Study of Risk Factors for Postoperative Development of Bowel Obstruction in Patients Undergoing Laparoscopic Radical Cystectomy and Nursing Interventions
Objective:To investigate the risk factors and nursing interventions for postoperative bowel obstruction in patients undergoing laparoscopic radical cystectomy(LRC)and to provide a basis for clinical care.Methods:70 cases of postoperative LRC patients admitted to the hospital from May 2020 to May 2022 were selected as the study subjects,among which 19 patients who developed intestinal obstruction after surgery were divided into the observation group,and 51 patients who did not develop intestinal obstruction after surgery were divided into the control group.The risk factors for intestinal obstruction after LRC in both groups were analyzed using univariate analysis and multifactorial logistic regression,and nursing interventions were developed based on the summary of risk factors.Results:The results of the univariate analysis of the occurrence of intestinal obstruction after LRC showed that there were statistically significant differences between the two groups in terms of age,body mass index(BMI),pelvic drainage at 24 h after surgery,duration of retention of pelvic drainage tubes after surgery,average daily activity after surgery,and length of hospitalization(t=2.681,5.630,14.404,6.965,8.979,9.892;P<0.05).The results of multifactorial logistic regression analysis showed that age,BMI,24 h postoperative pelvic drainage,postoperative pelvic drain retention time,and average postoperative daily activity were independent risk factors for the development of intestinal obstruction after LRC,and the differences were statistically significant(OR=0.967,0.419,0.918,0.793,0.607;P<0.05).Conclusion:Advanced age,obesity,and low postoperative activity are likely to lead to intestinal obstruction after LRC.Therefore,clinical attention should be paid to its risk factors,high-risk patients should be screened out before surgery,and preventive nursing interventions should be made to reduce the occurrence of postoperative intestinal obstruction.