| 姚丽凤,叶成玲,刘红红,吴英.快速康复综合护理在促进直肠癌患者术后早期康复中的应用[J].上海护理,2017,17(8): |
| 快速康复综合护理在促进直肠癌患者术后早期康复中的应用 |
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| DOI： |
| 中文关键词: 快速康复综合护理，直肠癌，围术期，早期康复 |
| 英文关键词:Fast track nursing management, Rectal cancer, Perioperative period, Early post-operative rehabilitation |
| 基金项目:院级基金 |
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| 摘要点击次数: 1806 |
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| 中文摘要: |
| 【摘要】目的 设计以早期进食和早期活动为基础的快速康复综合护理方案，评估早期进食和早期活动的快速康复综合护理在促进直肠癌根治术后患者早期康复中的应用效果。方法 将入选的150例拟限期行直肠癌根治术患者随机分为实验组和对照组。实验组采用快速康复综合护理，对照组采用传统护理。采用自行设计的调查表收集手术早期康复数据资料进行比较。结果 入组的150例患者中实验组76例，对照组74例。实验组患者术后住院时间为(7.22±1.537)d，短于对照组患者(7.85±2.255)d（p=0.048）；实验组术后拔管时间为(6.06±1.490)d，短于对照组患者(6.68±2.164)d（p=0.041）；实验组术后首次排气时间为(2.63±0.936)d，显著短于对照组的(3.35±0.748)d（p<0.001）；且实验组与对照组在术后并发症的发生率上无统计学差异（p=0.497）。结论 快速康复综合护理在促进直肠癌患者术后早期康复的应用中安全、有效；在没有增加直肠癌根治术后并发症发生率的前提下，快速康复综合护理能够加快术后肠道功能的恢复，从而显著缩短了患者术后住院时间。 |
| 英文摘要: |
| [Abstract] Objective The subject of the study is to design fast track nursing management based on early postoperative oral feeding and early ambulation, in order to evaluate the application of fast track nursing management in promoting early post-operative rehabilitation of patients with rectal cancer. Methods 150 patients with rectal cancer requiring radical operation were randomized into experimental group and control group. The experimental group was treated with fast track nursing management, while the control group received traditional nursing. Self-designed questionnaire was used to collect the data of early post-operative rehabilitation for comparison between the two groups. Results 150 patients were eventually enrolled in the study, 76 cases in experimental group and 74 cases in control group. The length of postoperative hospitalization stay [(7.22±1.537) d vs. (7.85±2.255) d, p=0.048], the average days of the postoperative estuation time [(6.06±1.490) d vs. (6.68±2.164) d, p=p=0.041] and the anal exhaust time for the first time [(2.63 ± 0.936) d vs. (3.35 ± 0.748) d, p<0.001] were much shorter in the experimental group compared to those in the control group. In addition, there was no significant difference in the incidence of postoperative complications between the experimental group and the control group (p=0.497). Conclusions The application of fast track nursing management in promoting early post-operative rehabilitation of patients with rectal cancer was safe and effective, which contributed to accelerating recovery of postoperative intestinal function and shortening postoperative hospital stay without increasing postoperative complications after radical resection of rectal cancer. |
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