摘要
目的探讨加速康复外科护理模式在原发性肝癌患者肝切除围手术期的应用效果。方法选择2020年7月至2021年12月福建医科大学附属第一医院手术护理中心接受肝切除的原发性肝癌患者106例,采用随机数表法分为传统组(n=53)与康复组(n=53),传统组围手术期接受常规护理模式,康复组在常规组基础上接受加速康复外科护理模式。比较两组术前指标、术后胃肠功能、疼痛情况、并发症情况、功能恢复时间、住院时间与患者护理满意度。结果康复组术前饥饿、口渴、紧张视觉模拟评分法(VAS)评分低于传统组,差异有统计学意义(P<0.05);康复组首次肛门排气时间与排便时间早于传统组,差异有统计学意义(P<0.05);康复组术后24、48、72 h疼痛VAS评分低于传统组,差异有统计学意义(P<0.05);康复组术后并发症总发生率低于传统组,差异有统计学意义(P<0.05);康复组功能恢复时间及住院时间短于传统组,差异有统计学意义(P<0.05);康复组健康教育、心理护理、康复护理、护理理念与主观评价维度评分均高于传统组,差异有统计学意义(P<0.05)。结论加速康复外科护理模式在原发性肝癌患者肝切除术围手术期应用可减轻患者术前饥饿、口渴、紧张程度,改善术后胃肠功能,降低术后疼痛程度与并发症发生率,缩短功能恢复时间与住院时间,患者满意度高,值得应用推广。
Objective To explore the application effect of accelerated rehabilitation surgery nursing mode in perioperative period of hepatectomy for patients with primary liver cancer.Methods A total of 106 patients with primary liver cancer who received hepatectomy in the Operation Nursing Center of the First Affiliated Hospital of Fujian Medical University from July 2020 to December 2021 were selected and randomly divided into the traditional group(n=53)and the rehabilitation group(n=53)according to the random number table method.The patients in the traditional group received the routine nursing mode during the perioperative period,while those in the rehabilitation group received the accelerated rehabilitation surgery nursing mode on the basis of the treatment for the traditional group.The preoperative indicators,postoperative gastrointestinal function,pain,complications,time to functional recovery,hospital stay and nursing satisfaction were compared between the two groups.Results The preoperative visual analogue scale(VAS)scores of hunger,thirst and tension in the rehabilitation group were lower than those in the traditional group,with statistically significant differences(P<0.05).Time to first anal exhaust and time to defecation in the rehabilitation group were shorter than those in the traditional group,with statistically significant differences(P<0.05).The pain VAS scores at 24 h,48 h and 72 h after operation of the rehabilitation group were lower than those of the traditional group,with statistically significant differences(P<0.05).The total incidence of postoperative complications in the rehabilitation group was lower than that in the traditional group,with statistically significant difference(P<0.05).Time to functional recovery and hospital stay in the rehabilitation group were shorter than those in the traditional group,with statistically significant differences(P<0.05).The scores of dimensions of health education,psychological nursing,rehabilitation nursing,nursing concept and subjective evaluation in the rehabilitation group were higher than those in the traditional group,with statistically significant differences(P<0.05).Conclusion The application of accelerated rehabilitation surgical nursing mode in perioperative period of hepatectomy for patients with primary liver cancer can reduce preoperative hunger,thirst and tension,improve postoperative gastrointestinal function,reduce postoperative pain and the incidence of complications,and shorten the time to functional recovery and hospital stay,and the patient satisfaction is high.Therefore,it is worthy of application and promotion.
作者
廖一帆
LIAO Yifan(Operation Nursing Center,the First Affiliated Hospital of Fujian Medical University,Fujian,Fuzhou 350004,China)
出处
《中国医药科学》
2023年第3期142-145,174,共5页
China Medicine And Pharmacy
关键词
原发性肝癌
肝切除术
围手术期
加速康复外科护理
视觉模拟评分法
并发症
Primary liver cancer
Hepatectomy
Perioperative period
Accelerated rehabilitation surgical nursing
Visual analogue scale
Complication
