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快速康复外科护理在结肠癌患者围手术期的应用效果观察

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目的:观察快速康复外科护理在结肠癌患者围手术期的应用效果。方法:选取 2022年 9月—2023年 3月天津市人民医院收治的 54例采用手术治疗的结肠癌患者为研究对象,随机将其分为观察组和对照组,各27例。对照组在围手术期采用常规护理,观察组在围手术期采用快速康复外科护理。比较两组围手术期指标、应激指标水平、并发症发生情况及护理满意度。结果:观察组肠鸣音恢复时间、首次进食时间、首次排气时间、首次下床活动时间、住院时间均短于对照组,观察组术后疼痛视觉模拟评分低于对照组,差异均有统计学意义(P<0。05)。术后,观察组肾上腺素、皮质醇和去甲肾上腺素水平均低于对照组,差异均有统计学意义(P<0。05)。观察组并发症发生率为 3。70%,低于对照组的 29。63%,护理总满意度为 96。30%,高于对照组的 77。80%,差异均有统计学意义(P<0。05)。结论:在结肠癌患者围手术期护理中,快速康复外科护理是较为理想的护理方案,可以改善围手术期指标、应激指标水平,降低并发症发生率,有助于患者满意度提升。
Effect Observation of Rapid Rehabilitation Surgical Nursing in Patients with Colon Cancer during Perioperative Period
Objective:To observe the effect of rapid rehabilitation surgical nursing in patients with colon cancer during perioperative period.Methods:A total of 54 patients with colon cancer treated by surgery in Tianjin People's Hospital from September 2022 to March 2023 were selected as the study objects,and were randomly divided into an observation group and a control group,with 27 cases in each group.The control group received routine nursing in perioperative period,and the observation group received rapid rehabilitation surgical nursing in perioperative period.The perioperative indexes,stress indexes level,complications and nursing satisfaction of the two groups were compared.Results:The recovery time of bowel sound,the first time to eat,the first time to exhaust gas,the first time to get out of bed and the length of hospital stay in the observation group were shorter than those in the control group,and the Pain Visual Analog Score of the observation group was lower than that of the control group,with statistical significance(P<0.05).After operation,the levels of epinephrine,cortisol and norepinephrine in observation group were lower than those in control group,with statistical significance(P<0.05).The complication rate of the observation group was 3.70%,which was lower than 29.63%of the control group,and the total nursing satisfaction rate was 96.30%,which was higher than 77.80%of the control group,with statistical significance(P<0.05).Conclusion:In the perioperative nursing of colon cancer patients,rapid rehabilitation surgical nursing is an ideal nursing program,which can improve the perioperative indexes and stress indexes level,reduce the incidence of complications,and contribute to the improvement of patient satisfaction.

Colon cancerRapid rehabilitation surgical nursingRoutine nursingPerioperative periodStress index level

付红伟、王俊英

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天津市人民医院肛肠三科,天津 300000

结肠癌 快速康复外科护理 常规护理 围手术期 应激指标水平

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(20)