结直肠癌患者围手术期实施加速康复外科精准护理的效果及影响

摘要/Abstract

摘要：

目的研究结直肠癌患者围手术期实施加速康复外科（enhanced recovery after surgery,ERAS）精准护理的效果及对患者应激反应、心理状态的影响。方法纳入 2024 年 1 月至 2025 年 4 月深圳市宝安区中心医院收治的接受手术治疗的结直肠癌患者 110 例，以随机数字表法对其划分成试验组以及对照组，各 55 例。对照组实施围手术期常规护理干预，试验组实施围手术期 ERAS 精准护理。比较两组患者术后恢复情况、炎症指标水平、负性情绪和护理满意度。结果试验组患者术后排气、排便、下床活动、进食流质食物以及住院的时间均短于对照组，差异均有显著性（P ＜ 0.001）。两组术前 1d 的血清 C 反应蛋白及白介素 -6、焦虑自评量表及抑郁自评量表评分相比，差异不显著（P ＞ 0.05）；两组术后 1d、3d 及 5d 的血清 C 反应蛋白及白介素 -6 较术前 1d 更低，且试验组较对照组低（P ＜ 0.001）；两组术后 3d 的 SAS 及 SDS 评分较术前更低，且试验组较对照组低（P ＜ 0.001）。试验组的护理满意度为 98.18%（54/55），较对照组 87.27%（48/55）更高，差异有显著性（P ＜ 0.05）。结论结直肠癌患者围手术期实施 ERAS 精准护理的效果较好，能够有效改善患者的应激反应，优化其心理状态。

关键词: 结直肠癌, 围手术期, 加速康复外科, 精准, 护理, 效果

Abstract:

Objective To study the effect of perioperative implementation of enhanced recovery after surgery (ERAS) precision nursing in patients with colorectal cancer and its impact on patients’ stress response and psychological state. Method A total of 110 patients with colorectal cancer who received surgical treatment in the Central Hospital of Bao’an District in Shenzhen from January 2024 to April 2025 were selected and randomly divided into experimental group and control group, with 55 cases in each group. The control group received perioperative routine nursing intervention, and the experimental group received perioperative eras precise nursing. The postoperative recovery, inflammatory index level, negative emotions and nursing satisfaction of the two groups were compared. Result The time of exhaust, defecation, getting out of bed, eating liquid food and hospitalization in the experimental group were shorter than those in the control group, and the differences were significant (P＜0.001). There was no significant difference in the scores of serum C-reactive protein, interleukin-6, self-rating anxiety scale and self-rating depression scale between the two groups one day before operation (P ＞ 0.05); The levels of serum C reactive protein and interleukin-6 at 1d, 3d and 5d after operation in the two groups were lower than those at 1d before operation, and the levels of serum C reactive protein and interleukin-6 in the experimental group were lower than those in the control group (P ＜ 0.001); The SAS and SDS scores of the two groups at 3 days after operation were lower than those before operation, and the experimental group was lower than that of the control group (P ＜ 0.001). The nursing satisfaction of the experimental group was 98.18% (54/55), which was significantly higher than 87.27% (48/55) of the control group (P ＜ 0.05). Conclusion The implementation of ERAS precision nursing in the perioperative period of colorectal cancer patients is more effective, which can effectively improve the stress response of patients and optimize their psychological state.

Key words: Colorectal cancer, Perioperative period, Enhanced recovery after surgery, Precision, Nursing

何晓庆, 彭忠艳, 陈玉燕. 结直肠癌患者围手术期实施加速康复外科精准护理的效果及影响 [J]. 临床普外科电子杂志, 2025, 13(4): 85-.

He Xiaoqing, Peng Zhongyan, Chen Yuyan. Effect and influence of perioperative implementation of accelerated rehabilitation surgery precision nursing in patients with colorectal cancer [J]. Journal of General Surgery for Clinicians, 2025, 13(4): 85-.

[1]	李文兵, 蔡一亭. 单切口加 1 孔腹腔镜手术在结直肠癌根治术中的可行性和临床应用价值 [J]. 临床普外科电子杂志, 2025, 13(4): 2-.
[2]	李文迪, 梁婕, 史光军, 刘彩云. 加速康复外科模式下微创胆总管切开取石术的临床体会 [J]. 临床普外科电子杂志, 2025, 13(4): 38-.
[3]	李莎莎, 贾建楼. 全身麻醉复合罗哌卡因腹横肌神经阻滞在结直肠癌根治术中的应用 [J]. 临床普外科电子杂志, 2025, 13(4): 71-.
[4]	洪明星, 经宇, 郭慧雯. 急性胰腺炎患者早期营养支持护理干预的效果研究 [J]. 临床普外科电子杂志, 2025, 13(4): 91-.
[5]	郝林. 互联网延续性护理对结直肠癌化疗患者胃肠功能的影响 [J]. 临床普外科电子杂志, 2025, 13(4): 96-.
[6]	李雪, 吴胜文. 基于信息 - 干预 - 反馈 - 评估 - 响应模式的心理护理干预对腹腔镜胃肠道手术患者疼痛程度及睡眠质量的影响 [J]. 临床普外科电子杂志, 2025, 13(4): 101-.
[7]	邓媛, 张娟, 曹璐璐. 急性阑尾炎患者内镜逆行阑尾炎治疗术围手术期的护理配合及体会 [J]. 临床普外科电子杂志, 2025, 13(4): 106-.
[8]	蔡得生 , 鲍传庆 , 吴吉 . 单切口腹腔镜结肠癌根治术对老年结直肠癌患者术后免疫能力和应激反应的影响 [J]. 临床普外科电子杂志, 2025, 13(3): 46-.
[9]	徐芬, 姜英. 快速康复护理对乳腺癌改良根治术患者心理状态及疼痛的影响 [J]. 临床普外科电子杂志, 2025, 13(3): 76-.
[10]	李硕玮. 多维度护理干预在肝胆手术患者快速康复中的应用效果 [J]. 临床普外科电子杂志, 2025, 13(3): 80-.
[11]	彭昌敏, 谢银, 邓琳縚. 激励式护理对直肠癌手术患者自护能力、生活质量的影响分析 [J]. 临床普外科电子杂志, 2025, 13(3): 84-.
[12]	王耀辉. 循证护理应用于老年疝手术患者的效果观察 [J]. 临床普外科电子杂志, 2025, 13(3): 89-.
[13]	王成兴 , 陈素玲 , 周朝荣 , 林伟星 , 何灿秀 , 何耀明 , . 结直肠癌临床见习课程中英双语教学改革探讨 [J]. 临床普外科电子杂志, 2025, 13(3): 105-.
[14]	李艳芬, 张宇浩, 周朝荣, 王成兴. 年轻结直肠癌术后异时性肝转移的危险因素分析 [J]. 临床普外科电子杂志, 2025, 13(2): 13-.
[15]	徐伯群, 蔡丙华. 个体化膳食营养干预对腹腔镜结直肠癌根治术后患者免疫功能的影响 [J]. 临床普外科电子杂志, 2025, 13(2): 69-.

结直肠癌患者围手术期实施加速康复外科精准护理的效果及影响

Effect and influence of perioperative implementation of accelerated rehabilitation surgery precision nursing in patients with colorectal cancer

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价