加速康复护理应用于结直肠癌患者术后的效果及对睡眠质量的影响  

Effect of Accelerated Rehabilitation Nursing on Postoperative Colorectal Cancer Patients and Its Effect on Sleep Quality

作　　者：廖水珍[1] 温连香[1] LIAO Shuizhen;WEN Lianxiang(Longyan First Hospital,Longyan 364000,China)

机构地区：[1]龙岩市第一医院,龙岩364000

出　　处：《世界睡眠医学杂志》2022年第10期1917-1920,共4页World Journal of Sleep Medicine

摘　　要：目的:分析加速康复护理在结直肠癌手术中的护理效果。方法:选取2020年10月至2021年9月龙岩市第一医院收治的结直肠癌手术患者120例作为研究对象,按照护理模式分为观察组和对照组,每组60例。观察组采用加速康复护理,对照组采用常规围术期护理,比较2组患者术后恢复情况、生命质量、睡眠质量、心理状态和并发症发生率。结果:术后,观察组患者腹部引流和胃管留置时间比对照组患者短,排气时间和出院时间比对照组早,2组比较差异均有统计学意义(均P<0.05);护理后,观察组生命质量评分高于对照组,睡眠质量评分低于对照组,2组比较差异均有统计学意义(均P<0.05);护理后,观察组焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分均低于对照组,2组比较差异均有统计学意义(均P<0.05);观察组并发症发生率低于对照组,2组比较差异有统计学意义(P<0.05)。结论:针对结直肠癌手术患者采用加速康复护理,可促进患者术后快速康复,提高生命质量与睡眠质量,改善心理状态,降低并发症发生率,应用效果显著。Objective:To analyze the application of accelerated rehabilitation nursing in the surgical nursing of colorectal cancer.Methods:A total of 120 patients with colorectal cancer from October 2020 to September 2021 were selected.According to the nursing mode,they were divided into observation group(accelerated rehabilitation nursing)and control group(routine perioperative nursing),with 60 cases in each group.The postoperative recovery,quality of life,sleep quality,psychological state and complications were compared.Results:After operation,the abdominal drainage and gastric tube indwelling time of patients in the observation group were shorter than those in the control group,and the exhaust time and discharge time were earlier than those in the control group.The difference between the two groups was statistically significant(P s<0.05).After nursing,the score of life quality in the observation group was higher than that in the control group,and the score of sleep quality was lower than that in the control group.The difference between the two groups was statistically significant(P s<0.05).After nursing,the Self-rating Anxiety Scale(SAS)score and Self-rating Depression Scale(SDS)score in the observation group were lower than those in the control group,and the difference between the two groups was statistically significant(both P<0.05).The incidence of complications in observation group was lower than that in control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:Accelerated rehabilitation nursing for patients undergoing colorectal cancer surgery can promote their rapid postoperative rehabilitation,improve their quality of life and sleep,optimize their psychological state and reduce complications.The application effect is significant.

关 键 词：加速康复护理 围术期护理 结直肠癌 睡眠质量 并发症 生命质量 

分 类 号：R473.6[医药卫生—护理学]