早期康复锻炼联合疼痛护理在肝癌术后患者中的应用效果

Effects of early rehabilitation exercise combined with pain nursing on patients after liver cancer surgeries

目的:探讨早期康复锻炼联合疼痛护理在肝癌术后患者中的应用效果。方法:选取本院收治的68例肝癌患者,按随机数字表法分为观察组与对照组,每组34例。对照组术后给予常规护理干预,观察组则在对照组基础上增加早期康复锻炼联合疼痛护理干预。比较两组术后胃肠功能恢复时间、不同时间点疼痛程度、睡眠质量、体力状况以及康复效果。结果:观察组术后肠鸣音恢复时间、排气时间及排便时间均短于对照组(P<0.05);观察组术后6、24、48、72 h的疼痛视觉模拟评分均低于对照组(P<0.05);术后10 d,两组匹兹堡睡眠质量指数评分、美国东部肿瘤合作组制定的体能评分量表评分均下降,且观察组低于对照组(P<0.05);观察组术后进食时间、下床活动时间、胃管拔除及住院时间均短于对照组(P<0.05)。结论:早期康复锻炼联合疼痛护理有利于缓解患者术后疼痛程度,缩短胃肠功能恢复时间,改善睡眠质量及体力状况,促进患者康复。

Objective: To explore effects of early rehabilitation exercise combined with pain nursing on patients after liver cancer surgeries.Methods: 68 patients with liver cancer admitted to our hospital were enrolled. These patients were divided into observation group and control group according to the random number table method, 34 cases in each. After the surgeries, the control group received routine nursing intervention, while the observation group was given the early rehabilitation exercise combined with pain nursing based on that of the control group. The recovery time of gastrointestinal function after the surgery, the degree of pain at different time points, the quality of sleep, physical conditions, and the rehabilitation effects were compared between the two groups. Results: The recovery time of bowel sounds, anal exhaust time and defecation time in the observation group were significantly shorter than those in the control group(P<0.05). The visual analogue scale scores of the observation group 6, 24, 48 and72 h after the surgery were significantly lower than those of the control group(P<0.05). 10 days after the surgery, the Pittsburgh sleep quality index score and the score of physical fitness rating scale developed by the eastern cancer cooperation group of the two groups decreased, and those of the observation group were significantly lower than those of the control group(P<0.05). The postoperative feeding time, out of bed activity time, gastric tube removal time and length of stay in the observation group were significantly shorter than those in the control group(P<0.05). Conclusions: For the patients after liver cancer surgeries, early rehabilitation combined with pain nursing is beneficial to alleviate the postoperative pain, shorten the recovery time of gastrointestinal function, improve the sleep quality and the physical condition, and promote the patients’ rehabilitation.