食管癌手术患者围手术期快速康复护理模式的实施效果分析  

Analysis of the Implementation Effect of the Perioperative Rapid Rehabilitation Nursing Model for Esophageal Cancer Surgery Patients

作　　者：宋瑞娟 程少博 孙爱英 SONG Rui-juan;CHENG Shao-bo;SUN Ai-ying(The Third Wards of Thoracic SurgeryDepartment,Henan Cancer Hospital/Affiliated Cancer Hospital of Zhengzhou University,Zhengzhou 450003,China)

机构地区：[1]河南省肿瘤医院/郑州大学附属肿瘤医院胸外科三病区,郑州450000

出　　处：《四川解剖学杂志》2024年第2期72-74,共3页Sichuan Journal of Anatomy

摘　　要：目的:探讨快速康复护理模式在食管癌手术患者围手术期的实施效果.方法:选取2018年2月至2020年8月本院收治的148例食管癌手术患者作为研究对象.根据围手术期的护理干预方法将其分为实验组(n=76,采用快速康复护理)和对照组(n=72,采用常规护理).采用统计学方法,比较两组患者围手术期指标、心理状态、生活质量及并发症发生率.结果:干预后,实验组患者术后排气、引流管拔除时间及住院时间均短于对照组,镇痛药物使用次数少于对照组,差异均有统计学意义(P<0.05).干预后,实验组患者焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均低于对照组,生活质量评分高于对照组,差异均有统计学意义(P<0.05).两组并发症总发生率比较,差异无统计学意义(P>0.05).结论:在食管癌患者胸腹腔镜围手术期应用快速康复护理安全有效,更有利于提高患者生活质量,改善患者预后康复.Objective:To explore the effect of rapid rehabilitation nursing mode in perioperative period of patients with esophageal cancer.Methods:A total of 148 patients undergoing esophageal cancer surgery admitted to our hospital from February 2018 to August 2020 were selected as the study objects.According to perioperative nursing interventions,they were divided into experimental group(n=76,received rapid recovery care)and control group(n=72,received routine care).The perioperative indicators,psychological status,quality of life and incidence of complications were compared between the two groups by statistical method.Results:After intervention,the time of postoperative exhaust,drainage tube removal and hospitalization in experimental group were shorter than those in control group,and the number of times analgesic drugs used was less than that in control group,and the differences were statistically significant(P<0.05).After intervention,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in experimental group were lower than those in control group,the scores of quality of life in experimental group were higher than those in control group,and the differences were statistically significant(P<0.05).There was no difference in the total incidence of complications between the two groups(P>0.05).Conclusion:The application of rapid rehabilitation nursing in the perioperative period of patients with esophageal cancer surgery is safe and effective,which is more conducive to improving the quality of life and prognosis of patients.

关 键 词：快速康复护理 食管癌 围手术期 

分 类 号：R473.6[医药卫生—护理学]