Application effects of intensive rehabilitation nursing in patients after retroperitoneal laparoscopic radical nephrectomy for renal cell carcinoma
Objective:To observe application effects of intensive rehabilitation nursing in patients after retroperitoneal laparoscopic radical nephrectomy for renal cell carcinoma.Methods:A prospective study was conducted on 82 patients who underwent retroperitoneal laparoscopic radical nephrectomy in this hospital from August 2021 to February 2023.They were divided into control group and study group by random number table method.41 cases in each group.The control group was given routine nursing,while the study group was given the intensive rehabilitation nursing on the basis of the control group.The postoperative rehabilitation index levels,the postoperative pain[visual analogue scale(VAS)]score,the negative emotion[self-rating depression scale(SDS),self-rating anxiety scale(SAS)]scores before and after the nursing,and the incidence of complications were compared between the two groups.Results:The recovery time of gastrointestinal function,the first feeding time,the first out-of-bed time,the drainage tube extraction time and the hospitalization time in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.05).At 12,18 and 24 h after the surgery,the VAS scores of the two groups were lower than those 6 h after the surgery,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The SDS score and SAS score of the two groups were lower than those before the nursing,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the study group was lower than that in the control group,the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the study group was 95.12%(39/41),which was higher than 80.49%(33/41)of the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the intensive rehabilitation nursing can improve the nursing satisfaction of the patients after retroperitoneal laparoscopic radical nephrectomy,shorten the levels of rehabilitation indexes,reduce the pain scores,the negative emotion scores and the incidence of complications.Moreover,it is superior to single routine nursing.
万方数据
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