基于快速康复外科理念指导的中医护理干预对促进直肠癌术后快速康复的应用效果分析

Analysis of Application Effect of Traditional Chinese Medicine Nursing Intervention Based on the Concept of Fast Track Surgery in Promoting Fast Recovery after Rectal Cancer Surgery

目的:探讨基于快速康复外科(fast track surgery,FTS)理念指导的中医护理干预在直肠癌手术患者中的运用效果。方法:选取2019年1月—2020年12月九江市中医医院收治的86例直肠癌手术患者作为研究对象,按随机数表法分为对照组(采取常规护理)和观察组(实施基于FTS理念指导下的中医护理干预),每组各43例。对比两组患者心理状态、术后疼痛、康复指标、并发症发生情况和护理满意度。结果:两组患者护理前心理状态比较,差异无统计学意义(t=0.122、0.154,P>0.05)。护理后观察组焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(self-rating de⁃pression scale,SDS)评分低于对照组,差异有统计学意义(t=7.633、5.354,P<0.05)。观察组术后72 h疼痛评分低于对照组,差异有统计学意义(t=6.134,P<0.05)。观察组术后肛门排气,排便、下床活动及住院时间均短于对照组,差异有统计学意义(t=7.575、6.579、6.864、4.330,P<0.05)。观察组并发症发生率为2.33%,低于对照组的18.60%,差异有统计学意义(χ^(2)=4.468,P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(χ^(2)=4.074,P<0.05)。结论:直肠癌手术患者经基于FTS理念指导的中医护理干预后,能够减轻不良心理情绪,减轻术后疼痛,加快胃肠功能恢复,有效预防并发症,促进患者术后康复,从而提高护理满意度。

Objective:To explore the application effect of traditional Chinese medicine nursing intervention based on the concept of fast track surgery(FTS)in patients with rectal cancer surgery.Methods:A total of 86 patients with rectal cancer surgery admitted to the hospital from January 2019 to December 2020 were selected as the research subjects.According to the random number table method,they were divided into control group(taking routine nursing care)and observation group(implementing traditional Chinese medicine nursing intervention based on the guidance of FTS concept),with 43 cases in each group.The psychological state,postoperative pain,rehabilitation indicators,complications and nursing satisfaction were compared between the two groups.Results:There was no statistically significant difference in the psychological state of the two groups before nursing(t=0.122,0.154,P>0.05).After nursing,the scores of Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)in the observation group were lower than those in the control group,and the difference was statistically significant(t=7.633,5.354,P<0.05).The pain score of the observation group at 72 h after operation was lower than that of the control group,and the difference was statistically significant(t=6.134,P<0.05).The postoperative anal exhaust,defecation,getting out of bed and hospital stay in the observation group were shorter than those in the control group,and the differences were statistically significant(t=7.575,6.579,6.864,4.330,P<0.05).The incidence of complications in the observation group was 2.33%,which was lower than 18.60%in the control group,and the difference was statistically significant(χ^(2)=4.468,P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(χ^(2)=4.074,P<0.05).Conclusion:After TCM nursing intervention based on the concept of FTS,patients undergoing rectal cancer surgery can relieve negative psychological emotions,reduce postoperative pain,speed up the recovery of gastrointestinal function,effectively prevent complications,and promote postoperative rehabilitation of patients,thereby improving nursing satisfaction.