加速康复外科联合微信随访对食管癌手术患者术后康复及生活质量的影响
Effects of enhanced recovery after surgery combined with WeChat follow-up on postoperative rehabilitation and quality of life in patients with esophageal cancer undergoing surgery
张玉洁 1王俊雅 1陈惠敏 1贾海娇 1梁珊珊 1袁紫燕 1李晓静1
作者信息
- 1. 郑州大学第一附属医院胸外科二病区(5),郑州 450000
- 折叠
摘要
目的 探讨加速康复外科(ERAS)联合微信随访对食管癌手术患者术后康复及生活质量的影响.方法 根据干预方式的不同将91例食管癌手术患者分为对照组(45例)和观察组(46例),对照组患者采用常规干预,观察组患者在对照组的基础上采用ERAS联合微信随访.比较两组患者术后康复指标、生活质量[生活质量综合评定问卷-74(GQOLI-74)]、遵医行为、并发症发生情况及满意度.结果 观察组患者首次排气时间、进食恢复时间及术后住院时间均短于对照组,并发症总发生率低于对照组,遵医率和总满意度均高于对照组,差异均有统计学意义(P﹤0.05).干预后,两组患者GQOLI-74各维度评分均高于本组干预前,观察组患者GQOLI-74各维度评分均高于对照组,差异均有统计学意义(P﹤0.05).结论 ERAS联合微信随访可促进食管癌手术患者术后恢复,改善生活质量及遵医行为,减少并发症,提高满意度.
Abstract
Objective To investigate the effects of enhanced recovery after surgery(ERAS)combined with WeChat follow-up on postoperative rehabilitation and quality of life in patients with esophageal cancer undergoing surgery.Meth-od According to different intervention methods,91 patients with esophageal cancer who underwent surgery were divid-ed into control group(45 cases)and observation group(46 cases).Patients in the control group received routine interven-tion,and patients in the observation group received ERAS combined with WeChat follow-up on the basis of the control group.The postoperative rehabilitation indexes,quality of life[generic quality of life inventory-74(GQOLI-74)],compli-ance behavior,complications and satisfaction were compared between the two groups.Result The first exhaust time,feeding recovery time and postoperative hospitalization time in observation group were shorter than those in control group,the total incidence of complications was lower than that in control group,the compliance rate and total satisfaction rate were higher than those in control group,and the differences were statistically significant(P<0.05).After intervention,the dimensional scores of GQOLI-74 in both groups were higher than those before intervention,and the dimensional scores of GQOLI-74 in observation group were higher than those in control group,the differences were statistically signif-icant(P<0.05).Conclusion ERAS combined with WeChat follow-up can promote postoperative recovery of patients with esophageal cancer undergoing surgery,improve quality of life and compliance behavior,reduce complications,and increase satisfaction.
关键词
食管癌/加速康复外科/微信随访/术后康复/生活质量Key words
esophageal cancer/enhanced recovery after surgery/WeChat follow-up/postoperative rehabilitation/quality of life引用本文复制引用
出版年
2024
NETL
NSTL
万方数据