快速康复外科护理模式在卵巢癌患者术后护理的作用

The role of enhanced recovery after surgery model in postoperative care of patients with ovarian cancer

目的探讨快速康复外科(ERAS)护理模式在卵巢癌术后患者早期康复的的作用。方法选取2012年6月至2018年9月在该院接受治疗的卵巢癌患者95例,分为对照组(47例)与观察组(48例)。对照组采用传统的常规早期康复护理措施,观察组采用ERAS护理模式。记录并比较两组患者术后恢复情况、视觉模拟评分法(VAS)疼痛评分、并发症发生情况及患者护理满意率。结果观察组患者首次进食、首次排气、首次排便及出院时间均早于对照组,差异有统计学意义(P<0.05);观察组患者术后6、12、24、72 h及术后5 d的VAS评分均低于对照组,差异有统计学意义(P<0.05);观察组在护理满意率高于对照组(97.92%vs.51.06%),总并发症发生率低于对照组(4.17%vs.14.89%),差异有统计学意义(P<0.05)。结论卵巢癌患者术后进行ERAS护理模式干预,能加快患者的康复,增加患者对医护工作的满意度。

Objective To explore the role of enhanced recovery after surgery(ERAS)model in early rehabilitation in patients with ovarian cancer.Methods A total of 95 patients with ovarian cancer who were treated in this hospital from June 2012 to September 2018 were selected and divided into the control group(47 cases)and the observation group(48 cases).The control group received the traditional routine early rehabilitation nursing measures,and the observation group received ERAS model in postoperative care.The patients′postoperative recovery index,visual analogue scale(VAS)pain score,occurrence of complication and satisfaction rate were recorded and compared between the two groups.Results The time of first eating,first exhausting,first defecation,and discharge of patients in the observation group was earlier than that of patients in the control group,and the difference was statistically significant(P<0.05).The VAS scores at 6,12,24,72 h and 5 d after operation in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The nursing satisfaction rate in the observation group was higher than that in the control group(97.92%vs.51.06%),and the total incidence of complications in the observation group was lowere than that in the control group(4.17%vs.14.89%),and the differences were statistically significant(P<0.05).Conclusion Application of ERAS nursing model for patients with ovarian cancer can speed up the patients′recovery and increase the patients′satisfaction rate of nursing care.