术后早期活动护理在肝癌肝叶切除患者术后加速康复中的应用效果

Application effect of early postoperative activity nursing in the accelerated rehabilitation of patients with liver cancer after hepatectomy

目的研究术后早期活动护理在肝癌肝叶切除患者术后加速康复中的应用效果。方法将2018年3月至2019年3月收治的100例肝癌肝叶切除患者根据抽签分组方法分为观察组(n=50,术后早期活动护理)和对照组(n=50,常规护理)。比较两组的护理效果。结果观察组的肠鸣音恢复时间、首次排气时间及首次排便时间均短于对照组,差异具有统计学意义(P<0.05)。护理后1、3、5 d,观察组的日常生活活动能力评分均高于对照组及护理前,差异具有统计学意义(P<0.05)。观察组护理后的焦虑和抑郁评分低于对照组和护理前,差异具有统计学意义(P<0.05)。观察组的恶心呕吐、肺部感染及切口出血发生率均低于对照组,差异具有统计学意义(P<0.05)。术后第1天,两组IL-1及IL-6水平均较术前降低,且观察组低于对照组,差异具有统计学意义(P<0.05)。观察组护理后的生活质量各项评分均高于对照组和护理前(P<0.05)。结论给予肝癌肝叶切除患者术后早期活动护理,能够促进患者快速恢复,减少并发症,缓解负面情绪。

Objective To study the application effect of early postoperative activity nursing in the accelerated rehabilitation of patients with liver cancer after hepatectomy.Methods One hundred patients with liver cancer undergoing hepatectomy from March 2018 to March 2019 were divided into observation group(n=50,early postoperative activity nursing)and control group(n=50,routine nursing)according to the method of drawing lots.The nursing effect of the two groups was compared.Results The time of bowel sounds recovery,the first exhaust time and the first defecation time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).At1,3 and 5 days after nursing,the activities of daily living scores of the observation group were higher than those of the control group and before nursing,and the differences were statistically significant(P<0.05).The anxiety and depression scores of the observation group after nursing were lower than those of the control group and before nursing,and the differences were statistically significant(P<0.05).The incidences of nausea and vomiting,pulmonary infection and incision bleeding in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).On the first day after operation,the levels of IL-1 and IL-6 in the two groups were lower than those before operation,and those in the observation group were lower than the control group,and the differences were statistically significant(P<0.05).The quality of life scores of the observation group after nursing were higher than those of the control group and before nursing(P<0.05).Conclusion Early postoperative activity nursing for patients with liver cancer after hepatectomy can promote rapid recovery of patients,reduce complications and relieve negative emotions.