快速康复路径在结直肠癌术后应用的效果评价

Evaluation of the effect of rapid rehabilitation nursing pathway after colorectal cancer surgery

目的评价快速康复路径在结直肠癌术后应用的效果。方法将2016年6至2016年11同济大学附属第十人民医院胃肠外科收治入院的结直肠肿瘤患者采用随机数字表法分为对照组及试验组,对照组采用常规护理,试验组采用快速康复护理路径。评价术后48 h两组患者焦虑状态及术后24 h患者疼痛程度、评价住院患者满意度、评价术后阿片类药使用天数、评价患者术后住院天数。结果与对照组比较,试验组术后48 h SAS评分(t=7.99,P<0.05)及24 h VAS评分(t=3.12,P<0.05)显著下降,患者满意度明显提升,试验组术后使用阿片类药的天数(t=2.46,P<0.05)及术后住院天数(t=3.42,P<0.05)明显少于对照组。结论对结直肠肿瘤患者行快速康复护理路径减轻了患者的疼痛,改善了患者的焦虑状态,降低了术后阿片类药物使用天数,缩短了术后住院天数,提高了患者住院期间的满意度。

Objective To evaluate the effect of fast rehabilitation nursing pathway in postoperative patients with colorectal cancer. Methods Patients between Jun 2016 and Nov 2016 were randomly divided into control group and the experimental group. The control group was treated with routine nursing, and the experiment group adopted the fast rehabilitation nursing pathway. The two groups were compared with 48 h patients′ anxiety state, postoperative pain in 24 h, degree of satisfaction of hospitalized patients before discharge, opium dose after surgery, postoperative hospitalization days. Results Comparing with control group, the fast rehabilitation nursing group has lower postoperative 48 h SAS score（t=7.99, P 0.05） and 24 h VAS score（t=3.12, P 0.05）, patient satisfaction improved significantly, the dose of opium days after surgery（t=2.46, P 0.05）and the postoperative hospital stay（t=3.42, P 0.05） was significantly less than the control group. Conclusion In the patients with colorectal cancer, fast rehabilitation nursing pathway can reduce the pain, improve the anxiety state of patients, reduce the postoperative dose of opium, shorten the length of hospital stay and improve the satisfaction of patients during hospitalization.