加速康复外科护理对口腔癌手术患者的影响

Effect of Accelerated Rehabilitation Surgical Nursing on Patients Undergoing Oral Cancer Surgery

目的:探究加速康复外科护理对口腔癌手术患者的影响。方法:选取2020年1月-2022年1月遵义医科大学附属口腔医院收治的94例口腔癌手术患者。根据随机数表法将其分为观察组(47例)与对照组(47例)。对照组采用常规围手术期护理,观察组采用加速康复外科护理。比较两组围手术期指标,术前、术后14 d营养指标、生活质量,疼痛程度及焦虑情况及并发症。结果:观察组下床活动时间早于对照组,术后输液时间及住院时间均短于对照组,差异有统计学意义(P<0.05)。术后14 d,观察组白蛋白、转铁蛋白、前白蛋白、血红蛋白水平均高于对照组,差异有统计学意义(P<0.05)。观察组术后6 h、48 h视觉模拟评分法(VAS)评分低于对照组,术后14 d焦虑自评量表(SAS)评分低于对照组,差异有统计学意义(P<0.05)。术后14 d,观察组物质生活、社会功能、心理功能、躯体功能评分均高于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率为2.13%,低于对照组的19.15%,差异有统计学意义(P<0.05)。结论:加速康复外科护理在口腔癌手术患者中的应用效果显著,能够加快其康复,缓解疼痛与焦虑,改善营养状况,降低并发症发生率,提高患者生活质量。

Objective:To explore the effect of accelerated rehabilitation surgical nursing on patients undergoing oral cancer surgery.Method:A total of 94 patients with oral cancer undergoing surgery admitted to the Zunyi Medical University Affiliated Stomatological Hospital from January 2020 to January 2022 were selected.They were divided into observation group(47 cases)and control group(47 cases)according to random number table method.The control group received conventional perioperative nursing,and the observation group received accelerated rehabilitation surgical nursing.Perioperative indexes,nutritional indexes,quality of life before and 14 d after surgery,pain degree,anxiety condition and complications were compared between the two groups.Result:The time of getting out of bed in the observation group was earlier than that in the control group,and the time of postoperative infusion and hospitalization were shorter than those in the control group,the differences were statistically significant(P<0.05).At 14 d after surgery,the levels of albumin,transferrin,prealbumin and hemoglobin in observation group were higher than those in control group,the differences were statistically significant(P<0.05).The visual analogue scale(VAS)scores of the observation group were lower than those of the control group at 6 h and 48 h after surgery,and the anxiety self-assessment scale(SAS)scores were lower than those of the control group at 14 d after surgery,and the differences were statistically significant(P<0.05).At 14 d after surgery,the scores of material life,social function,psychological function and physical function in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was 2.13%,which was lower than 19.15%in the control group,and the difference was statistically significant(P<0.05).Conclusion:The application effect of accelerated rehabilitation surgery nursing in oral cancer patients undergoing surgery is significant,which can speed up their rehabilitation,alleviate pain and anxiety,improve nutritional status,reduce the incidence of complications,and improve the quality of life of patients.