加速康复外科护理在直肠癌保肛患者中的应用研究

Application of Enhanced Recovery Nursing Methods after Surgery in Rectal Cancer Patients with Anal Preservation

目的:探讨基于加速康复外科理念的护理措施在直肠癌保肛患者中的应用效果。方法:纳入119例直肠癌保肛患者,分为两组,对照组接受常规护理,观察组接受基于加速康复外科理念的护理措施,比较两组患者术前术后焦虑情况、术后恢复质量、术后并发症发生率、术后进食时间和住院时间。结果:观察组患者术后焦虑情况(42.1±5.12)分vs(49.5±8.21)分、收缩压(125±15.3)mmHgvs(131±9.2)mmHg、疼痛情况(6±2.3)分vs(4.5±1.7)分、无法接受指令(6.9%vs21.3%)和恶心呕吐(17.2%vs34.4%)均明显优于对照组,有统计学差异(P<0.05)。观察组患者的术后并发症发生率(6.9%vs21.3%)、进食时间(4.8±1.5)天vs(6.3±1.1)天和住院日(9.1±1.9)天vs(14.8±2.3)天均明显优于对照组,有统计学差异(P<0.05)。结论:加速康复外科护理措施可以有效减少直肠癌保肛患者的焦虑情况,促进其术后康复。

Objective To explore the effect of enhanced recovery nursing methods after surgery (ERAS) in rectal cancer patients with anal preservation. Methods Totally 119 patients were recruited and allocated to two groups. The patients in control group accepted the normal nursing and the patients in observation group were under the ERAS nursing. The pre- and post-operative anxiety, post-operative quality, rate of complications, feeding time and hospitalization duration after operation were collected. Results The anxiety (42.1±5.12 points vs 49.5±8.21points), systolic pressure (125±15.3mmHg vs 131±9.2mmHg), pain (6±2.3points vs 4.5±1.7points), unacceptability of instructions (6.9% vs 21.3%), nausea and vomiting (17.2% vs 34.4%) in the observation group were significantly better than those in the control group (P <0.05). The rate of postoperative complications (6.9% vs 21.3%), feeding time (4.8±1.5d vs 6.3±1.1d )and hospitalization days (9.1±1.9d vs 14.8±2.3d) in the observation group were significantly better than those in the control group (P <0.05). Conclusion The ERAS nursing could decrease the anxiety and improve the rehabilitation of the special patients.