快速康复外科护理联合腹腔镜结直肠癌切除术对患者术后康复的影响  

Effect of Fast Track Surgical Nursing Combined with Laparoscopic Colorectal Cancer Resection on Postoperative Rehabilitation of Patients

作　　者：郑佳 ZHENG Jia(Department of Operating Room,Fujian Shaowu Municipal Hospital,Shaowu 354000,China)

机构地区：[1]福建邵武市立医院手术室,福建邵武354000

出　　处：《中国医药指南》2022年第34期144-147,共4页Guide of China Medicine

摘　　要：目的 观察腹腔镜结直肠癌切除术应用快速康复外科护理干预对患者术后康复的影响。方法 将福建邵武市立医院2018年2月至2021年8月收治60例结直肠癌手术患者随机分为对照组(n=30例)和观察组(n=30例),两组患者分别实施传统围手术期护理和快速康复外科护理干预,比较两组患者临床康复指标、疼痛评分、营养指标、负性情绪及并发症发生情况。结果 观察组和对照组术后首次排气时间、首次排便时间、进食时间、下床时间、住院时间比较,观察组均优于对照组,P <0.05。观察组术后1 d、3 d的VAS疼痛评分均明显小于对照组,术后1 d、3 d的活动距离均明显长于对照组,术后1 d、3 d的夜间睡眠时间明显长于对照组,P <0.05。观察组和对照组术后7 d的体质量下降值、总蛋白下降值、白蛋白下降值、前白蛋白下降值比较,观察组均优于对照组,P <0.05。观察组术后7 d的焦虑自评量表和抑郁自评量表评分均低于术前及对照组术后7 d,P <0.05。观察组术后并发症发生率明显低于对照组(χ^(2)=4.812,P <0.05)。结论 腹腔镜结直肠癌切除术应用快速康复外科护理干预有助于促进患者术后胃肠功能恢复,快速恢复营养水平,改善心理状态及睡眠质量,减轻术后疼痛程度,降低并发症发生,从而促进患者术后康复。Objective To observe the effect of fast track surgical nursing intervention on postoperative rehabilitation of patients after laparoscopic colorectal cancer resection.Methods A total of 60 patients with colorectal cancer who were admitted to Fujian Shaowu Municipal Hospital from February 2018 to August 2021 were randomly divided into control group(n=30) and observation group(n=30).Patients in the two groups were given traditional perioperative nursing and fast track surgical nursing intervention,respectively.The clinical rehabilitation indicators,pain scores,nutritional indicators,negative emotions and complications were compared between the two groups.Results The observation group was better than the control group in the comparison of time to first defecation,time to first bowel movement,time to feed,time to get out of bed,and hospital stay after surgery,P<0.05.The VAS pain scores of the observation group at 1 day and 3 days after operation were significantly lower than those of the control group the mobility distances of the observation group at 1 day and 3 days after operation were significantly longer than those of the control group,the night sleep time of 1 day and 3 days after operation were significantly longer than those of the control group(P<0.05).Weight loss,total protein loss,albumin loss,prealbumin decrease value were better in the observation group than in the control group at 7 d postoperatively,P<0.05.The scores of anxiety scale and depression scale and depression scale in the observation group at 7 days after operation were lower than those before operation and 7 days after operation,P<0.05.The incidence of postoperative complications in the observation group was significantly lower than that in the control group(χ^(2)=4.812,P<0.05).Conclusions The application of fast track surgical nursing intervention in laparoscopic colorectal cancer resection can promote the recovery of gastrointestinal function,the rapid recovery of nutritional level,improve the psychological state and sleep quality,reduce

关 键 词：结直肠癌 腹腔镜手术 快速康复外科 康复效果 

分 类 号：R473.73[医药卫生—护理学]