快速康复外科在结直肠癌患者围手术期护理中的应用

Perioperative Nursing of Fast-Track Surgery in Colorectal Cancer

目的通过对结直肠癌患者护理临床效果的分析,探讨快速康复外科在结直肠癌患者护理中的临床应用。方法运用回顾性分析的方法,收集104例结直肠癌的患者,其中52例为常规护理的病人,52例为运用快速康复外科护理的病人,并对两组患者术后的住院天数,术后输液治疗的天数,首次肛门排气的时间,排便的时间,患者术前术后营养状况的评估,患者住院总费用进行统计分析。结果运用快速康复外科护理的病人,在术后的住院天数,术后输液治疗的天数,首次肛门排气的时间,排便的时间,并发症的发生率,患者术前术后营养状况的评估,患者住院总费用及患者满意度方面均优越于常规护理的病人。两者之间均具有统计学差异(P<0.05)。结论运用快速康复外科进行临床护理,能有效地提高患者术后胃肠道功能的恢复速度,减少术后的并发症,降低医疗费用,提高患者对临床护理工作的满意程度。

Objective To investigate the effect of fast-rack surgery concept in nursing of colorectal cancer surgery. Methods We retrospectively analyzed 104 cases of patients who suffered from colorectal cancer and received surgery treatment. The control group of 52 patients underwent traditional nursing, the observation group of 52 patients underwent nusing with fast-track surgery concept. Postoperative hospitalization days, the change of body weight, total cost of hospitalization, duration of vein nutrition therapy, duration of gastrointestinal tract recovery and the complication rate were compared between the two groups. Results The postoperative hospitalization days, the change of body weight, the total cost of hospitalization, the duration of vein nutrition therapy and the duration of gastrointestinal tract recovery of the observation group were lower than the control group. Conclusion The nursing with FTS concept in colorectal cancer can effectively promote the recovery of gastrointestinal function, reduce hospitalization days and medical cost, and improve patients＇ satisfaction.