【摘要】 目的探讨快速康复理念在结直肠癌手术患者中的应用价值。方法将108例接受结直肠癌根治性手术治疗的结直肠癌患者按随机数字表法分为观察组和对照组,每组54例。观察组患者采用快速康复理念干预模式,对照组患者采用常规护理指导。比较两组患者术后康复相关指标、并发症发生率、护理满意度、生活质量评分的差异。结果观察组患者术后首次肛门排气时间、首次排便时间、首次下床活动时间、进食时间、拔除引流管时间、住院时间均短于对照组,差异均有统计学意义(P﹤0.05)。观察组患者手术并发症发生率为5.56%(3/54),明显低于对照组的24.07%(13/54),差异有统计学意义(P﹤0.05)。术后2周,两组患者各维度评分均升高,且观察组患者健康状况、生理职能、生理机能、社会功能、躯体疼痛、精力、情感职能评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者护理满意度优于对照组,差异有统计学意义(P﹤0.05)。结论快速康复理念在结直肠癌手术患者中应用有利于改善患者术后生活质量、促进患者康复、降低术后并发症发生率及提高患者的护理满意度。更多还原

【Abstract】 Objective To explore the application value of rapid rehabilitation concept in patients after colorectal cancer surgery. Method A total of 108 patients underwent radical surgery for colorectal cancer were divided into observation group and control group(each n=54) with random number, rapid rehabilitation and routine nursing were given respectively, and the differences of postoperative rehabilitation related indexes, complication rates, nursing satisfaction scores,and quality of life scores were compared. Result The first postoperative anal exhaust time, bowel movement time, first ambulation time, feeding time, drainage tube removal time, and hospitalization time in the observation group were significantly shorter than those in the control group(P<0.05). There were significant differences for complication rates between the observation group [5.56%(3/54)] and the control group [24.07%(13/54)](P<0.05). 2 weeks after surgery, the scores of all dimensions increased in the two groups, with significantly higher scores of the health status, physiological function,physiological function, social function, physical pain, energy, emotional function and nursing satisfaction in the observation group than those in the control group(P<0.05). Conclusion The application of the rapid rehabilitation in patients undertaken colorectal cancer surgery is conducive to improving the quality of life, promoting recovery, reducing postoperative complications and improving nursing satisfaction of patients after surgery.更多还原