加速康复外科护理在机器人直肠癌根治术围手术期的应用

Effect of enhanced recovery after surgery nursing on perioperative period of robot-assisted radical resection on rectal cancer

目的:探讨加速康复外科护理在机器人直肠癌根治术围手术期的影响。方法:选取2018年6月~2019年6月在甘肃省人民医院肛肠科确诊直肠恶性肿瘤并行机器人直肠癌根治术的患者150例,依据随机数字表法分为两组,各75例。对照组给予常规护理干预,观察组给予直肠癌术后加速康复外科(Enhanced recovery after surgery,ERAS)护理干预,观察并比较两组患者的术后康复情况和术后心理状态。结果:与对照组相比,观察组术后首次进食时间和住院时间较短,并发症发生率均较低。结论:对行机器人直肠癌根治术的患者给予加速康复外科护理,有利于患者术后康复并显著改善其心理状态,缩短首次进食时间和住院时间,减少术后并发症的发生。

Objective:To evaluate the effect of enhanced recovery after surgery nursing on perioperative period of robot-assisted radical resection on rectal cancer.Methods:A total of 150 patients who underwent roboticassisted radical resection on rectal cancer in the department of colorectal surgery of Gansu Provincial Hospital from June 2018 to June 2019 were enrolled in this study.They were randomly divided into control group and observation group,75 cases in each group.The control group was given routine nursing intervention,while the observation group was given enhanced recovery after surgery(ERAS)nursing intervention.The postoperative recovery and psychological state of the two groups were observed and compared.Results:Compared with the control group,the observation group had a shorter first diet time,hospitalization time and lower incidence of complications.Conclusion:The ERAS nursing is beneficial to the postoperative recovery of patients underwent robot-assisted radical resection of rectal cancer,which can significantly improve their psychological state,shorten the first diet time and hospitalization time,reduce the occurrence of postoperative complications.