| 苏珍珍,罗华敏,唐树银,陈晓峰,杭凌.术前预康复护理干预在胃肠道肿瘤患者中的应用及效果评价[J].上海护理,2024,24(9): |
| 术前预康复护理干预在胃肠道肿瘤患者中的应用及效果评价 |
| Application and evaluation of prehabilitation nursing intervention in patients with gastrointestinal tumorHang Ling, Luo Huamin, Tang Shuyin, Chen Xiaofeng, Su Zhenzhen |
| DOI： |
| 中文关键词: 胃肠道肿瘤 预康复 护理干预 |
| 英文关键词:Gastrointestinal tumor Cancer Prehabilitation Nursing intervention |
| 基金项目:无锡市护理学会护理科研项目(M202106)；无锡市卫健委适宜技术推广项目(T202015) |
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| 中文摘要: |
| 目的：探讨对胃肠道肿瘤患者进行术前预康复护理干预对术后恢复质量的影响。方法：以加速康复外科路径管理为基础,结合胃肠外科临床专科护理,制定胃肠道肿瘤患者术前预康复护理干预方案。本研究于2021年6月至2022年2月在无锡市某三甲医院胃肠外科共纳入胃肠道肿瘤患者189人,随机将患者分为实验组94人和对照组95人,对照组在术前给予常规饮食、营养及活动指导,实验组在对照组的基础上给予系统的营养、活动及心理三方面的术前预康复护理干预措施,比较两组患者的术后恢复情况。结果：实验组术后首次下床时间、首次排气时间和首次排便时间均显著早于对照组(P <0.05),术后住院时间、总住院时间和住院费用也均显著少于对照组(P <0.05)。结论：对胃肠道肿瘤患者进行术前预康复护理干预有利于提高患者术后的恢复质量。 |
| 英文摘要: |
| Objective: To investigate the effect of preoperative prehabilitation nursing intervention on postoperative recovery quality of patients with gastrointestinal tumor. Methods: Based on the path management of enhanced recovery after surgery, the preoperative prehabilitation nursing intervention program for patients with gastrointestinal cancer was formulated which combined with the clinical nursing experience of gastrointestinal surgery. A total of 189 patients with gastrointestinal tumors were enrolled in this study, which was conducted from June 2021 to February 2022 in the gastrointestinal surgery department. The patients were selected and randomly divided into experimental group (n=94) and control group (n=95). The control group was given routine diet, nutrition and activity guidance before surgery. And on the basis of the control group, the experimental group was given systematic prehabilitation nursing intervention measures in nutrition, activity and psychology, and the postoperative recovery of the two groups of patients was compared. Results: The first time to get out of bed, time of first exhausting and time of first defecating in the experimental group were significantly earlier than those in the control group (P <0.05), and the postoperative hospital stay, total hospital stay and hospitalization cost were also significantly shorter than those in the control group (P <0.05). Conclusion: Preoperative prehabilitation nursing intervention for patients with gastrointestinal tumor is beneficial to improve the quality of postoperative recovery. |
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