基于循证的五联预康复策略在妇科癌症围术期患者中的应用效果  

Application effect of evidence-based five-component prehabilitation strategy in perioperative patients with gynecological cancer

作　　者：周秀英 苏琼英 姚袁媛 梁晶晶 缪文斌 ZHOU Xiuying;SU Qiongying;YAO Yuanyuan;LIANG Jingjing;MIAO Wenbin(Shenzhen Guangming District People's Hospital,Shenzhen 518000,China)

机构地区：[1]深圳市光明区人民医院,广东省深圳市518000

出　　处：《护理实践与研究》2025年第3期322-328,共7页Nursing Practice and Research

基　　金：深圳市科技创新委员会科技计划项目(编号:JCYJ20230807141412025)。

摘　　要：目的探讨基于循证的五联预康复策略在妇科癌症围术期患者中的应用效果,旨在提高妇科癌症患者围术期的整体管理质量,优化患者的临床结局。方法选取2021年1月—2024年3月医院收治的妇科癌症患者80例作为研究对象,按照组间基本特征具有可比性原则将患者分为对照组和观察组,各40例。对照组给予常规护理,观察组在对照组基础上给予循证指导下的五联预康复策略干预,包括体能锻炼及促进术后排气、营养支持、心理干预、疼痛干预、并发症干预,观察并比较两组患者围术期指标、焦虑自评量表评分(SAS)、疼痛视觉模拟评分(VAS)和并发症发生情况。结果观察组首次排气、首次排便、拔除引流管时间、术后住院时间均短于对照组,差异有统计学意义(P<0.05)。干预前,两组患者SAS评分比较差异无统计学意义(P>0.05);干预后,观察组SAS评分低于对照组,差异有统计学意义(P<0.05)。术后第3天,观察组VAS评分低于对照组,差异有统计学意义(P<0.05)。观察组术后并发症低于对照组,差异有统计学意义(P<0.05)。结论基于循证的五联预康复策略用于妇科癌症围术期患者中,有助于缓解患者焦虑情绪、减轻术后疼痛,可促进患者康复进程、减少术后并发症发生,为围术期妇科癌症患者的综合管理提供了新的思路和方法。Objective To explore the application effect of the evidence-based five-component prehabilitation strategy in perioperative gynecological cancer patients,aiming to improve the overall management quality and optimize the clinical outcomes for perioperative gynecological cancer patients.Methods A total of 80 perioperative gynecological cancer patients admitted to the hospital from January 2021 to March 2024 were selected as research subjects.Based on the principle of comparability of basic characteristics between groups,they were divided into a control group and an observation group,with 40 cases in each group.The control group received routine nursing care,while the observation group received an evidencebased five-component prehabilitation strategy intervention on the basis of control group.The intervention included physical exercise and promotion of postoperative flatus,nutritional support,psychological intervention,pain management,as well as complications management.The perioperative indicators,Self-rating Anxiety Scale(SAS),Visual Analogue Scale(VAS)and the occurrence of complications were observed and compared between the two groups.Results The time to first flatus,first bowel movement,drainage tube removal,and postoperative hospital stay in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).Before the intervention,there was no statistically significant difference in the SAS scores between the two groups(P>0.05).After the intervention,the SAS score of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05).On the third day after surgery,the VAS score in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The evidence-based five-component prehabilit

关 键 词：循证医学 五联预康复策略 妇科癌症 围术期干预 并发症 

分 类 号：R473.73[医药卫生—护理学]