Study on the Application Value of Xiao's Comfort Care Model Combined with Accelerated Rehabilitation Surgery Theory in Patients with Liver Cancer Surgery
Objective:To explore the application value of Xiao's comfort care model combined with accelerated rehabilitation surgery theory in patients with liver cancer surgery.Method:A total of 90 patients undergoing liver cancer surgery in Affiliated Hospital of Guilin Medical University from January 2021 to December 2022 were selected and mechanically divided into comfort care group,accelerated rehabilitation group and combined group according to the order of treatment(123 cycle groups in the order of treatment).Patients in the three groups were respectively given comfort care,nursing mode under the guidance of accelerated rehabilitation surgery theory,and nursing mode under the guidance of Xiao's comfort care mode combined with accelerated rehabilitation surgery theory.Postoperative recovery indicators,postoperative complications,self-rating anxiety scale(SAS)scores,self-rating depression scale(SDS)scores,and quality of life at admission and before discharge and nursing service satisfaction in three groups were compared.Result:There were statistically significant differences in the first postoperative exhaust time,defecation time,postoperative hospitalization time and hospitalization cost among the three groups(P<0.05),and the first postoperative exhaust time,defecation time in the combined group were significantly earlier than those in the comfort care group and accelerated rehabilitation group,and postoperative hospitalization time in the combined group was significantly shorter than that in the comfort care group and accelerated rehabilitation group,hospitalization cost was significantly reduced compared with comfort care group and accelerated rehabilitation group(P<0.05).The complication rate of postoperative in combined group was 6.67%,which was lower than 53.33%in comfort care group and 50.00%in accelerated rehabilitation group(P<0.05).There were no significant differences in SAS and SDS scores among the three groups at admission(P>0.05),and SAS and SDS scores of the three groups were significantly decreased before hospitalization,and SAS and SDS scores of the combined group were significantly decreased before discharge compared with comfort care group and accelerated rehabilitation group(P<0.05).There was no significant difference in KPS score among the three groups at admission(P>0.05),but KPS scores among the three groups were significantly increased before discharge,and KPS score in combined group was significantly increased compared with comfort care group and accelerated rehabilitation group(P<0.05).The satisfaction rate of care service in postoperative combined group was 93.33%,which was significantly higher than 63.33%in comfort care group and 56.67%in accelerated rehabilitation group(P<0.05).Conclusion:The application of Xiao's comfort care model combined with accelerated rehabilitation surgery theory in perioperative nursing of patients with liver cancer can improve gastrointestinal function,shorten hospital stay,relieve negative psychological emotions,reduce the incidence of complications,improve the quality of life,and improve patients'satisfaction with nursing services.
Xiao's comfort care modelAccelerated rehabilitation surgery theoryLiver cancer
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