Eras理念在机器人辅助下直肠癌根治术配合中的护理实践  

Nursing Practice of Eras Philosophy in the Coordination of Robot-assisted Radical Rectal Cancer Surgery

作　　者：杨惠兰[1] 叶芬芳 苏彩珠 YANG Huilan;YE Fenfang;SU Caizhu(Operating Room,the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361000 China)

机构地区：[1]厦门大学附属第一医院手术室,福建厦门361000

出　　处：《中外医疗》2023年第27期162-165,共4页China & Foreign Medical Treatment

摘　　要：目的 研究加速康复外科(enhanced recovery after surgery, Eras)理念在机器人辅助下直肠癌根治术配合中的护理实践效果。方法 回顾性分析2019年1月—2023年1月厦门大学附属第一医院收治的116例直肠癌患者的临床资料,按照随机数表法分为两组,每组58例,对照组给予常规护理干预,研究组给予Eras理念护理干预。对比两组围术期各项手术指标、生理应激指标、疼痛程度评分及并发症发生率。结果 研究组首次排气时间、首次进食时间、首次排便时间、首次下床活动时间、术后住院时间显著短于对照组,差异有统计学意义(P<0.05)。术后1 h,研究组生理应激指标水平均显著低于对照组,差异有统计学意义(P<0.05)。术后6、24、48 h,研究组疼痛程度评分分别为(2.95±0.68)分、(2.42±0.56)分、(1.29±0.28)分,均显著低于对照组,差异有统计学意义(P<0.05)。研究组并发症总发生率为3.45%,显著低于对照组的17.24%,差异有统计学意义(χ^(2)=5.949,P<0.05)。结论 Eras理念在机器人辅助下直肠癌根治术配合中的护理效果显著,可减轻患者疼痛,减少术后并发症,可有效促进患者术后康复。Objective To study the effect of nursing practice of the concept of enhanced recovery after surgery(Eras)in the coordination of robot-assisted radical rectal cancer surgery.Methods The clinical data of 116 rectal cancer patients admitted to the First Affiliated Hospital of Xiamen University from January 2019 to January 2023 were retropectively analyzed,and were divided into two groups according to the method of randomized number table,with 58 cases in each group;the control group was given conventional nursing intervention,and the study group was given Eras concept nursing intervention.Compared the perioperative surgical indexes,physiological stress indexes,pain level scores and complication rates between the two groups.Results The study group's first gas time,first food time,first defecation time,first time to get out of bed,and postoperative hospitalization time were significantly shorter than that of the control group,and the difference was statistically significant(P<0.05).At 1 h postoperatively,the levels of physiological stress indicators in the study group were all significantly lower than those in the control group,and the differences were statistically significant(P<0.05).At 6 h,24 h,and 48h postoperatively,the pain level scores of the study group were(2.95±0.68)points,(2.42±0.56)points,and(1.29±0.28)points respectively,all of which were significantly lower than those of the control group,and the differences were statistically significant(P<0.05).The total complication rate in the study group was 3.45%,which was significantly lower than 17.24%in the control group,and the difference was statistically significant(χ^(2)=5.949,P<0.05).Conclusion Eras concept in robot-assisted radical rectal cancer surgery with the nursing effect is remarkable,can reduce the patient's pain,reduce postoperative complications,effectively promote the patient's postoperative recovery.

关 键 词：直肠癌根治术 加速康复外科 机器人 护理效果 

分 类 号：R47[医药卫生—护理学]