首页|基于护理质量评价指标构建快速康复护理方案及对肠癌患者腹腔镜术后康复情况的影响

基于护理质量评价指标构建快速康复护理方案及对肠癌患者腹腔镜术后康复情况的影响

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目的:探讨基于护理质量评价指标构建的快速康复护理方案对肠癌患者腹腔镜术后康复情况的影响.方法:选取2019年5月—2021年5月河南省某三甲专科医院普外科某病区收治的92例肠癌患者作为研究对象,按纳入时间进行分组.对比对照组(n=46,常规康复护理)和研究组(n=46,基于护理质量评价指标构建的快速康复护理)的术后恢复指标、营养指标、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、疼痛评分、并发症发生情况.结果:与对照组护理后比较,研究组的肛门首次排气时间、首次排便时间、首次进食时间、下床活动时间、住院时间均更短,研究组的白蛋白(Alb)、前白蛋白(PA)、转铁蛋白(Tf)水平更高,研究组的SAS评分、SDS评分更低,研究组术后的疼痛程度减轻程度更优,差异有统计学意义(t=22.028、8.444、21.556、9.191、6.424、3.490、7.151、6.865、4.635、3.990、6.663、6.508、3.161,P<0.05);研究组的并发症发生率更低,差异有统计学意义(χ2=4.440,P<0.05).结论:应用基于护理质量评价指标构建的快速康复护理能够促进肠癌患者术后早日康复,并改善患者的疼痛程度、心理情绪及营养状态,减少术后并发症的发生.
Construction of Rapid Rehabilitation Nursing Program Based on Nursing Quality Evaluation Indexes and its Effect on Post-laparoscopic Rehabilitation of Intestinal Cancer Patients
Objective:To investigate the effect of a rapid rehabilitation nursing program constructed on the basis of nursing quality evaluation indexes on the rehabilitation of bowel cancer patients after laparoscopy.Methods:92 patients with bowel cancer admitted to the hospital from May 2019 to May 2021 were selected for the study and grouped according to the time of inclusion.Postoperative recovery indexes,nutritional indexes,SAS scores,SDS scores,pain scores,and complication rates were compared between the control group(n=46,conventional rehabilitation care)and the study group(n=46,rapid rehabilitation care constructed on the basis of nursing quality evaluation indexes).Results:After the care,compared with the control group,the time to first anal defecation,time to first bowel movement,time to first food,time to get out of bed,and length of hospital stay were shorter in the study group,the Alb,PA,and Tf levels were higher in the study group,the SAS scores and SDS scores were lower in the study group,and the degree of postoperative pain reduction was better in the study group,and the difference was statistically significant(t=22.028,8.444,21.556,9.191,6.424,3.490,7.151,6.865,4.635,3.990,6.663,6.508,3.161,P<0.05).The complication rate was lower in the study group and the difference was statistically significant(χ2=4.440,P<0.05).Conclusion:The application of rapid rehabilitation nursing constructed on the basis of nursing quality evaluation indexes can promote the early recovery of bowel cancer patients after surgery,and improve the pain level,psychological mood and nutritional status of the patients,and reduce the occurrence of postoperative complications.

Nursing quality evaluation indexRapid recovery nursingBowel cancerPain levelNutritional statusComplications

郭菲、张婷、刘洁

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郑州大学附属肿瘤医院·河南省肿瘤医院普外科,河南 郑州 450000

护理质量评价指标 快速康复护理 肠癌 疼痛程度 营养状态 并发症

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(1)
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