General Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wen Zhou, Zhejiang Province, China.
Gastrointestinal Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wen Zhou, Zhejiang Province, China.
J Pak Med Assoc. 2020 Sep;70 [Special Issue](9):24-30.
To explore the clinical application of fast-track rehabilitation nursing in the perioperative period of therapeutic laparoscopy of colon cancer patients.
Patients with colorectal cancers who were hospitalized in the Department of Oncology and General Surgery of The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University from August 2016 to December 2018 were selected as the research subjects of the study. All the research subjects were divided into the study group 1(n=29), the study group 2(n=29) and the control group (n=24). The control group received routine nursing during the perioperative period, and the research group 1 and 2 received rapid rehabilitation nursing during the perioperative period. Postoperative comparison was made between the two groups on the differences in the time of the first time out of bed, the time of the first anal exhaust, and the time of the first feeding. The differences of pain control in each group after nursing care were evaluated by the pain scale, and the degree of satisfaction of each group was evaluated by the satisfaction scale.
In terms of the basic information of patients, the experimental results had indicated no significant statistical difference among the study group 1, the study group 2, and the control group (P>0.05). By analysing the postoperative physical condition indicators of patients, the time of first off-bed activity, the time of first anal exhaust, and the first time of food intake of patients in the observation group 1 and the observation group 2 were significantly different (P<0.05) as compared with the control group. Besides that, the postoperative pain scale and pain satisfaction of patients were observed, in which the difference in pain scales at each 6h, 12h, 24h, and 48h after the surgeries were statistically significant (P<0.05). In terms of the satisfaction of pain control or pain relief, the differences were statistically significant (P<0.05).
Therefore, it was concluded that the fast-track rehabilitation nursing could promote the treatment of colon cancer patients. Despite the deficiencies of the experimental processes, the study has provided the good results on fast-track rehabilitation nursing with a reliable theoretical basis.
探讨快速康复护理在结肠癌患者治疗性腹腔镜围手术期的临床应用。
选取 2016 年 8 月至 2018 年 12 月温州医科大学附属第二医院及育英儿童医院肿瘤外科及普外科住院的大肠癌患者作为研究对象，将所有研究对象分为研究组 1（n=29）、研究组 2（n=29）和对照组（n=24）。对照组患者围手术期接受常规护理，研究组 1 和 2 患者围手术期接受快速康复护理。对两组患者术后首次下床时间、首次肛门排气时间和首次进食时间进行比较。采用疼痛量表评估护理后各组患者的疼痛控制差异，采用满意度量表评估各组患者的满意度。
在患者基本信息方面，研究组 1、研究组 2 和对照组之间的实验结果无统计学差异（P>0.05）。通过分析患者术后身体状况指标，观察组 1 和观察组 2 患者首次下床活动时间、首次肛门排气时间和首次进食时间均明显不同（P<0.05）与对照组。此外，观察患者术后疼痛量表和疼痛满意度，手术 6h、12h、24h 和 48h 后各疼痛量表的差异有统计学意义（P<0.05）。在疼痛控制或缓解的满意度方面，差异有统计学意义（P<0.05）。
因此，快速康复护理可以促进结肠癌患者的治疗。尽管实验过程存在不足，但该研究为快速康复护理提供了可靠的理论依据，取得了较好的效果。
