中医特色护理技术结合ERAS理念对腹腔镜下胃癌根治术患者胃肠功能恢复的影响

Effect of Chinese Medicine Characteristic Nursing Techniques Combined with ERAS Concept on Recovery of Gastrointestinal Function in Patients Undergoing Laparo⁃scopic Radical Gastrectomy for Gastric Cancer

目的:观察中医特色护理技术结合加速康复外科(ERAS)理念对腹腔镜下胃癌根治术患者胃肠功能恢复的影响。方法:选择腹腔镜下胃癌根治术患者86例,按照中医特色护理技术实施时间,将2022年1月—2022年9月实施ERAS理念护理的42例患者设为对照组,2022年10月—2023年6月实施中医特色护理技术结合ERAS理念护理的44例患者设为中医组;比较2组胃肠功能恢复时间、术后住院时间、术后疼痛程度[视觉模拟评分法(VAS)]、营养风险[营养风险筛查法(NRS-2002)评分]、并发症发生情况以及护理满意度。结果:中医组肛门首次排气时间、首次排便时间、肠鸣音恢复时间、术后住院时间均短于对照组,差异有统计学意义(P<0.05)。术后1 d、2 d、3 d,中医组VAS评分均低于对照组(P<0.05),术后7 d,2组VAS评分比较,差异无统计学意义(P>0.05)。治疗后,2组NRS-2002评分均较治疗前升高(P<0.05),中医组NRS-2002评分低于对照组(P<0.05)。中医组并发症发生率为9.09%,对照组为26.19%,2组比较,差异有统计学意义(P<0.05)。中医组护理满意度为93.18%,对照组为76.19%,2组比较,差异有统计学意义(P<0.05)。结论:中医特色护理技术结合ERAS理念可促进腹腔镜下胃癌根治术患者康复,缩短胃肠功能恢复和术后住院时间,有效降低营养风险及并发病发生率,提高护理满意度。

Objective:To observe the effect of Chinese medicine characteristic nursing techniques combined with Enhanced Recovery After Surgery(ERAS)concept on recovery of gastrointestinal function in patients undergoing laparoscopic radical gastrectomy for gastric cancer.Methods:A total of 86 cases of patients undergoing laparoscopic radical gastrectomy for gastric cancer were selected.According to the implementation time of Chinese medicine characteristic nursing techniques,42 patients who received ERAS concept nursing from January 2022 to September 2022 were set as the control group,and 44 patients who received Chinese medicine characteristic nursing techniques combined with ERAS concept nursing from October 2022 to June 2023 were set as the Chinese medicine group.Compared the recovery time of gastrointestinal function,postoperative hospitalization time,postoperative pain degree[Visual Analogue Scale(VAS)],nutritional risk[Nutritional Risk Screening(NRS-2002)score],incidence of complications,and nursing satisfaction between the two groups.Results:The time of first anal exhaust,first defecation,recovery of bowel sounds,and postoperative hospitalization in the Chinese medicine group were all shorter than those in the control group,the difference being significant(P<0.05).On postoperative days 1,2,and 3,the VAS scores in the Chinese medicine group were lower than those in the control group(P<0.05).On postoperative day 7,there was no significant difference in VAS scores between the two groups(P>0.05).After treatment,the NRS-2002 scores in both groups were raised when compared with those before treatment(P<0.05),and the NRS-2002 score in the Chinese medicine group was lower than that in the control group(P<0.05).The incidence of complications was 9.09%in the Chinese medicine group,and 26.19%in the control group,the difference being significant(P<0.05).The satisfaction rate of nursing care was 93.18%in the Chinese medicine group,and 76.19%in the control group,the difference being significant(P<0.05).Conclusion:The combination of Chinese medicine characteristic nursing techniques and ERAS concept can promote the recovery of patients undergoing laparoscopic radical gastrectomy for gastric cancer,shorten gastrointestinal function recovery and postoperative hospitalization time,effectively reduce nutritional risks and incidence of complications,and improve nursing satisfaction.