首页|快速康复外科护理对腹腔镜子宫内膜癌术后康复的作用

快速康复外科护理对腹腔镜子宫内膜癌术后康复的作用

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目的 探究快速康复外科护理对腹腔镜子宫内膜癌患者术后康复的影响.方法 便利选择在厦门大学附属第一医院行腹腔镜子宫内膜癌根治术的患者86例,将2021年7-12月应用常规护理措施的43例子宫内膜癌患者设为对照组,将2022年1-6月应用快速康复外科护理干预措施的43例子宫内膜癌患者设为观察组,比较两组患者的胃肠功能恢复指标、应激反应指标以及并发症发生状况.结果 观察组术后首次进水时间、首次进食时间、下床活动时间、首次肛门排气时间、首次排便时间均明显短于对照组,差异有统计学意义(P均<0.05).术后24、48 h,两组患者疼痛分值逐渐减少,观察组疼痛分值明显低于对照组,差异有统计学意义(P均<0.05).观察组术后并发症发生率为9.30%,与对照组的20.93%对比,差异无统计学意义(χ2= 2.266,P>0.05).结论 快速康复外科护理应用于腹腔镜子宫内膜癌围手术期护理工作中是安全有效的,其能够有效减轻患者术后应激反应、促进胃肠功能康复.
Effect of Rapid Rehabilitation Surgical Nursing on Postoperative Rehabili-tation of Laparoscopic Endometrial Carcinoma
Objective To explore the effect of rapid rehabilitation surgical nursing on postoperative rehabilitation of patients with laparoscopic endometrial cancer.Methods A total of eighty-six patients underwent laparoscopic radical operation for endometrial carcinoma in the First Affiliated Hospital of Xiamen University were convenienlty selected.Forty-three patients with endometrial cancer who received usual nursing from July to December 2021 were included as the control group.Forty-three patients with endometrial cancer who received rapid rehabilitation surgical nursing interventions from January to June 2022 were selected as the observation group.The indexes of gastrointestinal func-tion recovery,stress response and complications were compared between the two groups.Results The finst water in-take time,finst feeding time,getting out of bed time,first anal exhaust time and first defecation time in observation group were significantly shorter than those in control group,and the differences were statistically significant(all P<0.05).After 24 h and 48 h,the pain scores of the two groups gradually decreased,and the pain scores of the observa-tion group were significantly lower than those of the control group,and the differences were statistically significant(both P<0.05).The incidence of postoperative complications in the observation group was 9.30%,compared with 20.93%in the control group,and the difference was not statistically significant(χ2=2.266,P>0.05).Conclusion Rapid rehabilitation surgical nursing is safe and effective in the perioperative nursing of laparoscopic endometrial cancer,which can effectively reduce the postoperative stress reaction and promote the rehabilitation of gastrointestinal func-tion.

Endometrial cancerLaparoscopyRapid rehabilitation surgical nursingPostoperative rehabilitationStress responseComplication

谢鹏娟、柯丽霞、杨利琴、周素珍、江清花、朱凌馨、周娟

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厦门大学附属第一医院妇产科,福建厦门 361003

子宫内膜癌 腹腔镜 快速康复外科护理 术后康复 应激反应 并发症

福建省卫生健康中青年骨干人才培养项目

2021GGB027

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(4)
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