摘要
目的探讨量化活动干预在胃癌手术患者快速康复外科(ERAS)临床护理中的应用效果。方法选取2017年1月~2019年1月江南大学附属医院(原无锡市第三人民医院)进行胃癌手术的患者150例,根据随机数字表法分为对照组(75例)和观察组(75例),两组均进行ERAS护理,对照组进行常规活动,观察组进行量化活动干预;对两组患者术后身体康复情况、活动量、疼痛评分、术后并发症及睡眠情况进行比较。结果观察组患者术后下床活动时间、恢复正常饮食及肛门排气时间均短于对照组,差异有统计学意义(P<0.05);两组患者术后即刻比较,差异无统计学意义(P>0.05),两组患者术后24、48、72 h疼痛程度评分与即刻评分比较,差异有统计学意义(P<0.05);两组患者术后即刻、24、48、72 h疼痛程度评分组间比较,差异有统计学意义(P<0.05);两组组间、时间及交互作用差异均有统计学意义(P<0.05)。术后24、48、72 h两组组内活动步数、活动距离及夜间睡眠时长比较,差异有统计学意义(P<0.05),且观察组术后24、48、72 h活动步数、活动距离及夜间睡眠时长均多于对照组(P<0.05)。观察组术后并发症发生概率低于对照组(P<0.05)。结论量化活动干预措施对胃癌手术患者ERAS临床护理应用效果显著,量化活动干预措施降低患者术后疼痛程度及术后并发症,提高患者睡眠质量,改善患者术后康复情况。
Objective To explore the effect of application activity intervention in clinical nursing of gastric cancer patients undergoing enhanced recovery after surgery(ERAS).Methods A total of 150 patients who underwent gastric cancer surgery in the Affiliated Hospital of Jiangnan University(Formerly the Third People′s Hospital of Wuxi City)from January 2017 to January 2019 were selected.According to the random number table method,they were divided into control group(75 cases)and observation group(75 cases).Both groups received ERAS care,the control group received routine activities,and the observation group receiveded quantitative activity intervention;Physical recovery,activity,pain score,postoperative complications and sleep were compared between the two groups.Results The postoperative out-of-bed activity time,normal diet recovery and anal exhaust time of the observation group were shorter than that of the control group,with statistically significant differences(P<0.05).There was no significant difference between the two groups immediately after surgery(P>0.05).The pain scores of the two groups were compared with the immediate scores at 24,48 h and 72 h after surgery,and the differences were statistically significant(P<0.05).Immediate postoperative,24,48 h and 72 h after surgery patients in the two groups were compared,the differences were statistically significant(P<0.05).The differences of time and interaction between the two groups were statistically significant(P<0.05).At 24,48 and 72 h after surgery,the number of active steps,distance of active distance and duration of sleep in the two groups were compared,and the difference was statistically significant(P<0.05),and the number of active steps,distance of active steps and night sleep in the observation group were more than that in the control group(P<0.05).The probability of postoperative complications in the observation group was lower than that in the control group(P<0.05).Conclusion Quantitative activity intervention has a significant effect on the clinical n
作者
林春燕
鲍传庆
许炳华
杨增辉
LIN Chunyan;BAO Chuanqing;XU Binghua;YANG Zenghui(Gastrointestinal Surgery Department,Affiliated Hospital of Jiangnan University(Formerly the Third People′s Hospital of Wuxi),Jiangsu Province,Wuxi214000,China)
出处
《中国医药导报》
CAS
2020年第7期193-196,共4页
China Medical Herald
关键词
快速康复外科
量化活动干预
胃癌
临床护理
Enhanced recovery after surgery
Quantitative activity intervention
Gastric cancer
Clinical care
