快速康复理念对乳腺癌围术期患者康复的有效性分析

Analysis of the effectiveness of fast-track surgery concept on rehabiliation of perioperative breast cancer patients

目的探讨快速康复理念应用在乳腺癌围术期患者康复中的有效性。方法行乳腺癌手术治疗的90例患者,随机分为观察组和对照组,每组45例。对照组应用常规护理,观察组应用快速康复理念。比较两组患者术后恢复指标(引流时间、总引流量、上肢功能恢复时间、住院时间)、并发症发生情况、术后不同时间的视觉模拟评分法(VAS)评分、干预前后的健康状况调查简表(SF-36)评分。结果观察组患者引流时间(7.03±0.82)d、上肢功能恢复时间(4.27±0.92)d、住院时间(12.74±1.12)d均短于对照组的(10.31±1.46)、(7.83±1.37)、(16.15±2.41)d,总引流量(121.36±17.68)ml少于对照组的(268.31±21.54)ml,差异均具有统计学意义(P<0.05)。观察组并发症发生率6.67%低于对照组的26.67%,差异具有统计学意义(P<0.05)。观察组患者术后1、3、5 d的VAS评分分别为(5.27±1.02)、(2.35±0.63)、(1.62±0.54)分,均低于对照组的(6.80±1.45)、(4.76±1.18)、(3.97±0.85)分,差异均具有统计学意义(P<0.05)。干预后,观察组患者躯体疼痛、总体健康、生理机能、生理职能、精神健康、精力、社会功能、情感职能评分分别为(68.10±6.54)、(70.86±5.61)、(71.25±6.27)、(67.29±6.43)、(67.84±6.20)、(70.18±5.42)、(68.51±5.64)、(69.15±5.69)分,均高于对照组的(61.83±6.15)、(64.97±5.90)、(66.78±6.74)、(62.74±6.21)、(63.08±5.97)、(63.78±6.01)、(63.08±5.76)、(62.38±5.33)分,差异均具有统计学意义(P<0.05)。结论快速康复理念应用在乳腺癌围术期护理的有效性显著,能明显加快术后恢复速度,减少相关并发症的发生,改善患者生活质量。

Objective To discuss the effectiveness of fast-track surgery concept on rehabiliation of perioperative breast cancer patients.Methods A total of 90 patients undergoing surgical treatment for breast cancer were randomly divided into observation group and control group,with 45 cases in each group.The control group was treated with routine care,and the observation group was treated with fast-track surgery concept.Both groups were compared in terms of postoperative recovery indexes(drainage time,total drainage volume,recovery time of upper limb function,length of hospital stay),incidence of complications,visual analogue scale(VAS)scores at different postoperative times,and 36-item short-form health Survey(SF-36)scores before and after intervention.Results The observation group had drainage time of(7.03±0.82)d,recovery time of upper limb function of(4.27±0.92)d,and length of hospital stay of(12.74±1.12)d,which were shorter than those of(10.31±1.46),(7.83±1.37),and(16.15±2.41)d in the control group;the total drainage volume of(121.36±17.68)ml in the observation group was less than that of(268.31±21.54)ml in the control group;the differences were all statistically significant(P<0.05).The complication rate of 6.67%in the observation group was lower than that of 26.67%in the control group,and the difference was statistically significant(P<0.05).VAS scores of patients in the observation group were(5.27±1.02),(2.35±0.63)and(1.62±0.54)points at 1,3 and 5 d postoperatively,which were lower than those of(6.80±1.45),(4.76±1.18)and(3.97±0.85)points in the control group,and the differences were all statistically significant(P<0.05).After intervention,the scores of bodily pain,general health,physical functioning,role-physical,mental health,vitality,social functioning,and role-emotional were(68.10±6.54),(70.86±5.61),(71.25±6.27),(67.29±6.43),(67.84±6.20),(70.18±5.42),(68.51±5.64),and(69.15±5.69)points in the observation group,which were higher than those of(61.83±6.15),(64.97±5.90),(66.78±6.74),(62.74±6.21),(63.08±5.97),(63.78±6.01),(63.08±5.76),and(62.38±5.33)points in the control group,and all differences were statistically significant(P<0.05).Conclusion The application of fast-track surgery concept in perioperative nursing of breast cancer is significantly effective,which can significantly speed up postoperative recovery,reduce the occurrence of related complications and improve patients'quality of life.