加速康复外科理念对膀胱癌术后患者并发症、排尿通畅率及睡眠质量的影响  

Effect of Accelerated Rehabilitation Surgery on Postoperative Complications,Urinary Patency Rate and Sleep Quality of Patients with Bladder Cancer

作　　者：赵蕾 陈怡婷 吴燕萍 江平[1] ZHAO Lei;CHEN Yiting;WU Yanping;JIANG Ping(Department of Urology,The First Affiliated Hospital of Fujian Medical University,Fuzhou 350001,China)

机构地区：[1]福建医科大学附属第一医院泌尿外科,福州350001

出　　处：《世界睡眠医学杂志》2023年第9期2028-2030,共3页World Journal of Sleep Medicine

摘　　要：目的:探析膀胱癌患者手术后护理期间融入加速康复外科理念取得的效果,评估对术后并发症发生率、睡眠质量以及排尿通畅率所产生的影响。方法:选取2022年1月至2023年1月福建医科大学附属第一医院收治的行手术治疗的膀胱癌患者74例作为研究对象,按照随机数字表法分为对照组和观察组,每组37例。前者应用常规围术期护理,后者护理期间融入加速康复外科理念,对比护理效果,评估指标包含术后并发症发生率、恢复指标和睡眠质量评分。结果:护理实施后,比较2组患者并发症发生率,观察组较对照组低,差异有统计学意义(P<0.05);对比2组患者术中出血量、疼痛评分、排尿通畅率、住院时间,观察组较对照组低,差异有统计学意义(P<0.05);测定护理后组间睡眠质量评分,观察组各项指标参数均偏低于对照组,差异有统计学意义(P<0.05)。结论:膀胱癌患者手术后护理操作期间融入加速康复外科理念可提升整体手术质量,对减轻疼痛程度以及应激反应具有突出效果,可以改善患者睡眠质量,预防术后并发症发生,加速了患者康复进程,值得借鉴。Objective:To explore the effect of integrating accelerated rehabilitation surgery into the postoperative nursing care of patients with bladder cancer,and evaluate the impact on the incidence of postoperative complications,sleep quality and urinary patency rate.Methods:In this study,74 patients with bladder cancer who were selected for surgical treatment from January 2022 to January 2023 in the First Affiliated Hospital of Fujian Medical University Fuzhou were enrolled in the study.They were divided into control group and observation group by random number table.The former applied routine perioperative nursing,while the latter applied the concept of accelerated rehabilitation surgery during nursing.The evaluation indicators included the incidence of postoperative complications,recovery indicators and sleep quality scores.Results:After the implementation of nursing care,the incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05);Comparing the intraoperative bleeding volume,pain score,urinary patency rate,and hospitalization time between the two groups of patients,the observation group was lower than the control group,the difference was statistically significant(P<0.05);the sleep quality score between the observation group and the control group was measured after nursing,and all indicators and parameters in the observation group were slightly lower than those in the control group,the difference was statistically significant(P<0.05).Conclusion:Integrating the concept of accelerated rehabilitation surgery into the postoperative nursing operation of bladder cancer patients can improve the overall operation quality,have prominent effects on reducing pain and stress reaction,improve the sleep quality of patients,prevent postoperative complications,and accelerate the rehabilitation process of patients,which is worth learning from.

关 键 词：加速康复外科理念 膀胱癌 术后并发症 排尿通畅率 睡眠质量 

分 类 号：R338.63[医药卫生—人体生理学] R473.73[医药卫生—基础医学]