快速康复路径护理联合多学科协作模式在结肠癌患者围手术期的作用分析

Analysis of the Role of Rapid Rehabilitation Path Nursing Combined with Multidisciplinary Cooperation Model in the Perioperative Period of Colon Cancer Patients

目的探究快速康复路径护理联合多学科协作模式在结肠癌患者围手术期的作用。方法将本医院在2019年1月至2019年8月期间进行治疗的患者(结肠癌)102例作为观察对象,利用数字分配法将患者随机分为两组,命名为观察组(51例)及对照组(51例),将快速康复路径护理联合多学科协作模式护理实施于观察组,对照组实施常规护理,将并发症(发热、尿路感染、切口感染)发生率,以及护理前后SAS评分、SDS评分、临床指标、患者生活质量评分(精神健康、情感职能、身体健康、社会功能、躯体疼痛)作为观察指标结合进行护理效果判定。结果护理前,两组患者生活质量评分无明显对比差异性(P>0.05),护理后,观察组精神健康、情感职能、身体健康、社会功能、躯体疼痛各项相比对照组,优势显著(P<0.05)。观察组并发症(发热、尿路感染、切口感染)发生率相比于对照组,优势相对显著(P<0.05)。观察组临床指标相比于对照组,优势比较明显(P<0.05)。护理前,两组患者情绪状态评分相比较,差异不明显(P>0.05),护理后,观察组情绪状态评分相比于对照组,优势相对显著(P<0.05)。结论在结肠癌患者围手术期实施快速康复路径护理联合多学科协作模式护理,有利于缩短恢复进程,有效改善患者的不良情绪,使患者的护理满意度得到提升,临床护理效果显著。

Objective To explore the role of rapid rehabilitation path nursing and multidisciplinary collaboration mode in the perioperative period of colon cancer patients.Methods One hundred and two patients(colon cancer)treated by the hospital between January 2019 and August 2019,patients were randomized into two groups using digital distribution methods,named observation group(n=51)and control group(n=51),rapid rehabilitation path nursing combined with multidisciplinary collaborative mode nursing was implemented in the observation group,the control group performed routine care.The incidence of complications(fever,urinary tract infection,incision infection),SAS score before and after care,SDS score before and after care,clinical indicators,patient quality of life score(mental health,emotional function,physical health,social function,physical pain)were taken as observation indicators to make nursing effect determination.Results Before taking care,there was no significant contrast difference in QOL scores between the two groups(P>0.05).After taking care,observation group mental health,emotional function,physical health,social function,physical pain compared with the control group,significant advantage(P<0.05).The incidence of complications(fever,urinary tract infection,incision infection)in the observed group was compared to the control group,advantages were relatively significant(P<0.05).Clinical indicators in the observed group were observed compared to the control group,advantages were relatively significant(P<0.05).Before the care,emotional state scores were compared between the two groups,the difference was not significant(P>0.05).After taking care,emotional state scores in observed groups compared to control groups,the advantage was relatively significant(P<0.05).Conclusion The implementation of rapid rehabilitation path nursing and multi-disciplinary cooperative mode nursing in the perioperative period of colon cancer patients is conducive to shortening the recovery process,effectively improving the bad mood of patients,improving patient nursing satisfaction and achieving remarkable clinical nursing effect.