临床普外科电子杂志 ›› 2024, Vol. 12 ›› Issue (4): 42-.

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医护一体化加速康复外科护理在结直肠癌患者围手术期的实施效果

  

  1. 汕头大学医学院第二附属医院 胃肠外科,广东 汕头 515000
  • 出版日期:2024-10-01 发布日期:2024-12-30

The implementation eff ect of integrated medical care and accelerated rehabilitation surgery nursing in the perioperative period of colorectal cancer patients

  1. Gastroenterology Department of Second Affi liated Hospital of Shantou University School of Medicine, Guangdong Shantou 515000, China
  • Online:2024-10-01 Published:2024-12-30

摘要:

目的 探究基于术后康复指标、并发症发生率及住院满意度评价的医护一体化加速康复外科护理在结直肠癌围手术期的实施效果。方法 选取 2021 年 1 月至 2024 年 1 月汕头大学医学院第二附属医院收治的 66 例结直肠癌患者,按照建档时间分为对照组(2021 年 1 月至 2022 年 6 月,n=33)与试验组(2022 年 7 月至 2024 年 1 月,n=33)。对照组围手术期实施常规护理,试验组实施医护一体化加速康复外科护理。统计两组患者术后康复指标、并发症发生情况及住院满意度。结果 试验组患者的输液治疗、首次肛门排气、住院时间均短于对照组,差异均有显著性(P < 0.05)。试验组患者术后并发症发生率(9.09%)低于对照组(33.33%),且住院满意度(93.94%)高于对照组(72.73%),差异均有显著性(P < 0.05)。结论 在围手术期对结直肠癌患者实施医护一体加速康复外科护理,可促进患者术后康复,降低并发症发生率,提高住院满意度。

关键词: 结直肠癌, 围手术期, 加速术后康复, 医护一体化

Abstract:

Objective To explore the implementation effect of integrated medical and nursing accelerated rehabilitation surgical nursing based on postoperative rehabilitation indicators, incidence of complications, and hospital satisfaction evaluation in the perioperative period of colorectal cancer patients. Method 66 patients with colorectal cancer admitted to the Second Affiliated Hospital of Shantou University School of Medicine from January 2021 to January 2024 were selected and divided into a control group (January 2021 to June 2022, n=33) and an experimental group (July 2022 to January 2024, n=33) according to the filing time. The control group received routine nursing during the perioperative period, while the experimental group received integrated medical

and accelerated rehabilitation surgical nursing. Statistics on postoperative rehabilitation indicators, incidence of complications during implementation, and satisfaction with hospitalization the day after implementation for two groups. Result The infusion treatment, fi rst anal exhaust, and hospitalization time of the experimental group patients were significantly shorter than those of the control group (P < 0.05). The incidence of postoperative complications in the experimental group (9.09%) was lower than that in the control group (33.33%), and the hospital satisfaction rate (93.94%) was higher than that in the control group (72.73%), with signifi cant diff erences (P < 0.05). Conclusion Implementing integrated accelerated rehabilitation surgical nursing for colorectal cancer patients during the perioperative period can promote postoperative recovery, reduce the incidence of complications, and improve hospital satisfaction.

Key words: Colorectal cancer, Perioperative period, Enhanced recovery after surgery, Medical integration