摘要
目的探讨肝切除术后患者早期下床活动的可行性及其对术后恢复的影响。方法将符合入组条件的128例因肝肿瘤行肝切除术的患者按随机数字表法分为2组,2组患者均告知早期下床活动的重要性及必要性,并评估患者术后早期下床存在的各种风险,给予预见性护理及防范。对照组予术后第3—第5天下床活动,观察组术后第2天下床活动。比较分析2组患者围手术期胃肠道功能恢复情况、并发症发生率及术后住院时间等。结果与对照组相比,观察组术后第2天下床活动的肝切除术患者胃肠道恢复时间快,术后住院时间缩短,差异均具有统计学意义(P<0.05);术后并发症发生率上比较差异无统计学意义(P>0.05)。结论肝切除术后患者术后第2天下床活动是安全可行的,不但减轻了患者的痛苦和经济负担,增加患者舒适度,还促进了术后加速康复。
Object ive To explore the feasibility and effect of early ambulation after liver resection. Methods Totally 128 patients with liver tumor underwent resection were divided randomly into control group with conventional activities and early ambulation group. Patients in 2 groups were aware of the importance and necessity of early ambulation and their risk of early ambulation were assessed then targeted nursing measures were taken. Complications after operation, recovery of intestinal function and length of stay after operation in 2 groups were compared. Resu lts The perioperative intestinal function of patients with early ambulation were better than that of patients in control group and there was shorter hospital stay in early ambulation group （P〈0.05）; there was no significant difference for complications after operation between 2 groups （P〉0.05）. Conclusion Early ambulation after liver resections is safe and efficacious and it is feasible since it alleviates patients） uncomfortableness and reduces their economic burden.
作者
周慧
蔡慧
倪春燕
汤亚媛
黄玄玄
张园园
付丽娟
王志红
杨远
ZHOU Hui CAI Hui NI Chun-yan TANG Ya-yuan HUANG Xuan-xuan ZHANG Yuan-yuan FU Li-juan WANG Zhi-hong YANG Yuan(l.Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai 200438, Chin Suzhou Science and Technology Town Hospital, Suzhou 215153, China)
出处
《护理学报》
2017年第11期46-48,共3页
Journal of Nursing（China）
基金
上海市卫计委青年基金(20144Y0167)
关键词
肝切除术
早期活动
术后第2天
加速康复外科
护理
liver resection
early ambulation
2 days after operation
enhanced recovery after surgery
nursing
