基于加速康复策略的围手术期临床护理路径在胃癌患者中的应用

Application of perioperative clinical care pathway based on fast-track rehabilitation protocol in surgery in patients with gastric cancer

目的探讨基于加速康复策略的围手术期临床护理路径在胃癌患者中的应用。方法选取2016年1月至2018年12月间安康市人民医院收治的70例胃癌根治术患者,在围手术期实施常规护理模式的35例患者纳入对照组,在围手术期采用加速康复临床护理路径模式的35例患者纳入研究组。比较两组患者术后恢复情况,包括进食时间、首次排气时间、首次下床时间、尿管留置时间、引流管留置时间、住院时间和术后并发症情况。结果研究组进食时间、首次排气时间、首次下床时间、引流管留置时间和住院时间均短于对照组,且术后并发症发生率低于对照组,差异均有统计学意义(均P<0.05)。结论基于加速康复策略的围手术期临床护理路径在胃癌患者围手术期中具有较好的应用效果,能够明显缩短患者的住院时间,促进康复。

Objective To explore the application of perioperative clinical care pathway based on fast-track rehabilitation protocol in surgery in patients with gastric cancer.Methods From January 2016 to December 2018,70 patients with radical gastrectomy at Ankang People’s Hospital were included in the study.Thirty-five patients who received nursing care based on fast-track rehabilitation protocol in surgery were included in a study group and 35 patients who received conventional nursing were included in a control group.Postoperative recovery,time to eating,time to exhaust,time to out-of-bed activity,length of indwelling catheter stay,length of indwelling drainage catheter stay,length of hospital stay and incidence of complications were compared.Results Time to eating,time to exhaust,time to out-of-bed activity,length of indwelling catheter stay and length of hospital stay was shorter in the study group than in the control group(all P<0.05).The incidence of postoperative complications was lower in the study group than in the control group(P<0.05).Conclusion The clinical nursing care based on fast-track rehabilitation protocol in surgery has a good effect in gastric cancer patients in the perioperative period,which can significantly shorten the length of hospital stay and promote rehabilitation.