摘要
目的 探讨医护协同管理联合基于快速康复外科(FTS)理念饮食干预在腹腔镜结直肠癌根治术患者中的效果分析.方法 选取2022年3月至8月上饶市立医院行腹腔镜结直肠癌根治术的30例患者作为对照组,选取2022年9月至2023年3月在上饶市立医院行腹腔镜结直肠癌根治术的30例患者作为研究组.研究组采用医护协同管理联合基于FTS理念饮食干预,对照组采用常规护理干预.比较两组患者干预前后营养状况[血红蛋白(Hb)、前白蛋白(PA)、转铁蛋白(TRF)]、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]、围手术期指标(肠鸣音恢复时间、肛门排气时间、首次进食时间、首次下床时间、住院时长)及术后并发症(呕吐、切口感染、出血、低体温情况).结果 研究组干预后的Hb、PA、TRF高于对照组,差异有统计学意义(P＜0.05);研究组干预后的SAS、SDS低于对照组,差异有统计学意义(P＜0.05);研究组干预后的肠鸣音恢复时间、肛门排气时间、首次进食时间、首次下床时间、住院时长短于对照组,差异有统计学意义(P＜0.05);两组的术后并发症总发生率比较,差异无统计学意义(P＞0.05).结论 应用医护协同管理联合基于FTS理念饮食干预可以显著改善腹腔镜结直肠癌根治术患者术后营养状况,缩短住院时间.
Abstract
Objective To explore the effects of doctor-nurse collaborative management combined with dietary intervention based on fast track surgery(FTS)concept in patients undergoing laparoscopic radical resection of colorectal cancer.Meth-ods A total of 30 patients undergoing laparoscopic radical resection of colorectal cancer between March and August 2022 and 30 patients undergoing the same surgery between September 2022 and March 2023 in Shangrao Municipal Hospital were enrolled as control group and study group.The study group was given doctor-nurse collaborative management com-bined with dietary intervention based on FTS concept,while control group was given routine nursing.The nutritional status(hemoglobin[Hb],prealbumin[PA],transferrin[TRF])and psychological state(self-rating anxiety scale[SAS],self-rating depression scale[SDS])before and after intervention,perioperative indexes(recovery time of bowel sound,anal exhaust time,the first eating time,the first leaving bed time,hospitalization time)and postoperative complications(vomiting,incision in-fection,bleeding,hypothermia)in the two groups were compared.Results After intervention,Hb,PA and TRF in study group were higher than those in control group,the differences were statistically significant(P＜0.05).The scores of SAS and SDS were lower than those in control group,the differences were statistically significant(P＜0.05).The recovery time of bowel sound,anal exhaust time,the first eating time,first leaving bed time and hospitalization time were shorter than those in control group,the differences were statistically significant(P＜0.05).There was no significant difference in the total inci-dence of postperative complications between the two groups(P＞0.05).Conclusion The application of doctor-nurse collab-orative management combined with dietary intervention based on FTS concept can significantly improve nutritional status and shorten hospitalization time in patients after laparoscopic radical resection of colorectal cancer.
维普
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