加速康复外科理念对宫颈癌患者术后康复及生活质量的影响

Effect of ERAS theory on postoperative rehabilitation and quality of life for patients with cervical cancer

目的:探究加速康复外科(enhanced recovery after surgery,ERAS)理念对宫颈癌患者术后康复及生活质量的影响。方法:收集2023年1月至2023年12月于滨州医学院附属医院住院接受手术治疗的宫颈癌患者60例,按随机数字表法将患者分为试验组和对照组,各30例。对照组患者采取常规护理方案,试验组患者在对照组基础上实施基于ERAS理念的护理方案。对比两组患者的术后胃肠道功能恢复情况(术后首次排气时间、首次排便时间、首次进食时间)、术后疼痛情况、生活质量及术后并发症发生情况。结果:两组患者的年龄、体重指数、病理类型和疾病分期等一般资料比较,差异均无统计学意义(均P>0.05)。试验组患者术后首次排气时间、首次排便时间、首次进食时间,均早于对照组;术后视觉模拟评分法评分低于对照组;生活质量各维度(生理状况、社会/家庭状况、情感状况、功能状况)得分均高于对照组;术后并发症发生率低于对照组,以上差异均有统计学意义(均P<0.05)。结论:基于ERAS理念的护理方案干预能促进宫颈癌手术患者的术后胃肠道功能恢复,减轻术后疼痛,多维度提升患者的生活质量,并能有效减少术后并发症的发生。

Objective:To observe the effect of enhanced recovery after surgery(ERAS)theory on postoperative rehabilitation and quality of life of patients with cervical cancer.Method:A total of 60 patients with cervical cancer who were hospitalized in Binzhou Medical University Hospital from January 2023 to December 2023 were collected.The patients were divided into the experimental group and the control group by random number table method,with 30 cases in each group.The control group was treated with routine nursing plan while the experimental group was treated with nursing plan based on ERAS theory.The postoperative gastrointestinal function recovery(first exhaust time,first defecation time,first feeding time),postoperative pain,quality of life,postoperative complications were compared between the two groups.Result:There was no significant difference in age,body mass index,pathological type and disease stage between the two groups(all P>0.05).The first postoperative exhaust time,first defecation time and first feeding time of the experimental group were earlier than those of the control group,the postoperative visual analogue score of experimental group was lower than that of control group,the total score and scores of all the dimensions(physiological status,social/family status,emotional status,functional status)of the experimental group were higher than those of the control group and the incidence of postoperative complications in the experimental groups was lower than that of the control group,all the differences above were statistically significant(all P<0.05).Conclusion:The intervention of ERAS nursing program in patients with cervical cancer surgery can promote postoperative gastrointestinal function recovery, reduce postoperative pain, improve patients’quality of life in multiple aspects, and effectively reduce the occurrence of postoperative complications.