基于专科敏感指标构建的干预模式对老年肝癌患者术后康复的影响

Effects of intervention model based on specialized sensitive indicators on postoperative rehabilitation of elderly patients with liver cancer

目的通过比较基于专科敏感指标构建的干预模式和常规干预对老年肝癌患者术后康复的影响,以期为临床患者诊疗提供更多新思考。方法选取2020年10月—2023年10月在南通大学附属肿瘤医院接受手术治疗的老年原发性肝癌患者82例,依据患者术后不同的干预措施分为对照组(41例)和观察组(41例)。对照组行术后常规干预,观察组应用基于专科干预敏感指标构建方案。比较2组术后恢复指标值、疼痛情况和日常生活自理能力评分变化情况。结果观察组术后住院时间、术后首次排便时间、术后首次排气时间、术后首次下床活动时间和术后首次进食时间均少于对照组(均P<0.05)。观察组术后12、24 h疼痛评分均低于对照组(均P<0.05)。观察组术后1、3 d日常生活自理能力评分均高于对照组(均P<0.05)。结论基于专科敏感指标构建的干预模式可有效提高患者术后康复效果,减轻患者的心理与医疗负担,具有一定的临床应用价值。

Objective To compare the effects of intervention model based on specialized sensitive indicators and routine intervention on postoperative rehabilitation of elderly patients with liver cancer,and provide more new thinking for clinical diagnosis and treatment of patients.Methods 82 elderly patients with primary liver cancer who received surgical treatment in Tumor Hospital Affiliated to Nantong University from October 2020 to October 2023 were selected.According to different postoperative intervention measures,they were divided into control group(41 cases)and observation group(41 cases).The control group received routine postoperative intervention,while the observation group adopted an intervention scheme based on specialized intervention sensitive indicators.The changes in the postoperative recovery indexes,pain level and daily life self-care score of the two groups were compared.Results The hospitalization time,the first postoperative defecation time,the first postoperative exhaust time,the time of the first postoperative getting out of bed and the first postoperative feeding time of the observation group were shorter than those of the control group(all P<0.05).The pain scores of the observation group were lower than those of the control group at 12 h and 24 h after surgery(all P<0.05).The scores of daily living self-care ability of the observation group were higher than those of the control group 1 d and 3 d after surgery(all P<0.05).Conclusion The intervention model based on specialized sensitive indicators can effectively improve the postoperative rehabilitation effect of patients,reduce their psychological and medical burden,and has certain clinical application value.