Yao(Department of Anorectal Diseases,The Third Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110003,Liaoning,China;Department of Anorectal Diseases,The Fourth Affiliated Hospital of China Medical University,Shenyang 110032,Liaoning,China)

机构地区：[1]辽宁中医药大学附属第三医院肛肠科,辽宁沈阳110003 [2]中国医科大学附属第四医院肛肠外科,辽宁沈阳110032

出　　处：《结直肠肛门外科》2021年第2期172-174,共3页Journal of Colorectal & Anal Surgery

摘　　要：目的探讨基于快速康复外科(ERAS)理念并借助通信软件的护理管理在结直肠癌患者腹腔镜手术围手术期的应用效果。方法回顾性分析2018年6月至2020年6月辽宁中医药大学附属第三医院和中国医科大学附属第四医院收治的共83例结直肠癌患者临床资料,按照不同的护理措施实施方式将患者分为对照组(n=41,予以基于ERAS理念的常规护理干预)和观察组(n=42,在对照组基础上借助通信软件管理)。比较两组术后恢复情况、术后并发症发生情况及患方对护理工作的满意度。结果观察组术后肠鸣音恢复时间、首次肛门排气时间、首次进食时间、首次下床活动时间较对照组提前,住院时间较对照组缩短,差异均有统计学意义(均P<0.05);两组首次排粪时间比较差异无统计学意义(P>0.05)。两组并发症发生率比较差异无统计学意义(P>0.05)。观察组护理工作满意度高于对照组,差异有统计学意义(P<0.05)。结论在对结直肠癌患者开展基于ERAS理念的腹腔镜手术围手术期护理干预中,借助通信软件可取得较为满意的效果,有助于促进患者术后康复,提高患方对护理工作的满意度。Objectives To investigate the effect of nursing care based on enhanced recovery after surgery(ERAS)with communications software support in the perioperative management of colorectal cancer patients undergoing laparoscopic surgery.Methods This was a retrospective analysis of 83 patients with colorectal cancer treated at the Third Affiliated Hospital of Liaoning University of Traditional Chinese Medicine and the Fourth Affiliated Hospital of China Medical University between June 2018 and June 2020.Patients were divided into the control group(receiving routine nursing care based on ERAS,n=41)and the observation group(receiving nursing care based on ERAS with communication software support,n=42)according to the nursing intervetion.Postoperative recovery and complications,as well as patients’satisfaction were compared between the two groups.Results Compared with the control group,the observation group had significantly shorter time to the return of bowel sounds after surgery,shorter time to the first postoperative flatulence,shorter time to food intake,shorter time to out-of-bed activities,and shorter duration of hospitalization(P<0.05).The two groups did not differ significantly in time to the first bowel movement and incidence of complication(P>0.05).Patients in the observation group had significantly higher satisfaction level than those in the control group(P<0.05).Conclusion Nursing care based on ERAS combined with communications software support was effective for perioperative management for colorectal cancer patients undergoing laparoscopic surgery.It facilitated patients’recovery and increased their satisfaction.

关 键 词：结直肠癌 护理 通信软件 快速康复外科 

分 类 号：R473.73[医药卫生—护理学]