基于危险因素总结的并发症预防干预联合腹部康复操对胰十二指肠切除术患者术后恢复和并发症的影响

Effect of Complication Prevention Based on Summary of Risk Factors Combined with Abdominal Rehabilitation Exercises on Postoperative Recovery and Complications in Patients Undergoing Pancreaticoduodenectomy

目的:分析基于危险因素总结的并发症预防干预联合腹部康复操对胰十二指肠切除术患者术后恢复和并发症的影响。方法:选择2020年1月—2022年12月三明市第一医院收治的60例PD患者作为研究对象,通过随机数表法将纳入对象分为对照组及干预组,各30例。对照组给予常规护理,干预组在上述基础上实施基于危险因素总结的并发症预防干预联合腹部康复操,对比两组术后恢复指标(排气时间、术后下床时间及术后住院时间)、术后并发症发生情况、心理状态及睡眠质量。结果:干预组排气时间、术后下床时间及术后住院时间短于对照组,差异有统计学意义(P<0.05);干预组术后并发症总发生率较对照组低,差异有统计学意义(P<0.05);干预前,两组贝克焦虑量表(BAI)、贝克抑郁量表(BDI)、匹兹堡睡眠质量指数量表(PSQI)评分比较,差异无统计学意义(P>0.05);干预后,两组BAI评分、BDI评分、PSQI评分较干预前降低,且干预组较对照组更低,差异有统计学意义(P<0.05)。结论:基于危险因素总结的并发症预防干预联合腹部康复操可促进PD患者术后恢复,降低术后并发症发生率,提高睡眠质量。

Objective:To analyze the effect of complication prevention based on summary of risk factors combined with abdominal rehabilitation exercises on postoperative recovery and complications in patients undergoing pancreaticoduodenectomy(PD).Method:A total of 60 PD patients who admitted to Sanming First Hospital from January 2020 to December 2022 were selected as the research objects,the subjects were divided into the control group and the intervention group by random number table method,with 30 cases in each group.The control group was given routine nursing,the intervention group was given complication prevention based on summary of risk factors combined with abdominal rehabilitation exercises on this basis,the postoperative recovery indicators(exhaust time,postoperative ambulation time and hospital stay after operation),incidence of postoperative complications,psychological states and sleep quality were compared between two groups.Result:The exhaust time,postoperative ambulation time and hospital stay after operation of the intervention group were significantly shorter than those of the control group,the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the intervention group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Before intervention,there were no significant differences in the scores of Beck anxiety inventory(BAI),Beck depression inventory(BDI)and Pittsburgh sleep quality index(PSQI)between two groups(P>0.05);after intervention,the BAI scores,BDI scores and PSQI scores of two groups were lower than those before intervention,and which in the intervention group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Complication prevention based on summary of risk factors combined with abdominal rehabilitation exercises can promote postoperative recovery of PD patients,reduce the incidence of postoperative complications,and improve sleep quality.