手术室全程护理对中低位直肠癌患者术后早期恢复的影响

Effect of whole course nursing provided by nurses working in the operating room on early recovery after surgery in patients with mid-and low rectal cancer

目的探讨手术室全程护理对中低位直肠癌患者术后早期恢复的影响。方法本研究为回顾性分析,选择邯郸市中心医院2016年3月至2019年12月收治的120例行腹腔镜全直肠系膜切除术(TME)的中低位直肠癌患者为研究对象,根据手术室护理方式的不同分为观察组(实施手术室全程护理)和对照组(实施手术室常规护理),每组各60例。比较两组手术相关指标、术后早期肠道功能恢复情况及术后并发症发生率。结果观察组手术时间、术后住院时间短于对照组,术中出血量少于对照组,差异均有统计学意义(均P<0.05),两组淋巴结清扫数目比较差异无统计学意义(P>0.05)。观察组术后首次肛门排气时间、首次进食时间、首次排粪时间较对照组提前,差异均有统计学意义(均P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论对接受腹腔镜TME术的中低位直肠癌患者施予手术室全程护理有助于患者术后早期恢复,减少术后并发症。

Objectives To explore the effect of whole course nursing provided by nurses working in the operating room on early recovery after surgery in patients with mid-and low rectal cancer.Methods This is a retrospective study,one hundred and twenty patients with mid-and low rectal cancer who underwent laparoscopic total mesorectal excision(TME)at the Handan Central Hospital between March 2016 and December 2019 were recruited.According to the nursing care mode,they were divided into the treatment group(receiving whole course nursing provided by nurses working in the operating room)and control group(receiving routine nursing provided by nurses working in the operating room),with 60 patients in each group.Surgical parameters,recovery of intestinal function during the early postoperative period,and postoperative complications were compared between the two groups.Results The operation time and hospitalization of treatment group were shorter than that of the control group,and the bleeding volume was less than that of the control group(P<0.05).The number of lymph node yield was comparable between the two groups(P>0.05).The time to the first postoperative flatulence,time to the first postoperative food intake,and time to the first postoperative bowel movement significantly shorter in the treatment group(P<0.05).The total incidence of complications in the treatment group was lower than that in the control group(P<0.05).Conclusion The whole course nursing provided by nurses working in the operating room is helpful to the early recovery after surgery in patients with mid-and low rectal cancer undergoing laparoscopic TME and reduce postoperative complications.