快速康复外科理念在胃癌根治术后护理中的应用
|
摘要
目的:探讨快速康复外科理念在胃癌根治术后护理中的应用效果。方法:选取2016年1月-2018年5月本院收治的40例胃癌患者为研究对象,按照随机数字表法将其分为观察组(快速康复外科理念护理)和对照组(常规护理),各20例。比较两组肛门排气时间、术后首次排便时间、住院时间和住院费用等临床综合指标,统计护理满意度及术后并发症发生情况。结果:观察组肛门排气时间、术后首次排便时间、住院时间和住院费用等临床综合指标均优于对照组(P<0.05);观察组总满意率为95.0%,高于对照组的70.0%(P<0.05);观察组术后并发症发生率为5.0%,低于对照组的60.0%(P<0.05)。结论:选择快速康复外科理念展开护理,可明显提高胃癌患者在根治手术阶段的护理质量,并发症少、护理满意度高,减少了医疗费用,值得推广。
Objective:To explore the effect of rapid rehabilitation surgical concept in nursing care after radical gastrectomy for gastric cancer.Method:A total of 40 patients with gastric cancer admitted to our hospital from January2016 to May 2018 were selected as the study subjects.According to the random number table method,they were divided into observation group(rapid rehabilitation surgical concept nursing)and control group(routine nursing),20 cases in each group.The time of anal exhaust,the time of first defecation after operation,the time of hospitalization,the cost of hospitalization between two groups were compared,and nursing satisfaction and complications were counted.Result:The time of anal exhaust,the time of first defecation after operation,the time of hospitalization and the cost of hospitalization in observation group were better than those of control group(P<0.05).The total satisfaction rate of observation group was 95.0%,which was higher than 70.0% of control group(P<0.05).The incidence of postoperative complications was5.0% in observation group,which was lower than 60.0% of control group(P<0.05).Conclusion:Choosing the rapid rehabilitation surgical concept to carry out nursing care can significantly improve the quality of nursing care of patients with gastric cancer in the stage of radical operation,with fewer complications,high nursing satisfaction,and reduce the medical costs,which is worth promoting.
Objective:To explore the effect of rapid rehabilitation surgical concept in nursing care after radical gastrectomy for gastric cancer.Method:A total of 40 patients with gastric cancer admitted to our hospital from January2016 to May 2018 were selected as the study subjects.According to the random number table method,they were divided into observation group(rapid rehabilitation surgical concept nursing)and control group(routine nursing),20 cases in each group.The time of anal exhaust,the time of first defecation after operation,the time of hospitalization,the cost of hospitalization between two groups were compared,and nursing satisfaction and complications were counted.Result:The time of anal exhaust,the time of first defecation after operation,the time of hospitalization and the cost of hospitalization in observation group were better than those of control group(P<0.05).The total satisfaction rate of observation group was 95.0%,which was higher than 70.0% of control group(P<0.05).The incidence of postoperative complications was5.0% in observation group,which was lower than 60.0% of control group(P<0.05).Conclusion:Choosing the rapid rehabilitation surgical concept to carry out nursing care can significantly improve the quality of nursing care of patients with gastric cancer in the stage of radical operation,with fewer complications,high nursing satisfaction,and reduce the medical costs,which is worth promoting.
引文
[1]钱路创,沙洪存,洪晓明.快速康复外科在腹腔镜胃癌根治术的研究进展[J].中国微创外科杂志,2017,17(5):471-474.
[2]李果果.快速康复外科在胃癌根治术围手术期护理中的应用[J].河南外科学杂志,2018,24(4):167-168.
[3]李三萍,栗云雁,刘海峰.快速康复外科理念应用于胃癌患者围手术期护理中的效果评价[J].中国药物与临床,2017,17(2):298-300.
[4]吕桂玉.快速康复外科护理在胃癌病人围术期的应用进展[J].全科护理,2018,16(15):1817-1819.
[5]揭昊琦.快速康复外科理念在胃癌围术期护理中的应用[J].当代医学,2018,24(16):175-177.
[6]刘冰心,郭婷.胃癌手术患者快速康复外科护理中量化活动方案的实施[J].护理学杂志,2018,33(10):23-26.
[7]傅金龙,王先法,汪勇,等.快速康复外科治疗对老年胃癌患者术后感染相关并发症及炎性反应的影响[J].中华医院感染学杂志,2018,28(11):1689-1692.
[8]张玉江,周军,阿合提别克,等.快速康复外科理念在新辅助化疗联合腹腔镜下胃癌D2根治术治疗进展期胃癌中的应用[J].中华实用诊断与治疗杂志,2018,32(5):467-470.
[9]展颖颖,吴梦莉,杨康丽,等.快速康复外科护理对胃癌术后护理效果的临床研究[J/OL].实用临床护理学电子杂志,2018,3(13):138,173.
[10]闵腊英,任明扬,周群丽,等.快速康复外科护理路径在腹腔镜胃癌根治术围术期护理中的应用[J].中国肿瘤临床与康复,2018,25(3):377-380.
[11]颜江云.胃癌根治术后护理环节快速康复理念的实际应用分析[J].中外医学研究,2018,16(6):118-120.
[12]秦维霞,邓建玉.快速康复外科理念在全腹腔镜胃癌根治术围手术期护理的效果评价[J].中国肿瘤外科杂志,2018,10(1):66-68.
[13]路明.快速康复外科在胃癌手术患者护理中的应用价值分析[J].中国现代药物应用,2018,12(3):131-132.
