基于动机激发策略的早期康复训练对后腹腔镜肾癌根治术后患者康复进程的影响

Effect of Early Rehabilitation Training Based on Motivation Stimulation Strategy on the Rehabilitation Process of Patients after Retroperitoneal Laparoscopic Radical Nephrectomy

目的:探讨基于动机激发策略的早期康复训练在后腹腔镜肾癌根治术后患者中的应用价值。方法:选择2021年1—12月厦门大学附属中山医院收治的后腹腔镜肾癌根治术后患者80例,按随机数表法分为两组。对照组40例术后采用常规护理,观察组40例术后采用基于动机激发策略的早期康复训练,两组均护理30 d。对比分析两组术后康复进程、并发症、护理满意度、生活质量。结果:观察组术后初次肛门排气时间(17.14±3.20)h、开始进食时间(14.53±2.97)h、初次下床活动时间(19.54±2.72)h、导尿管留置时间(21.67±3.08)h、引流管留置时间(30.12±3.64)h及住院时间(8.92±1.43)d短于对照组的(25.78±3.39)h、(21.34±3.48)h、(27.82±2.61)h、(35.93±4.02)h、(48.27±3.15)h、(10.18±1.57)d,术后3 d视觉模拟评分法(VAS)评分(2.24±0.51)分低于对照组(3.10±0.65)分,差异有统计学意义(P<0.05)。观察组并发症发生率5.00%,低于对照组的20.00%,护理总满意度95.00%,高于对照组的77.50%,差异有统计学意义(P<0.05)。护理30 d后,观察组生活质量调查问卷(QOL-30)评分(108.61±9.54)分,高于对照组的(92.45±6.32)分,差异有统计学意义(P<0.05)。结论:基于动机激发策略的早期康复训练能够促使后腹腔镜肾癌根治术患者术后尽快康复,减轻术后疼痛,减少并发症的发生,利于提升生活质量,且护理满意度更高。

Objective:To explore the application value of early rehabilitation training based on motivation stimulation strategy in patients after retroperitoneal laparoscopic radical nephrectomy.Method:A total of 80 patients with retroperitoneal laparoscopic radical nephrectomy for renal cancer admitted to Zhongshan Hospital Affiliated to Xiamen University from January to December 2021 were selected and divided into two groups by random number table method.The control group of 40 cases received routine nursing care after surgery,while the observation group of 40 cases received early rehabilitation training based on motivational stimulation strategy after surgery,both groups received 30 d of nursing care.The postoperative rehabilitation process,complications,nursing satisfaction and quality of life of the two groups were compared.Result:In the observation group,the time of primary anal exhaust(17.14±3.20)h,the time of beginning to eat(14.53±2.97)h,the time of first getting out of bed(19.54±2.72)h,the time of catheter indentation(21.67±3.08)h,the time of drainage tube indentation(30.12±3.64)h and the time of hospital stay(8.92±1.43)d were shorter than those of control group(25.78±3.39)h,(21.34±3.48)h,(27.82±2.61)h,(35.93±4.02)h,(48.27±3.15)h,(10.18±1.57)d,the visual analogue scale(VAS)score(2.24±0.51)points was lower than(3.10±0.65)points of the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 5.00%,lower than 20.00%in the control group,and the total satisfaction of nursing was 95.00%,higher than 77.50%in the control group,the differences were statistically significant(P<0.05).After 30 d of nursing,the quality of life questionnaire(QOL-30)score of the observation group was(108.61±9.54)points,which was higher than(92.45±6.32)points of the control group,the difference was statistically significant(P<0.05).Conclusion:Early rehabilitation training based on motivation stimulation strategy can promote the rapid recovery of patients after retroperitoneal laparoscopic radical nephrectomy,reduce postoperative pain,reduce the occurrence of complications,improve the quality of life,and higher nursing satisfaction.