预康复策略在肝癌手术患者中的应用研究  

Application of Pre-rehabilitation Strategy in Patients Undergoing Liver Cancer Surgery

作　　者：刘慧[1] 黄露君 何艳[1] 谭晓霞 钟妙 LIU Hui;HUANG Lujun;HE Yan;TAN Xiaoxia;ZHONG Miao(Dapartment of Hepatobiliary Surgery Zone 2,Gaozhou People's Hospital,Gaozhou,Guangdong,525200,China)

机构地区：[1]高州市人民医院肝胆外科二区,广东高州525200

出　　处：《中外医疗》2024年第30期132-136,共5页China & Foreign Medical Treatment

基　　金：茂名市科技计划项目(230423214553097)。

摘　　要：目的 探讨预康复策略在肝癌手术患者中的应用效果。方法 随机选取2022年1月—2023年6月高州市人民医院收治的80例肝癌手术患者作为研究对象,按照不同护理方法分为两组,各40例。对照组采用常规术前健康教育,观察组基于对照组的基础上再采用预康复策略。比较两组护理满意度、营养评分、焦虑以及抑郁情绪、生活质量、疼痛水平以及不良反应发生情况。结果 观察组总满意率为97.50%(39/40),高于对照组的80.00%(32/40),差异有统计学意义(χ^(2)=4.507,P<0.05)。术后7 d,观察组营养评分、焦虑以及抑郁评分均低于对照组,差异有统计学意义(P均<0.05)。术后7 d,观察组生活质量评分高于对照组,差异有统计学意义(P<0.05)。术后1 d、3 d和7 d,观察组疼痛水平均低于对照组,差异有统计学意义(P均<0.05)。观察组的不良反应发生率为2.50%(1/40),低于对照组15.00%(6/40),但差异无统计学意义(P>0.05)。结论 对于肝癌手术患者实施预康复策略具有重要意义,可显著提升患者生活质量,优化免疫功能与胃肠功能,缓解术后疼痛,降低焦虑和抑郁情绪。Objective To explore the application effect of pre-rehabilitation strategy in patients with liver cancer sur⁃gery.Methods A total of 80 patients with liver cancer surgery admitted to Gaozhou People's Hospital from January 2022 to June 2023 were randomly selected as the research objects.They were divided into two groups according to dif⁃ferent nursing methods,with 40 cases in each group.The control group was given routine preoperative health educa⁃tion,and the observation group was given pre-rehabilitation strategy based on the control group.The nursing satisfac⁃tion,nutrition score,anxiety and depression,quality of life,pain level and adverse reactions were compared between the two groups.Results The total satisfaction rate of the observation group was 97.50%(39/40),which was higher than that of the control group[80.00%,(32/40)],and the difference was statistically significant(χ^(2)=4.507,P<0.05).At 7 d after operation,the scores of nutrition,anxiety and depression in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).At 7 d after operation,the quality of life score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).At 1 d,3 d and 7 d after operation,the pain level of the observation group were lower than that of the control group,and the differences were statistically significant(all P<0.05).The incidence of adverse reactions in the observa⁃tion group was 2.50%(1/40),which was lower than 15.00%(6/40)in the control group,but the difference was not sta⁃tistically significant(P>0.05).Conclusion It is of great significance to implement pre-rehabilitation strategy for pa⁃tients with liver cancer surgery,which can significantly improve the quality of life of patients,optimize immune func⁃tion and gastrointestinal function,relieve postoperative pain,reduce anxiety and depression.

关 键 词：预康复 肝癌 护理 

分 类 号：R473.73[医药卫生—护理学]