快速康复护理对肝癌患者术后康复及生存质量的影响

Effect of rapid rehabilitation nursing on postoperative rehabilitation and quality of life in patients with liver cancer

目的探讨快速康复护理对肝癌患者术后康复及生存质量的影响。方法选取2015年4月至2016年12月间广东省人民医院收治的100例肝癌患者,采用随机数字表法分为观察组与对照组,每组50例。对照组患者采用常规护理,观察组患者采用快速康复护理,统计两组患者术后进水时间、排气时间、肠蠕动时间和下床时间,采用生存质量测定量表(WHOQOL-100)对两组患者干预前后生存质量进行评价。结果观察组患者术后进水时间、排气时间、下床时间和肠蠕动时间分别为(29.4±11.5)h、(56.7±18.2)h、(38.5±7.7)h和(32.1±9.2)h,均低于对照组的(38.2±11.4)h、(68.5±13.5)h、(46.9±12.9)h和(39.4±10.6)h,差异均有统计学意义(均P<0.05)。观察组患者总体并发症发生率为18.0%,显著低于对照组的44.0%,差异有统计学意义(P<0.05)。干预前,两组患者WHOQOL-100各项评分比较,差异无统计学意义;干预后,观察组患者WHOQOL-100量表中生理领域、心理领域、独立性领域、社会关系领域和环境领域评分均高于对照组,差异均有统计学意义(均P<0.05)。结论肝癌患者术后采用快速康复护理,能够加速患者术后康复,控制并发症发生,提高生存质量,值得推广应用。

Objective To explore the effect of rapid rehabilitation nursing on postoperative rehabilitation and quality of life in patients with liver cancer. Methods A total of 100 patients with liver cancer were enrolled at Guangdong Provincial People＇s Hospital from April 2015 to December 2016. Using a random number table,these patients were randomly divided into an observation group and a control group with50 patients in each group. The observation group was given rapid rehabilitation nursing and the control group was given routine nursing. Time of drinking,exhaust time,peristalsis time and time out of bed were calculated. Quality of life was evaluated and compared using WHOQOL-100 before and after the intervention.Results Time of drinking,exhaust time,peristalsis time and time out of bed was（ 29. 4 ± 11. 5） h,（ 56. 7 ± 18. 2） h,（ 38. 5 ± 7. 7） h and（ 32. 1 ± 9. 2） h respectively for the observation group which was significantly lower than（ 38. 2 ± 11. 4） h,（ 68. 5 ± 13. 5） h,（ 46. 9 ± 12. 9） h and（ 39. 4 ± 10. 6） h of the control group（ all P〈0. 05）. The overall complication rate was 18. 0% for the observation group,which was significantly lower than 44. 0% of the control group（ P〈0. 05）. Before the intervention,there was no significant differences in the WHOQOL-100 scores between the two groups and after the intervention,scores of physiology,psychology,independence,social relations and environment of WHOQOL-100 scale were higher in the observation group than in the control group（ all P〈0. 05）. Conclusion Rapid rehabilitation nursing can accelerate the rehabilitation,control the complications and improve the quality of life in patients with liver cancer and is worthy of promotion and application.