结直肠癌围术期医护一体化快速康复理念的研究

Study on integrated doctor-nurse fast-track rehabilitation idea during peri-operative period in colorectal cancer resection

目的探讨医护一体化快速康复理念的实施对结直肠癌围术期的影响。方法选取80例结直肠癌手术患者,分为观察组和对照组各40例,分别采用医护一体化快速康复理念(观察组)和传统方法进行医疗护理(对照组)。结果观察组患者胃肠减压时间为(10.72±4.04)h、首次排气时间为(27.51±9.43)h、进食时间为(27.84±3.94)h、住院时间为(8.77±1.76)d、住院费用为(4.17±0.41)万元,明显短于对照组的(58.50±8.32)h、(49.63±13.84)h、(98.40±12.71)h、(13.10±1.52)d、(5.56±0.32)万元,两组比较差异有统计学意义(P<0.05);两组患者术后并发症发生率均为7.50%(3/40),差异无统计学意义(P>0.05)。结论将医护一体化快速康复理念应用于结直肠癌患者围术期中,能加速患者术后康复进程,减轻患者痛苦,降低平均住院日及住院费用,并提高医疗护理质量。

Objective To explore the influence of implementation of integrated doctor-nurse fast-track rehabilitation idea on the peri-operative period in colorectal cancer.Methods 80 operative patients with colorectal cancer were selected and randomly divided into the observation group and the control group,40 cases in each group.The medical nursing care was conducted by adopting the integrated doctor-nurse fast-track rehabilitation idea and the conventional method respectively.Results The gastrointestinal decompression time in the observation group was（10.72±4.04）h,first exhausting time was（27.51±9.43）h,time to take food was（27.84±3.94）h,hospitalization time was（8.77±1.76）d and hospitalization cost was（4.17±0.41）ten thousand Yuan,which were significantly lower than（58.50±8.32）h,（49.63±13.84）h,（98.40±12.71）h,（13.10±1.52）d and（5.56±0.32）ten thousand Yuan in the control group respectively,the differences between the two groups were statistically significant（P〈0.05）.The occurrence rate of post-operative complications in the two groups was 7.50% without statistical difference（P〉0.05）.Conclusion The application of integrated doctor-nurse fast-track rehabilitation idea during the peri-operative period in colorectal cancer can accelerate the postoperative rehabilitation process of the patients,alleviates their suffering,reduces their average hospitalization duration and hospitalization cost,and increases the medical nursing quality.