基于前馈控制的康复护理在早期喉癌根治术手术室护理中的应用

Application of rehabilitation nursing based on feedforward control in operation room nursing of patients with early laryngeal cancer undergoing radical operation

目的研究基于前馈控制的康复护理在早期喉癌患者根治术手术室护理中的应用效果。方法回顾性分析2018年8月至2020年8月在中山市中医院接受根治术手术治疗的120例喉癌患者的临床资料,按照护理方法的不同分组,其中50例给予常规护理者纳入对照组,70例在常规护理的基础上给予基于前馈控制的康复护理者纳入研究组。比较两组患者术后恢复情况、营养指标、吞咽功能情况、护理满意度以及并发症发生情况。结果研究组患者的手术切口愈合时间、首次下床时间、住院时间分别为(9.23±2.09)d、(14.39±3.26)d、(12.41±2.19)d,明显少于对照组的(12.81±2.45)d、(25.45±5.53)d、(18.26±2.84)d,差异有统计学意义(P<0.05);出院前1 d,研究组患者的血清白蛋白和血红蛋白水平分别为(35.74±3.23)g/L、(132.31±7.23)g/L,明显高于对照组的(28.49±2.40)g/L、(119.23±6.40)g/L,体质量为(2.61±0.27)kg,明显低于对照组的(5.87±0.32)kg,差异均有统计学意义(P<0.05);研究组患者的吞咽功能总异常率为37.14%,明显低于对照组的60.00%,差异均有统计学意义(P<0.05);研究组患者的护理满意度为95.71%,明显高于对照组的82.00%,并发症发生率为5.71%,明显低于对照组的28.00%,差异均有统计学意义(P<0.05)。结论基于前馈控制的康复护理在早期喉癌患者根治术手术室护理中的应用效果显著,值得临床推广应用。

Objective To study the application effect of rehabilitation nursing based on feedforward control in operation room nursing of patients with early laryngeal cancer undergoing radical operation.Methods The clinical data of 120 patients with laryngeal cancer who received radical surgery in Zhongshan Hospital of Traditional Chinese Medicine from August 2018 to August 2020 were retrospectively analyzed.According to the different nursing methods,50 patients who received routine nursing were included in the control group,and 70 patients who received rehabilitation nursing based on feed forward control on the basis of routine nursing were included in the study group.The postoperative recovery,nutritional indicators,swallowing function,nursing satisfaction,and complications of the two groups were compared.Results The incision healing time,first time out of bed time,and hospitalization time of the study group were(9.231±2.09)d,(14.39±3.26)d,(12.41±2.19)d,which were significantly less than(12.81±2.45)d,(25.45±5.53)d,(18.26±2.84)d of the control group(P<0.05);on the day before discharge,the serum albumin and hemoglobin levels of the study group were(35.74±3.23)g/L,(132.31±7.23)g/L,which were significantly higher than(28.49±2.40)g/L,(119.23±6.40)g/L of the control group,and body mass was(2.61±0.27)kg,significantly lower than(5.87±0.32)kg of the control group,with statistically significant difference(P<0.05);the total abnormal rate of swallowing function in the study group was 37.14%,which was significantly lower than 60.00%in the control group(P<0.05);the nursing satisfaction of the study group was 95.71%,which was significantly higher than 82.00%of the control group,and the complication rate was 5.71%,which was significantly lower than 28.00%of the control group(P<0.05).Conclusion The application effect of rehabilitation nursing based on feedforward control in the operation room nursing of patients with early laryngeal cancer radical operation is significant,which is worthy of clinical application.