Open Access Article
International Journal of Nursing Research. 2022; 4: (2) ; 36-39 ; DOI: 10.12208/j.ijnr.20220041.
Influence of enhanced recovery nursing on postoperative gastrointestinal function and complications in patients with esophageal cancer
加速康复护理对食管癌患者术后胃肠功能及并发症的影响
作者:
李娜,
魏巍 *,
吴环,
李新悦
中国人民解放军海军军医大学第三附属医院 上海
*通讯作者:
魏巍,单位:中国人民解放军海军军医大学第三附属医院 上海;
发布时间: 2022-06-25 总浏览量: 392
PDF 全文下载
引用本文
万方数据(WANFANG DATA)
摘要
目的 了解加速康复护理在食管癌手术患者护理中的应用,明确加速康复护理对患者手术后胃肠功能和并发症的影响。方法 采集我院病例100例,均为2020年1月~2022年1月期间在我院进行手术的食管癌患者。为了对比两组术后的胃肠功能恢复情况、并发症发生率、心理状态、疼痛程度和生活质量,将其分为两组,人数一致均为50例,分别为对照组(常规护理)和研究组(加速康复护理)。结果 研究组成员经过护理后,其胃肠功能恢复的时间更好,各项指标均早于对照组(P<0.05);在并发症发生率的对比上,研究组低于对照组(P<0.05);研究组的心理状态更好,疼痛感更低,其焦虑、抑郁、疼痛的3向评分均低于对照组(P<0.05);根据生活质量评分的数据参考,研究组好于对照组(P<0.05)。结论 将加速康复护理应用到食管癌手术患者的护理中,能够让患者尽早的恢复胃肠功能,为身体提供营养,减少并发症的发生,并且降低患者发生焦虑、抑郁等不良情绪的机率、降低患者的疼痛度,让患者的生活更加的优质,提高了患者的生活质量。
关键词: 加速康复护理;食管癌;胃肠功能;并发症
Abstract
Objective To understand the application of enhanced recovery nursing in the nursing of patients with esophageal cancer surgery, and to clarify the effect of enhanced recovery nursing on gastrointestinal function and complications after surgery. Methods A total of 100 cases in our hospital were collected, all of whom were patients with esophageal cancer who underwent surgery in our hospital from January 2020 to January 2022. In order to compare the postoperative gastrointestinal function recovery, complication rate, psychological state, pain degree and quality of life between the two groups, they were divided into two groups with the same number of 50 cases, the control group (conventional care) and Research Group (Accelerated Recovery Nursing). Results After nursing, the members of the study group had better recovery time of gastrointestinal function, and all indexes were earlier than those of the control group (P<0.05). 0.05); the psychological state of the study group was better, and the pain was lower, and its 3-way scores of anxiety, depression and pain were lower than those of the control group (P<0.05); according to the data reference of the quality of life score, the study group was better than the control group group (P<0.05). Conclusion The application of accelerated recovery nursing to the nursing of patients with esophageal cancer surgery can allow patients to restore gastrointestinal function as soon as possible, provide nutrition for the body, reduce the occurrence of complications, and reduce the incidence of anxiety, depression and other adverse emotions in patients, reduce The pain degree of the patient can make the patient's life more high-quality and improve the patient's quality of life.
Key words: Enhanced recovery nursing; Esophageal cancer; Gastrointestinal function; Complications
参考文献 References
[1] 杨福娜,米艳芝,楚晓飞,等.食管癌患者围手术期快速康复护理方案的构建[J].中华现代护理杂志,2021, 27(36):4943-4948.
[2] 李翠,龚兰娟,周林荣,等.加速康复护理对食管癌患者术后胃肠功能及并发症的影响[J].中国卫生标准管理,2021,12(16):139-142.
[3] 李翠翠,战玉芳,朱丽娜,等.围术期舒适化护理减轻食管癌患者术后疲劳综合征效果观察[J].齐鲁护理杂志,2021, 27(12):14-17.
[4] 房玉芳,孙娜.护理宣教方式对食管癌术后患者引流管认知影响[J].社区医学杂志,2020,18(21):1475-1478.
[5] 胡敏,崔苗,马家驰.快速康复护理联合肠内营养在胃食管癌术后患者中的应用[J].齐鲁护理杂志,2020, 26(16): 42-44.
[6] 张椿娜.快速康复护理在晚期食管癌患者食管支架置入术后的应用效果[J].中国当代医药,2020,27(22):248-250.
[7] 钟民丽,韦洪娟.利用快速康复外科理念的围术期护理对食管癌患者术后康复的影响[J].中国处方药,2020, 18(07): 187-188.
[8] 岳伟.快速康复外科护理对食管癌患者术后肺部感染的预防效果[J].内蒙古医学杂志,2020,52(06):738-739.
[9] 鲁庆杰.加速康复护理在食管癌术后护理中的影响研究[J].中西医结合心血管病电子杂志,2020,8(10):103+125.
[10] 高慧仙.食管癌患者术后体重和免疫功能下降的康复护理措施和效果探讨[J].智慧健康,2019,5(36):190-191.
引用本文
李娜, 魏巍, 吴环, 李新悦, 加速康复护理对食管癌患者术后胃肠功能及并发症的影响[J]. 国际护理学研究, 2022; 4: (2) : 36-39.