[14]肖端,朱代华,唐云昊,等.快速康复外科对胃癌患者腹腔镜术后免疫功能及营养状态的影响[J].现代医药卫生,2018,34(2):211-214.
[15]王爱红,罗娜,赵皓冰.快速康复护理对胃癌患者术后应激及康复的影响[J].中国肿瘤临床与康复,2018,25(1):95-98.
[16]张英.快速康复外科护理对腹腔镜胃癌根治术患者术后康复及短期生存质量的影响研究[J].中国实用医药,2018,13(2):189-190.
[17]胡莘.中医特色护理结合快速康复外科理念对胃癌术后胃肠功能与生存质量的影响[J].中医药管理杂志,2018,26(1):67-69.
[18]管卫华.对胃癌术后患者进行快速康复外科护理对其进行早期功能锻炼的影响[J].当代医药论丛,2018,16(2):222-223.
[19]陈艳平,曹丽丽.快速康复外科护理用于胃癌胃大部切除后患者的护理效果[J].护理实践与研究,2018,15(1):62-64.
[20]黄晓.快速康复外科理念在胃癌患者围手术期护理中的应用效果评价[J].中国社区医师,2017,33(16):140,142.
[21]赵桂香.胃癌患者围手术期护理中快速康复外科理念应用的效果分析[J].中国医药指南,2017,15(15):238-239.
[22]朱小朝,胡建平,王永.快速康复外科联合腹腔镜应用于远端胃癌根治术的安全性及可行性分析[J].实用癌症杂志,2017,32(5):760-762.
[23]周杨,张淋,朱元增,等.快速康复外科对腹腔镜胃癌根治术患者炎症反应和免疫功能的影响[J].中外医疗,2017,36(8):15-18.
[2]李果果.快速康复外科在胃癌根治术围手术期护理中的应用[J].河南外科学杂志,2018,24(4):167-168.
[3]李三萍,栗云雁,刘海峰.快速康复外科理念应用于胃癌患者围手术期护理中的效果评价[J].中国药物与临床,2017,17(2):298-300.
[4]吕桂玉.快速康复外科护理在胃癌病人围术期的应用进展[J].全科护理,2018,16(15):1817-1819.
[5]揭昊琦.快速康复外科理念在胃癌围术期护理中的应用[J].当代医学,2018,24(16):175-177.
[6]刘冰心,郭婷.胃癌手术患者快速康复外科护理中量化活动方案的实施[J].护理学杂志,2018,33(10):23-26.
[7]傅金龙,王先法,汪勇,等.快速康复外科治疗对老年胃癌患者术后感染相关并发症及炎性反应的影响[J].中华医院感染学杂志,2018,28(11):1689-1692.
[8]张玉江,周军,阿合提别克,等.快速康复外科理念在新辅助化疗联合腹腔镜下胃癌D2根治术治疗进展期胃癌中的应用[J].中华实用诊断与治疗杂志,2018,32(5):467-470.
[9]展颖颖,吴梦莉,杨康丽,等.快速康复外科护理对胃癌术后护理效果的临床研究[J/OL].实用临床护理学电子杂志,2018,3(13):138,173.
[10]闵腊英,任明扬,周群丽,等.快速康复外科护理路径在腹腔镜胃癌根治术围术期护理中的应用[J].中国肿瘤临床与康复,2018,25(3):377-380.
[11]颜江云.胃癌根治术后护理环节快速康复理念的实际应用分析[J].中外医学研究,2018,16(6):118-120.
[12]秦维霞,邓建玉.快速康复外科理念在全腹腔镜胃癌根治术围手术期护理的效果评价[J].中国肿瘤外科杂志,2018,10(1):66-68.
[13]路明.快速康复外科在胃癌手术患者护理中的应用价值分析[J].中国现代药物应用,2018,12(3):131-132.
[14]肖端,朱代华,唐云昊,等.快速康复外科对胃癌患者腹腔镜术后免疫功能及营养状态的影响[J].现代医药卫生,2018,34(2):211-214.
[15]王爱红,罗娜,赵皓冰.快速康复护理对胃癌患者术后应激及康复的影响[J].中国肿瘤临床与康复,2018,25(1):95-98.
[16]张英.快速康复外科护理对腹腔镜胃癌根治术患者术后康复及短期生存质量的影响研究[J].中国实用医药,2018,13(2):189-190.
[17]胡莘.中医特色护理结合快速康复外科理念对胃癌术后胃肠功能与生存质量的影响[J].中医药管理杂志,2018,26(1):67-69.
[18]管卫华.对胃癌术后患者进行快速康复外科护理对其进行早期功能锻炼的影响[J].当代医药论丛,2018,16(2):222-223.
[19]陈艳平,曹丽丽.快速康复外科护理用于胃癌胃大部切除后患者的护理效果[J].护理实践与研究,2018,15(1):62-64.
[20]黄晓.快速康复外科理念在胃癌患者围手术期护理中的应用效果评价[J].中国社区医师,2017,33(16):140,142.
[21]赵桂香.胃癌患者围手术期护理中快速康复外科理念应用的效果分析[J].中国医药指南,2017,15(15):238-239.
[22]朱小朝,胡建平,王永.快速康复外科联合腹腔镜应用于远端胃癌根治术的安全性及可行性分析[J].实用癌症杂志,2017,32(5):760-762.
[23]周杨,张淋,朱元增,等.快速康复外科对腹腔镜胃癌根治术患者炎症反应和免疫功能的影响[J].中外医疗,2017,36(8):15-18.