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综合康复护理对微创结肠癌根治术患者胃肠功能及并发症的影响

Effect of Comprehensive Rehabilitation Nursing on Gastrointestinal Function and Complications of Patients Undergoing Minimally Invasive radical Resection of Colon Cancer

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【作者】 胡静

【Author】 HU Jing;Department of Gastrointestinal Abdominal Hernia Surgery, Jinxiang Hospital Affiliated to Jining Medical College;

【机构】 济宁医学院附属金乡医院胃肠腹壁疝外科

【摘要】 目的 探讨综合康复护理对微创结肠癌根治术患者胃肠功能及并发症的影响。方法 选取济宁医学院附属金乡医院2021年3月—2023年2月收治的80例微创结直肠癌根治术患者为研究对象,按照随机数字表法将其分为对照组与观察组,各40例。对照组采用常规护理,观察组在对照组基础上采用综合康复护理干预,比较两组患者的胃肠功能疼痛疼痛程度、并发症发生情况、生活质量。结果 观察组肠鸣音恢复、排气、排便及进普食时间均短于对照组,组间差异有统计学意义(P<0.05)。术后6 h、12 h、18 h、24 h,观察组疼痛视觉模拟评分均低于对照组,组间差异有统计学意义(P<0.05)。观察组并发症发生率为5.00%,低于对照组的20.00%,差异有统计学意义(P<0.05)。干预后,观察组胃肠道生活质量指数各个维度评分均高于对照组,组间差异有统计学意义(P<0.05)。结论 对微创结肠癌根治术患者以综合康复护理干预能促进胃肠功能恢复,可减轻术后疼痛,降低并发症风险,有利于改善患者术后生活质量。

【Abstract】 Objective To explore the effect of comprehensive rehabilitation nursing on gastrointestinal function and complications of patients undergoing minimally invasive radical resection of colon cancer. Methods 80 patients with minimally invasive radical resection of colorectal cancer admitted to Jinxiang Hospital Affiliated to Jining Medical College from March 2021 to February 2023 were selected as the research objects, and were divided into a control group and an observation group according to random number table method, with 40 cases in each group. The control group received routine nursing,and the observation group received comprehensive rehabilitation nursing intervention at the same time of routine nursing. The gastrointestinal function, pain degree, complications and quality of life were compared between the two groups. Results The recovery time of bowel sound, exhaust gas, defecation and food intake in the observation group were shorter than those in the control group, and the difference between the groups was statistically significant(P<0.05). After 6 h, 12 h, 18 h and 24 h, the Visual Analogue Scores of pain in the observation group were lower than those in the control group, and the differences between the groups were statistically significant(P<0.05). The incidence of complications in the observation group was 5.00%,which was lower than 20.00% in the control group, and the difference was statistically significant(P<0.05). After intervention,the scores in all dimensions of Gastrointestinal Quality of Life Index in the observation group were higher than those in the control group, the differences between the groups were statistically significant(P <0.05). Conclusion Comprehensive rehabilitation nursing intervention can promote the recovery of gastrointestinal function, relieve postoperative pain, reduce the risk of complications and improve the quality of life of patients after minimally invasive radical resection of colon cancer.

  • 【文献出处】 反射疗法与康复医学 ,Reflexology and Rehabilitation Medicine , 编辑部邮箱 ,2024年14期
  • 【分类号】R473.73
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