加速康复外科护理在腹腔镜胃肠肿瘤患者中的应用  

Application and prognostic effect of enhanced recovery after surgery nursing in patients with laparoscopic gastrointestinal tumors

作　　者：谢贵芹[1] 王灵英[1] 李月娟 Xie Guiqin;Wang Lingying;Li Yuejuan(Operating Room,Affiliated Hospital of Jiangnan University,Wuxi 214000,China)

机构地区：[1]江南大学附属医院手术室,无锡214000

出　　处：《国际护理学杂志》2024年第7期1213-1217,共5页international journal of nursing

基　　金：江苏省医学科研重点基金资助项目(K2019218)。

摘　　要：目的分析加速康复外科护理在腹腔镜胃肠肿瘤患者中的应用。方法以江南大学附属医院手术室2019年1月至2022年5月内诊治的腹腔镜胃肠肿瘤手术患者90例作为研究对象,根据入院顺序将其分为观察组与对照组,每组各45例。对照组给予常规护理干预,观察组实施加速康复外科护理。比较两组患者的首次排气时间、首次排便时间及肠鸣音恢复时间,另将两组患者术后1 d至术后7 d内的并发症发生率进行对比,并使用视觉模拟评分法(Visual Analogue Scale,VAS)评价两组患者术后1 d、术后3 d及术后7 d的疼痛情况。结果观察组患者的首次排气时间、首次排便时间及肠鸣音恢复时间低于对照组,差异均有统计学意义(均P<0.05)。术前至术后7 d内,观察组患者2.22%的并发症发生率显著低于对照组的13.33%,差异有统计学意义(P<0.05)。两组患者术后1 d、术后3 d及术后7 d的VAS量表评分组间比较、时间点比较及交互作用差异均有统计学意义(均P<0.05),观察组患者干预后各时间段的VAS量表评分均低于对照组,差异均有统计学意义(均P<0.05)。结论加速康复外科护理模式的应用,能够明显加快腹腔镜胃肠肿瘤手术患者的术后恢复速度,有效降低并发症的发生概率,同时缓解其术后疼痛感。Objective To analyze the application and prognostic effect of enhanced recovery after surgery(ERAS)nursing in patients with laparoscopic gastrointestinal tumors.Methods A total of 90 patients who underwent laparoscopic gastrointestinal tumor surgery in the Operating Room of the Affiliated Hospital of Jiangnan University from January 2019 to May 2022 were selected as the research objects.According to the order of admission,they were divided into the observation group and the control group,with 45 cases in each group.The control group was given routine nursing intervention,while the observation group was given enhanced recovery after surgery nursing.The first exhaust time,the first defecation time and the recovery time of bowel sounds were compared between the two groups.The incidence of complications from 1 day to 7 days after surgery was compared between the two groups.Visual Analogue Scale(VAS)was used to evaluate the pain of the two groups at 1 day,3 days and 7 days after operation.Results The first exhaust time,the first defecation time and the recovery time of bowel sounds in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Before and within 7 days after surgery,the incidence of complications in the observation group was 2.22%,which was significantly lower than that in the control group(13.33%),and the difference was statistically significant(P<0.05).There were statistically significant differences in VAS scores between the two groups at 1 day,3 days and 7 days after operation,time point comparison and interaction(P<0.05).The VAS scores of the observation group at each time point after intervention were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusions The application of ERAS nursing model can significantly speed up the postoperative recovery of patients undergoing laparoscopic gastrointestinal tumor surgery,effectively reduce the incidence of complications,and relieve their po

关 键 词：胃肠肿瘤 加速康复外科 并发症 疼痛 

分 类 号：R473.73[医药卫生—护理学]