围手术期循证护理策略对中老年腹腔镜下结直肠癌根治术后恢复和并发症的影响
| 作者: |
1任书群,
1孟临翠
1 六安市中医院胃肠外科，安徽 六安 237000 |
| 通讯: |
孟临翠
Email: 80241684@qq.com |
| DOI: | 10.3978/j.issn.2095-6959.2023.221135 |
摘要
目的：探讨围手术期循证护理模式对中老年腹腔镜下结直肠癌根治术后恢复进程的影响。方法：选取2018年8月至2021年7月六安市中医院胃肠外科收治并行腹腔镜根治术的中老年结直肠癌患者90例为研究对象，按随机数字表法随机分为对照组和观察组，每组45例。对照组实施围手术期常规护理模式，观察组在对照组的基础上实施围手术期循证护理模式。比较两组术后恢复情况、并发症发生情况、术后疼痛情况[视觉模拟评分量表(Visual Analogue Scale，VAS)]、围手术期心理状况[焦虑自评量表(Self-Rating Anxiety Scale，SAS)及抑郁自评量表(Self-Rating Depression Scale，SDS)]及护理满意度。结果：观察组术后首次排气时间、肠鸣音恢复时间、首次进食时间、首次下床时间及住院时长均明显短于对照组(P<0.05)。观察组术后并发症发生率低于对照组(P<0.05)。观察组术后1、3及7 d的VAS评分均低于对照组(P<0.05)。出院时，两组SAS及SDS评分均较入院时下降(P<0.05)，且观察组下降更明显(P<0.05)。观察组对护理总满意度明显高于对照组(P<0.05)。结论：腹腔镜下结直肠癌根治术围手术期实施循证护理模式能有效促进患者术后胃肠功能恢复，降低并发症总发生率，减轻疼痛，促进恢复进程，提高护理满意度。
关键词：
围手术期；循证护理；结直肠癌；腹腔镜根治术；术后恢复
Effect of perioperative evidence-based nursing strategy on recovery and complications after laparoscopic radical resection in middle-aged and elderly patients with colorectal cancer
CorrespondingAuthor: MENG Lincui Email: 80241684@qq.com
DOI: 10.3978/j.issn.2095-6959.2023.221135
Abstract
Objective: To explore the effect of perioperative evidence-based nursing strategy on recovery and complications after laparoscopic radical resection in middle-aged and elderly patients with colorectal cancer.
Methods: A total of 90 middle-aged and elderly patients with colorectal cancer who underwent laparoscopic radical resection in our hospital from August 2018 to July 2021 were selected as the research subjects, and they were randomly divided into control group and observation group by random number table, each group with 45 cases. The control group received routine perioperative nursing mode, while the observation group received evidence-based perioperative nursing mode on the basis of the control group. Postoperative recovery, complications, postoperative pain [Visual Analogue Scale (VAS)], perioperative psychological status [Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS)] and nursing satisfaction were compared between the two groups.
Results: The first exhaust time, bowel sound recovery time, first eating time, first getting out of bed time and hospitalization time of the observation group were significantly shorter than those of the control group (P<0.05). The incidence of postoperative complications in the observation group was lower than that in the control group (P<0.05). The VAS scores at 1, 3 and 7 d after operation in the observation group were lower than those in the control group (P<0.05). At discharged, the SAS and SDS scores of the two groups were lower than those at admission (P<0.05), and the decrease in the observation group was more obvious (P<0.05). The total nursing satisfaction of the observation group was significantly higher than that of the control group (P<0.05).
Conclusion: The implementation of evidence-based nursing model in perioperative period of laparoscopic radical resection of colorectal cancer can effectively promote the recovery of gastrointestinal function, reduce the incidence of total complications, relieve pain, promote the recovery process and improve nursing satisfaction.
Keywords：
perioperative period; evidence-based care; colorectal cancer; laparoscopic radical surgery; postoperative recovery
Methods: A total of 90 middle-aged and elderly patients with colorectal cancer who underwent laparoscopic radical resection in our hospital from August 2018 to July 2021 were selected as the research subjects, and they were randomly divided into control group and observation group by random number table, each group with 45 cases. The control group received routine perioperative nursing mode, while the observation group received evidence-based perioperative nursing mode on the basis of the control group. Postoperative recovery, complications, postoperative pain [Visual Analogue Scale (VAS)], perioperative psychological status [Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS)] and nursing satisfaction were compared between the two groups.
Results: The first exhaust time, bowel sound recovery time, first eating time, first getting out of bed time and hospitalization time of the observation group were significantly shorter than those of the control group (P<0.05). The incidence of postoperative complications in the observation group was lower than that in the control group (P<0.05). The VAS scores at 1, 3 and 7 d after operation in the observation group were lower than those in the control group (P<0.05). At discharged, the SAS and SDS scores of the two groups were lower than those at admission (P<0.05), and the decrease in the observation group was more obvious (P<0.05). The total nursing satisfaction of the observation group was significantly higher than that of the control group (P<0.05).
Conclusion: The implementation of evidence-based nursing model in perioperative period of laparoscopic radical resection of colorectal cancer can effectively promote the recovery of gastrointestinal function, reduce the incidence of total complications, relieve pain, promote the recovery process and improve nursing satisfaction.