快速康复任务驱动式干预对宫颈癌根治术后患者胃肠功能及生活质量的影响

Effect of rapid rehabilitation task driven intervention on gastrointestinal function and quality of life in patients after radical cervical cancer surgery

目的探讨快速康复任务驱动式干预对宫颈癌根治术后患者胃肠功能及生活质量的影响。方法根据干预方式的不同将105例宫颈癌根治术患者分为对照组(n=52)和观察组(n=53),对照组患者术后进行常规干预,观察组患者在对照组的基础上进行快速康复任务驱动式干预。比较两组患者的胃肠功能恢复情况、满意度及生活质量[卡氏功能状态(KPS)评分]。结果观察组患者肠鸣音恢复时间、首次排气时间、首次下床活动时间、首次排便时间、术后住院时间均明显短于对照组,差异均有统计学意义(P﹤0.01)。观察组患者的总满意度为96.23%,高于对照组患者的82.69%,差异有统计学意义(P﹤0.05)。术后1、2天,观察组患者KPS评分均明显高于对照组,差异均有统计学意义(P﹤0.01);术后2天,两组患者KPS评分均高于本组术后1天,差异均有统计学意义(P﹤0.05)。结论快速康复任务驱动式干预能够促进宫颈癌根治术后患者胃肠功能恢复,提高患者满意度和生活质量。

Objective To explore the effect of rapid rehabilitation task driven intervention on gastrointestinal func-tion and quality of life in patients after radical cervical cancer surgery.Method A total of 105 cervical cancer patients re-ceived radical surgery were divided into control group(n=52,received routine intervention)and observation group(n=53,received rapid rehabilitation task driven intervention on the basis of the control group)according to different intervention methods.The recovery of gastrointestinal function,satisfaction and quality of life[Karnofasky performance status(KPS)score]were compared between the two groups.Result The bowel sound recovery time,first exhaust time,first ambula-tion time,first defecation time and hospitalization time in the observation group were significantly shorter than those in the control group(P<0.01).The total satisfaction rate of the observation group was 96.23%,higher than 82.69%of the control group(P<0.05).One and two days after operation,the KPS scores of the observation group were significantly higher than those of the control group(P<0.01).Two days after operation,the KPS scores in both groups were higher than those at one day after operation(P<0.05).Conclusion The rapid rehabilitation task driven intervention after radical cervical cancer surgery can promote the recovery of gastrointestinal function,improve satisfaction and quality of life of patients.