快速康复外科护理干预对腹腔镜结直肠癌根治患者术后康复及生活质量的影响分析  

Effect of Rapid Rehabilitation Surgical Nursing Intervention on Postoperative Rehabilitation and Quality of Life of Patients with Laparoscopic Radical Resection of Colorectal Cancer

作　　者：念慧影 姜秀蓉[1] 高玉凤 NIAN Huiying;JIANG Xiurong;GAO Yufeng(People's Hospital Affiliated to Fujian University of Chinese Medicine,Fuzhou 350004,China)

机构地区：[1]福建中医药大学附属人民医院,福建福州350004

出　　处：《中国医药指南》2023年第4期164-166,170,共4页Guide of China Medicine

摘　　要：目的 探讨快速康复外科护理干预对腹腔镜结直肠癌根治术患者术后康复及生活质量的影响。方法 选取本院2020年3月至2021年7月收治的85例结直肠癌患者展开研究,纳入研究的患者均接受腹腔镜手术治疗。将纳入研究的患者以统计学软件SAS的随机数模块分成两组,对照组(n=42)、观察组(n=43)。对照组在患者围手术期开展常规护理,观察组在围手术期开展快速康复外科理念(FTS)护理干预,对比两组患者手术主要指标、并发症情况、生活质量、护理满意度。结果 观察组排气时间、排便时间、下床活动时间、出院时间、进食时间均早于对照组,差异有统计学意义(P <0.05)。观察组吻合口瘘、泌尿系统感染、深静脉血栓、压疮、切口感染等并发症发生率为9.30%(4/43),对照组为30.95%(13/42),两组对比差异有统计学意义(P <0.05)。护理前两组癌症患者生活质量测定量表(EORTC QLQ-C30)对比差异不显著(P> 0.05);护理1周、护理2周、护理4周、护理12周后观察组评分高于对照组,差异有统计学意义(P <0.05)。观察组护理满意度为97.67%(42/43),对照组护理满意度73.81%(31/42),两组护理满意度对比差异有统计学意义(P <0.05)。结论 FTS护理干预可有效促进患者康复,使手术后各项指标的恢复时间缩短,并有效降低患者并发症风险,最终使患者在术后保持较高的生活质量和护理满意度。Objective To explore the effect of rapid rehabilitation surgical nursing intervention on postoperative rehabilitation and quality of life of patients undergoing laparoscopic radical resection of colorectal cancer. Methods Eight-five patients with colorectal cancer treated in our hospital from March 2020 to July 2021 were selected for the study. All the patients included in the study received laparoscopic surgery. The patients included in the study were divided into two groups by random number module of statistical software SAS, control group(n=42) and observation group(n=43).The control group carried out routine nursing during the perioperative period, and the observation group carried out rapid rehabilitation surgery concept(FTS) nursing intervention during the perioperative period. The main indexes, complications, quality of life and nursing satisfaction of the two groups were compared. Results the exhaust time, defecation time, out of bed activity time, discharge time and eating time in the observation group were earlier than those in the control group(P<0.05). The incidence of complications such as anastomotic fistula, urinary system infection,deep venous thrombosis, pressure ulcer and incision infection in the observation group was 9.30%(4/43) and 30.95%(13/42) in the control group.There was significant difference between the two groups(P<0.05). There was no significant difference in quality of life scale(EORTC QLQ-C30)between the two groups before nursing(P>0.05). The scores of the observation group were significantly higher than those of the control group after nursing for 1 week, 2 weeks, 4 weeks and 12 weeks(P<0.05). The nursing satisfaction of the observation group was 97.67%(42/43) and that of the control group was 73.81%(31/42). There was significant difference between the two groups(P<0.05). Conclusion FTS nursing intervention can effectively promote the rehabilitation of patients, shorten the recovery time of various indexes after operation, effectively reduce the risk of complications, and finally

关 键 词：快速康复外科 腹腔镜 结直肠癌 围手术期护理 生活质量 并发症 

分 类 号：R473.73[医药卫生—护理学] R735.3[医药卫生—临床医学]