首页|基于ERAS理念的手术室护理在4K腹腔镜结肠癌根治术中的应用效果

基于ERAS理念的手术室护理在4K腹腔镜结肠癌根治术中的应用效果

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目的 探讨4K腹腔镜结肠癌根治术期间护理方法的应用效果.方法 选择2022年1月至2023年1月在河南中医药大学第一附属医院行4K腹腔镜结肠癌根治术的100例患者参与本次研究,依照护理计划将患者划分组别,常规护理计划划分在参照组(50例)、基于加速康复外科(ERAS)理念的手术室护理计划划分在研究组(50例),对比两组护理效果,并以患者临床相关指标、并发症、患者满意度等数据为判定依据.结果 经数据统计,护理前两组患者身体指标、心理情绪各项数据组间对比差异无统计学意义(P>0.05);护理后,患者心率、收缩压、舒张压数据两组对比,研究组数据低于参照组,差异有统计学意义(P<0.05);护理后患者肛门排气时间、排便时间、进食时间、住院时间各项用时研究组用时短,参照组用时长,对比差异有统计学意义(P<0.05);护理后两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分较护理前均较低,两组组间对比研究组评分低于参照组,差异有统计学意义(P<0.05);统计患者术后下肢深静脉血栓、肠梗阻、伤口感染、尿潴留、腹胀等不良反应,研究组总发生率低于参照组,差异有统计学意义(P<0.05);调查患者满意度,研究组总满意率高于参照组,差异有统计学意义(P<0.05).结论 经研究分析,在4K腹腔镜结肠癌根治术中应用基于ERAS理念的手术室护理,可降低患者治疗应激反应,患者可积极配合,术后可快速恢复,并且不良反应较少,临床效果理想,患者满意,值得推荐并广泛使用.
Application Effect of ERAS Based Operating Room Nursing in 4K Laparoscopic Radical Colon Cancer Surgery
Objective To explore the application effect of nursing methods during 4K laparoscopic radical surgery for colon cancer.Methods A total of 100 patients who underwent 4K laparoscopic radical colon cancer surgery in the First Affiliated Hospital of Henan Univesity of Traditional Chinese Medicine from January 2022 to January 2023 were selected to participate in this study.The patients were divided into groups according to the nursing plan.The conventional nursing plan was divided into a reference group(50 cases),and the operating room nursing plan based on the enhanced recovery after surgery(ERAS)concept was divided into a study group(50 cases).The nursing effects of the two groups were compared,and based on patient clinical indicators,complications,patient satisfaction,and other data as the basis for judgment.Results According to data statistics,there was no statistically significant difference in physical indicators and psychological emotions between the two groups of patients before nursing(P>0.05).After nursing,the heart rate,systolic blood pressure and diastolic blood pressure data of the patients were compared between the two groups.The data of the study group was lower than that of the reference group,and the difference was statistically significant(P<0.05).After nursing,the patient's anal exhaust time,defecation time,eating time and hospitalization time were shorter in the two study groups than in the reference group,and the difference was statistically significant(P<0.05).After nursing,the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores of patients in both groups were lower than before nursing,and the score of the study group was lower than that of the reference group,and the difference was statistically significant(P<0.05).Adverse reactions such as deep vein thrombosis of lower extremity,intestinal obstruction,wound infection,urinary retention and abdominal distension were counted.The total incidence in the study group was lower than that in the reference group,and the comparison difference was statistically significant(P<0.05).The satisfaction rate of patients surveyed was higher in the study group than in the control group,and the difference was statistically significant(P<0.05).Conclusion Through research and analysis,the application of ERAS based operating room nursing in 4K laparoscopic radical resection of colon cancer can reduce patient treatment stress response,encourage active cooperation,achieve rapid postoperative recovery,and have fewer adverse reactions.The clinical effect is ideal,and patients are satisfied.It is recommended and widely used.

laparoscopic radical resection of colon cancerenhanced recovery after surgeryoperating room nursing

杨艳秋、刘珂、许楠

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河南中医药大学第一附属医院,河南郑州 450000

腹腔镜结肠癌根治术 加速康复外科 手术室护理

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(7)
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