医护一体化快速康复外科护理对大肠癌患者术后康复与营养状况的影响
Effect of rapid rehabilitation surgical nursing on postoperative rehabilitation and nutritional status of patients with colorectal cancer
吴锡平 1劳景茂1
作者信息
- 1. 钦州市第一人民医院胃肠外科,广西 钦州 535000
- 折叠
摘要
目的 探讨医护一体化快速康复外科(ERAS)护理对大肠癌患者术后康复与营养状况的影响.方法 将2021年1月至2023年1月该院收治的120例大肠癌患者采用随机数字表法分为常规组和干预组,每组60例.常规组给予常规护理,干预组给予医护一体化ERAS护理.观察2组患者术后留置尿管、首次排气、开始半流质、下床活动、住院时间,以及术后营养指标(血清总蛋白、清蛋白、前清蛋白)、并发症发生情况、护理满意度等.结果 干预组患者术后留置尿管、首次排气、开始半流质、下床活动、住院时间均明显短于常规组,术后营养指标、护理满意度均明显高于常规组,并发症发生率明显低于常规组,差异均有统计学意义(P<0.05).结论 大肠癌患者围手术期给予医护一体化ERAS护理能促进胃肠功能康复,增加营养,降低并发症发生率,缩短住院时间.
Abstract
Objective To explore the effect of integrated medical and nursing enhanced recovery after surgery(ERAS)nursing on postoperative rehabilitation and nutritional status of patients with colorectal canc-er.Methods A total of 120 patients with colorectal cancer admitted to the First People's Hospital of Qinzhou from January 2021 to January 2023 were randomly divided into the routine group and the intervention group,with 60 cases in each group.Routine nursing and ERAS nursing integrated medical and nursing were given re-spectively.The postoperative indwelling catheter,first exhaust,beginning of semi-fluid,ambulation,hospitali-zation time,postoperative nutritional indicators(serum total protein,albumin,prealbumin),complications and nursing satisfaction were observed in the two groups.Results The time of indwelling catheter,first exhaust,starting semi-liquid,getting out of bed and hospitalization in the intervention group were significantly shorter than those in the routine group.The postoperative nutritional index and nursing satisfaction were significantly higher than those in the routine group,and the incidence of complications was significantly lower than that in the routine group,and the differences were statistically significant(P<0.05).Conclusion The application of integrated medical and nursing with ERAS nursing in the perioperative period of colorectal cancer can promote the recovery of gastrointestinal function,increase nutrition,reduce the incidence of complications and shorten the length of hospital stay.
关键词
医护一体化/快速康复外科/护理/大肠癌/手术后期间/康复/营养状况Key words
Integrated medical and nursing/Enhanced recovery after surgery/Nursing/Colorec-tal cancer/Postoperative/Rehabilitation/Nutritional status引用本文复制引用
基金项目
广西壮族自治区临床重点专科(普通外科)建设项目(桂卫医发[2022]17号)
广西卫生健康委自筹经费科研课题(Z20210336)
出版年
2024
国家科技期刊平台
NSTL
万方数据