| 张莹,李文娟,徐敏,黄艳颖,张颖春.基于加速康复外科理念指导的结直肠癌根治术后六字诀运动方案的临床应用疗效研究[J].上海护理,2023,23(6): |
| 基于加速康复外科理念指导的结直肠癌根治术后六字诀运动方案的临床应用疗效研究 |
| Application of Liuzijue early activity plan for patients undergoing colorectal carcinoma radical surgery guided by the concept of enhanced recovery after surgery |
| 投稿时间：2022-11-25 修订日期：2023-05-28 |
| DOI： |
| 中文关键词: 加速康复外科 结直肠癌术后 六字诀 运动方案 |
| 英文关键词: |
| 基金项目:基于ERAS理念探讨中医护理技术证据体在围手术期症状管理中的效果研究,(YW.006.031) |
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| 中文摘要: |
| 目的：以加速康复外科理念为指导,将前期构建的结直肠癌根治术后六字诀运动方案应用于结直肠癌术后临床护理并探讨其疗效。方法：选取 2020 年 4 月至 2021 年 4 月收治于上海中医药大学附属龙华医院的 148 例结直肠癌患者为研究对象,采用随机数字表分为对照组和干预组各 74 例,其中干预组患者脱落 1 例。对照组接受加速康复外科理念指导的治疗和护理,干预组在此基础上联合应用结直肠癌根治术后六字诀运动方案,入院 24 h 内开始接受治疗至出院。比较两组患者的胃肠功能恢复情况(包括术后首次排气时间、排便时间及肠鸣音恢复时间)、身体活动能力、术后住院时间、疼痛情况、氧合指标及活动相关不良事件发生率。结果：与对照组比较,干预组患者术后首次排气、排便、肠鸣音恢复时间和术后住院时间均缩短(P<0.05),同时,两组生活自理能力评分、视觉模拟评分法(VAS)得分在组间效应、时间效应和交互作用上均存在统计学意义(P<0.05),两组患者的氧合指标差异无统计学意义(P>0.05)。两组患者术后活动相关不良事件发生率无差异(P=0.371)。结论：将基于加速康复外科理念指导的结直肠癌根治术后六字诀运动方案应用于结直肠癌术后患者的临床护理,有助于加快结直肠癌患者术后早期康复。 |
| 英文摘要: |
| Objective: To explore clinical application effects of Liuzijue early activity plan which has constructed for patients undergoing colorectal cancer radical surgery under concept of enhanced recovery after surgery. Methods: A random number table was used to randomly divide 148 patients who received radical resection for colorectal cancer into the control group and the intervention group. The control group (74 cases) was given enhanced recovery surgery-guided treatment and nursing, and the intervention group (74 cases) was combined with the Liuzijue exercise program after radical resection of colorectal cancer. The recovery of gastrointestinal function (including the time of first flatus after operation, time of defecation and recovery of bowel sounds), physical activity, postoperative hospital stay, pain, oxygenation indexes and the incidence of activity-related adverse events were observed in the two groups. Results: Compared with the control group, the recovery time of the first exhaust, defecation, bowel sounds and postoperative hospital stay in the intervention group were shortened (P<0.05). At the same time, the scores of self-care ability and visual analogue scale (VAS) between the two groups were statistically significant in the between-group effect, time effect and interaction effect (P<0.05). There was no difference in the incidence of postoperative activity-related adverse events between the two groups (P=0.371). Conclusion: Applying the Liuzijue early activity plan based on the concept of enhanced recovery after surgery to the clinical nursing of colorectal cancer patients after radical surgery is helpful to accelerate the early postoperative recovery of colorectal cancer patients. |
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