手术室护理干预对腹腔镜下结直肠肿瘤切除术患者术后康复的影响

Effect of operating room nursing intervention on postoperative recovery in patients undergoing laparoscopic resection of colorectal tumors

目的探讨手术室护理干预对腹腔镜下结直肠肿瘤切除术患者术后康复的影响。方法选取2015年3月至2018年8月间陕西安康市中心医院收治的80例行腹腔镜下结直肠肿瘤切除患者,采用随机数表法分为观察组和对照组,每组40例。对照组患者采用常规护理,观察组患者在常规护理基础上采用手术室护理干预,比较两组患者术后恢复、负面情绪、生活质量及并发症等情况。结果观察组患者手术出血量、手术时间、肠鸣音恢复时间、肠蠕动恢复时间和下床时间均少于对照组,差异均有统计学意义(均P<0.05)。干预后,观察组患者焦虑和抑郁评分均低于对照组,差异均有统计学意义(均P<0.05)。干预后,观察组患者躯体功能、社会支持、疼痛、精神健康、社会功能、情绪、心理状态和总体健康评分均高于对照组,差异均有统计学意义(均P<0.05)。观察组患者不良反应率为5.0%,低于对照组的20.0%,差异有统计学意义(P<0.05)。观察组患者护理满意度为92.5%,高于对照组的77.5%,差异有统计学意义(P<0.05)。结论手术室护理干预可减少腹腔镜下结直肠肿瘤切除患者手术出血量、手术时间,缩短恢复时间,改善负面情绪,减少不良反应,提高生活质量和护理满意度。

Objective To investigate the effect of operating room nursing intervention on postoperative recovery in patients undergoing laparoscopic resection of colorectal tumors.Methods Eighty patients undergoing laparoscopic resection of colorectal tumor were enrolled at Ankang Central Hospital from March2015 to August 2018.The patients were randomly divided into an observation group and a control group with 40 patients in each group.The observation group was given operating room nursing intervention based on routine nursing and the control group only received routine nursing.The postoperative recovery,negative emotion,quality of life and incidence of complications were compared between the two groups.Results After the intervention,the amount of surgical bleeding,operation time,time to bowel sounds,time to bowel movement and time to out-of-bed activities were lower in the observation group than in the control group(all P<0.05).After the intervention,scores of depression and anxiety were lower in the observation group than in the control group(all P<0.05).After the intervention,scores of physical function,social support,pain,mental health,social function,mood,mental state,and overall health were higher in the observation group than in the control group(all P<0.05).The incidence of adverse reactions were 5.0%in the observation group which was lower than 20.0%of the control group(P<0.05).Patient satisfaction with nursing was 92.5%the observation group which was higher than 77.5%of the control group(P<0.05).Conclusion Operating room nursing intervention can reduce the amount of surgical bleeding,and operation time,shorten the recovery time,improve negative emotions,reduce adverse reactions,and improve quality of life and patient satisfaction with nursing.