快速康复外科理念在胃肠道肿瘤切除术围手术期患者中的应用研究  

Application of fast track surgery in the perioperative period of patients with gastrointestinal tumors resection

作　　者：梁润霞[1] 李新丽[1] 郭振青 白建华 LIANG Runxia;LI Xinli;GUO Zhenqing;BAI Jianhua(Department of Gastrointestinal Vascular Surgery,People’s Hospital of Puyang,Puyang 457000,He’nan,China)

机构地区：[1]濮阳市人民医院胃肠血管外科,河南濮阳457000

出　　处：《癌症进展》2021年第19期2032-2035,共4页Oncology Progress

摘　　要：目的探讨快速康复外科理念在胃肠道肿瘤切除术围手术期患者中的应用效果。方法将96例胃肠道肿瘤患者根据围手术期是否实施快速康复外科理念护理分为传统组与快速康复外科组,每组48例。比较两组患者术后手术相关指标、胃肠功能恢复情况、并发症发生情况、心理状态及护理服务满意度。结果快速康复外科组患者的停止补液时间、下床活动时间、伤口愈合时间、术后住院时间均明显短于传统组,差异均有统计学意义(P﹤0.01)。快速康复外科组患者首次进食时间、肠道排气时间及首次排便时间均明显短于传统组,差异均有统计学意义(P﹤0.01)。快速康复外科组患者术后恶心呕吐及腹胀发生率均低于传统组(P﹤0.05);而肺部感染、切口感染及吻合口瘘发生率与传统组比较,差异均无统计学意义(P﹥0.05)。干预后,两组患者的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于本组干预前,且快速康复外科组患者SAS、SDS评分均低于传统组,差异均有统计学意义(P﹤0.05)。快速康复外科组出院时的护理满意度高于传统组,差异有统计学意义(P﹤0.05)。结论对胃肠道肿瘤切除术患者围手术期实施快速康复理念护理干预,可以有效促进患者术后康复,减轻患者负性情绪,提高其护理满意度。Objective To explore the application effect of fast track surgery in the perioperative period of patients undergoing gastrointestinal tumor resection.Method A total of 96 patients with gastrointestinal tumors were divided into the traditional group and the fast track surgery group according to whether the perioperative period was implemented with fast track surgery nursing,48 cases in each group.The postoperative surgical indicators,gastrointestinal function recovery,complications,psychological status,and satisfaction with nursing care were compared between the two groups of patients.Result The time of infusion termination,getting out of bed,wound healing,and postoperative hospital stay in the fast track surgery group were significantly shorter than those of the traditional group,the differences were statistically significant(P<0.01).The time of first intake,ventilation,and the first defecation in the fast track surgery group were significantly shorter than those in the traditional group,the differences were statistically significant(P<0.01).The incidence of postoperative nausea and vomiting,abdominal distension in the fast track surgery group were lower than those in the traditional group(P<0.05);however,there were no significant differences in the incidence of lung infection,incision infection and anastomotic leakage compared with the traditional perioperative group(P>0.05).After the intervention,the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores of the two groups were lower than their before intervention,and the SAS and SDS scores of the fast track surgery group were lower than those of the traditional group,the differences were statistically significant(P<0.05).The satisfaction of nursing care in the fast track surgery group at discharge was higher than that of the traditional group,the difference was statistically significant(P<0.05).Conclusion The practice of fast track surgery nursing care for patients undergoing gastrointestinal tumor resection during the perioperative period ca

关 键 词：快速康复外科 胃肠道肿瘤 围手术期 

分 类 号：R735.23[医药卫生—肿瘤]