快速康复外科理念联合赋能教育对直肠癌术后早期康复效果的影响

The Influence of Enhanced Recovery after Surgery Conception Combined with Teaching about Entrusting Competences on Early Postoperative Rehabilitation Outcome of Rectal Cancer Patients

目的:探究快速康复外科理念联合赋能教育对直肠癌术后早期康复效果的影响。方法:将96例直肠癌患者随机分为对照组和观察组,每组48例。对照组患者术后给予常规康复治疗,观察组在对照组的基础上给予快速康复外科治疗联合赋能教育治疗,比较2组患者术后首次排气时间、下床活动时间、疼痛评分、匹茨堡睡眠质量指数(PSQI)、生存质量以及术后并发症发生情况。结果:观察组患者术后首次排气时间、下床活动时间均短于对照组(P<0.05);疼痛评分、PSQI评分均低于对照组(P<0.05);观察组患者生存质量中身体功能、情绪功能评分高于对照组(P<0.05),便秘、食欲下降评分低于对照组(P<0.05);观察组患者术后并发症发生率低于对照组(P<0.05)。结论:快速康复外科理念联合赋能教育的应用能够减少手术对机体的刺激和创伤,有利于直肠癌患者的早期康复。

Objective To investigate the influence of enhanced recovery after surgery(ERAS)conception combined with teaching about entrusting competences on early postoperative rehabilitation outcome of rectal cancer patients.Methods Randomly divided the 96patients with rectal cancer treated in author's hospital into control group(48cases,routine rehabilitation treatment)and observation group(48cases,based on routine treatment,added with ERAS conception combined with teaching about entrusting competences);then,compared both groups'patients'the time for postoperative first flatus and out-of-bed ambulation,the score ratings on pain,PSQI,survival quality,as postoperative complication status.Results The time for postoperative flatus first and out-of-bed ambulation in observation group were all shorter than in control group(P<0.05),and,the ratings on pain and PSQI,lower than in control group(P<0.05);what's more,in the ratings on survival quality(body function,emotion),in the ratigns on constipation and inappetence,and,in the incidence of postoperative complications,observation group was respectively higher,lower,and lower than control group(all,P<0.05).Conclusion ERAS conception combined with teaching about entrusting competence can decrease surgery's stimulation and trauma on body,which is beneficial to early outcome of patients'postoperative rehabilitation.