摘要
目的探讨加速康复外科(enhanced recovery after surgery,ERAS)管理模式结合穴位按压对子宫内膜癌患者术后康复的影响.方法选取该院2019年7月—2020年11月收治的子宫内膜癌患者108例为研究对象,按随机数字表法分为两组,每组54例.对照组采用常规管理模式,观察组采用ERAS管理模式结合穴位按压,干预至患者出院.比较两组患者的术后康复情况、心理状态、疼痛情况、生活质量及并发症发生率.结果观察组的首次肛门排气时间(18.36±2.05)h、下床活动时间(15.46±2.08)h、住院时间(6.29±1.03)d,均短于对照组,组间差异有统计学意义(P<0.05).两组干预前的焦虑自评量表(self-rating anxiety scale,SAS)评分、抑郁自评量表(self-rating depression scale,SDS)评分及疼痛视觉模拟评分(visual analogue scale,VAS)比较,差异无统计学意义(P>0.05);观察组干预后的SAS评分、SDS评分及VAS评分分别为(39.40±5.41)分、(41.95±4.16)分、(2.18±0.53)分,均低于对照组,组间差异有统计学意义(P<0.05).比较两组的生活质量评分,干预前,两组各项评分比较,差异无统计学意义(P>0.05);干预后,观察组的各项评分均高于对照组,组间差异有统计学意义(P<0.05).比较两组的并发症发生率,观察组的3.70%低于对照组的14.81%,差异有统计学意义(P<0.05).结论ERAS管理模式结合穴位按压能够改善子宫内膜癌患者的负性情绪,减轻术后疼痛,改善生活质量,降低并发症发生率,促进患者术后康复.
Objective To investigate the effects of enhanced recovery after surgery(ERAS)management mode combined with acupressure on postoperative rehabilitation of patients with endometrial cancer.Methods A total of 108 patients with endometrial cancer admitted to the hospital from July 2019 to November 2020 were selected as the study subjects,and they were divided into two groups according to random number table method,with 54 patients in each group.The control group was treated with conventional management mode,while the observation group was treated with ERAS management mode combined with acupressure.Intervention was performed in both groups until patients were discharged from hospital.Postoperative recovery,psychological status,pain,quality of life and incidence of complications were compared between the two groups.Results The first anal exhaust time(18.36±2.05)h,out of bed activity time(15.46±2.08)h,hospital stay time(6.29±1.03)d in the observation group were shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).There were no significant differences in self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score and visual analogue scale(VAS)score between the two groups before intervention(P>0.05);after the intervention,the SAS score,SDS score and VAS score of the observation group were(39.40±5.41)points,(41.95±4.16)points and(2.18±0.53)points,respectively,lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).Compared the quality of life scores of the two groups,before intervention,there were no statistical significance in the scores of the two groups(P>0.05);after intervention,the scores of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).Compared the complication rate of the two groups,the observation group's 3.70%was lower than the control group's 14.81%,the difference was statistically significant(P<0.05).Conclusion ERAS era management mode combined with acupressure can improve negative emotions,relieve postoperative pain,improve quality of life,reduce the incidence of complications,and promote postoperative recovery of patients with endometrial cancer.
作者
徐传萍
XU Chuanping(Department of Gynecology,Linyi Cancer Hospital,Linyi Shandong,276000,China)
出处
《反射疗法与康复医学》
2021年第7期42-45,共4页
Reflexology And Rehabilitation Medicine
关键词
子宫内膜癌
加速康复外科
穴位按压
术后康复
负性情绪
并发症
Endometrial carcinoma
Enhanced recovery after surgery
Acupressure
Postoperative rehabilitation
Negative emotion
Complication
