快速康复外科理念在腹腔镜直肠癌切除患者围手术期护理中的应用

Application of Rapid Rehabilitation Surgery in Perioperative Nursing of Laparoscopic Rectal Cancer Resection

目的探讨快速康复外科理念在腹腔镜直肠癌切除患者围手术期护理中的应用。方法选取我院2015年10月—2016年11月收治的80例腹腔镜直肠癌切除患者分为对照组与观察组,每组40例。对照组行常规护理,观察组行围手术期快速康复护理。对比两组患者焦虑情况、手术情况、护理满意度。结果(1)观察组患者术后SAS、SDS及VAS评分分别为(26.0±2.3)、SDS(28.5±3.1)、VAS(1.0±0.2),与对照组比较差异有统计学意义(P<0.05)。(2)观察组患者首次下床活动时间、肛门排气时间、PSQL分别为(2.1±0.4)d、(30.2±7.6)h、(2.7±1.2)分,与对照组比较差异有统计学意义(P<0.05)。(3)观察组患者满意率(100%)和对照组(80%)比较,差异有统计学意义(P<0.05)。结论快速康复外科护理理念的实施,可改善患者的心理状态,促进早期下床活动,有助于预后,并且能显著改善患者预后情况。

Objective To explore the application of rapid rehabilitation surgery in perioperative nursing of laparoscopic rectal cancer resection patients. Methods 80 cases of laparoscopic rectal cancer resection were enrolled in our hospital from October 2015 to November 2016. The patients were divided into control group and observation group（n = 40）. The control group was treated with routine nursing. The observation group was given rapid rehabilitation nursing during the perioperative period. The anxiety,operation and nursing satisfaction of the two groups were compared.Results（1） The scores of SAS, SDS and VAS in the observation group were（26.0±2.3）, SDS（28.5±3.1） and VAS（1.0±0.2） respectively. Compared with the control group, the difference was statistically significant（P〈 0.05）.（2）The first time of ambulation, anal exhaust time and PSQL in the observation group were（2.1 ± 0.4） d,（30.2 ± 7.6） h,（2.7 ± 1.2）, respectively. Compared with the control group, the difference was statistically significant（P〈 0.05）.（3） the satisfaction rate of the observation group（100%） was compared with that of the control group（80%）. The difference was statistically significant（P〈 0.05）. Conclusion In the perioperative period of rectal cancer resection,rapid rehabilitation nursing can effectively optimize the surgical indicators and improve the quality of care.