摘要
目的探讨无瘤技术护理配合在腹腔镜直肠癌根治术中的应用。方法选取2014年5月至2016年5月间山东省临朐县人民医院收治的80例腹腔镜直肠癌根治术患者,采用随机数表法分为观察组与对照组,每组40例。观察组患者给予无瘤技术护理配合,对照组患者给予常规护理,对比两组患者术中出血量、手术时间、住院时间、患者对护理工作的满意度、术后生活质量和随访1年内复发率、转移率及死亡率。结果观察组患者术中出血量、手术时间、住院时间和患者对护理工作满意度分别为(70.54±15.24)ml、(3.05±0.45)h、(10.25±3.87)d和90.0%,对照组患者分别为(110.69±17.54)ml、(5.32±1.08)h、(15.69±3.36)d和75.0%,观察组均于对照组,差异均有统计学意义(均P<0.05)。观察组患者角色功能、躯体功能、心理功能、社会功能评分及总分分别为(84.56±5.78)分、(84.23±7.12)分、(82.23±6.54)分、(83.21±6.45)分和(81.34±5.90)分,对照组患者分别为(70.12±3.56)分、(71.34±7.56)分、(71.67±6.09)分、(72.12±5.78)分和(71.56±5.88)分,观察组均优于对照组,差异均有统计学意义(均P<0.05)。观察组患者术后1年复发率、转移率及死亡率分别为5.0%、2.5%和7.5%,均低于对照组的12.5%、10.0%和15.0%,差异均有统计学意义(均P<0.05)。结论无瘤技术护理配合应用于腹腔镜直肠癌根治术中,能够提高护理服务质量,有效避免并减少癌细胞医源性扩散,改善患者生活质量。
Objective To explore nursing cooperation in tumor-free surgical techniques duiring laparoscopic radical resection for rectal cancer. Methods From May 2014 to May 2016,80 patients undergoing laparoscopic radical resection for rectal cancer were selected at Linqu County People's Hospital. Using a random number table method,patients were divided into an observation group and a control group and with40 patients in each group. Patients in the observation group were given nursing with tumor-free surgical techniques and patients in the control group were given routine nursing care. Intraoperative blood loss,operation time,length of hospital stay and patients' satisfaction with nursing work,postoperative quality of life and metastasis and recurrence rates and mortality rate at the follow-up of 1 year were compared between the two groups. Results Intraoperative blood loss,operating time,hospitalization time and patients' satisfaction with nursing work was(70. 54 ± 15. 24) ml,(3. 05 ± 0. 45) h,(10. 25 ± 3. 87) d and 90. 0%,respectively for the observation group which was lower than(110. 69 ± 17. 54) ml,(5. 32 ± 1. 08) h,(15. 69 ± 3. 36) d and 75. 0%,respectively of the control group(all P〈0. 05). Scores of role function,physical function,psychological function,social function and the overall score were(84. 56 ± 5. 78),(84. 23 ± 7. 12),(82. 23 ± 6. 54),(83. 21 ± 6. 45) and(81. 34 ± 5. 90),respectively for the observation group,which were higher than(70. 12 ± 3. 56),(71. 34 ± 7. 56),(71. 67 ± 6. 09),(72. 12 ± 5. 78) and(71. 56 ± 5. 88),respectively of the control group(all P〈0. 05). 1-year metastasis,recurrence and mortality rate was 5. 0%,2. 5% and 7. 5%,respectively for the observation group which was lower than12. 5%,10. 0% and 15. 0%,respectively of the control group(all P〈0. 05). Conclusion Nursing cooperation in tumor-free surgical techniques duiring laparoscopic radical resection for rectal cancer can improve the qu
出处
《中国肿瘤临床与康复》
2017年第6期757-760,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
基金
潍坊市卫生局科研项目计划(编号2014153)
关键词
无瘤技术护理配合
腹腔镜
直肠癌根治术
Nursing cooperation in tumor-free surgical techniques
Laparoscope
radical resection for rectal carcinoma