强化康复护理在后腹腔镜肾细胞癌根治术后患者中的应用效果

Application effects of intensive rehabilitation nursing in patients after retroperitoneal laparoscopic radical nephrectomy for renal cell carcinoma

目的:观察强化康复护理在后腹腔镜肾细胞癌根治术后患者中的应用效果。方法:选取2021年8月至2023年2月该院收治的82例后腹腔镜肾癌根治术后患者进行前瞻性研究,采用随机数字表法将其分为对照组与研究组各41例。对照组采用常规护理,研究组在对照组基础上采用强化康复护理,比较两组术后康复指标水平、术后疼痛程度[视觉模拟评分法(VAS)]评分,护理前后负性情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)]评分和并发症发生率。结果:研究组胃肠功能恢复时间、首次进食时间、首次下床活动时间、引流管拔出时间和住院时间均短于对照组,差异有统计学意义(P<0.05);术后12、18、24 h,两组VAS评分均低于术后6 h,且研究组低于对照组,差异有统计学意义(P<0.05);两组SDS、SAS评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05);研究组并发症发生率低于对照组,差异有统计学意义(P<0.05);研究组护理满意度为95.12%(39/41),高于对照组的80.49%(33/41),差异有统计学意义(P<0.05)。结论:在常规护理基础上采用强化康复护理可提高后腹腔镜肾癌根治术后患者的护理满意度,缩短康复指标水平,降低疼痛程度、负性情绪评分和并发症发生率,其效果优于单纯常规护理。

Objective:To observe application effects of intensive rehabilitation nursing in patients after retroperitoneal laparoscopic radical nephrectomy for renal cell carcinoma.Methods:A prospective study was conducted on 82 patients who underwent retroperitoneal laparoscopic radical nephrectomy in this hospital from August 2021 to February 2023.They were divided into control group and study group by random number table method.41 cases in each group.The control group was given routine nursing,while the study group was given the intensive rehabilitation nursing on the basis of the control group.The postoperative rehabilitation index levels,the postoperative pain[visual analogue scale(VAS)]score,the negative emotion[self-rating depression scale(SDS),self-rating anxiety scale(SAS)]scores before and after the nursing,and the incidence of complications were compared between the two groups.Results:The recovery time of gastrointestinal function,the first feeding time,the first outof-bed time,the drainage tube extraction time and the hospitalization time in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.05).At 12,18 and 24 h after the surgery,the VAS scores of the two groups were lower than those 6 h after the surgery,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The SDS score and SAS score of the two groups were lower than those before the nursing,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the study group was lower than that in the control group,the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the study group was 95.12%(39/41),which was higher than 80.49%(33/41)of the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the intensive rehabilitation nursing can improve the nursing satisfaction of the patients after retroperitoneal laparoscopic radical nephrectomy,shorten the levels of rehabilitation indexes,reduce the pain scores,the negative emotion scores and the incidence of complications.Moreover,it is superior to single routine nursing.