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正念减压训练结合快速康复护理在结肠癌患者根治术后的效果观察 被引量:8

Efficacy of Fast-track Nursing Combined with Mindfulness Strain-reducing Training on the Colonic Cancer Patients after Radical Surgery
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摘要 为观察正念减压训练结合快速康复护理在结肠癌患者根治术后的效果,将腹腔镜结肠癌根治术后98例患者随机分为对照组和观察组,每组49例。对照组患者采用快速康复护理,观察组患者在此基础上结合正念减压训练进行术后康复,比较2组患者术后康复效果。结果显示,观察组患者首次下床时间、首次排气时间、首次排便时间、静脉输液时间、住院时间均明显短于对照组(P <0.05);手术1d后,2组患者疼痛评分均明显增加,手术7d后,2组患者疼痛评分均明显降低,但观察组疼痛评分明显低于对照组(P <0.05);手术半年后,观察组患者生存质量评分明显高于对照组(P <0.05)。结果表明,正念减压训练结合快速康复护理可有效促进结肠癌根治术后患者恢复进程,缓解术后疼痛,患者术后生存质量更高,具有一定的临床推广价值。 This study to observe the efficacy of fast-track nursing combined with mindfulness strain-reducing training on the colonic cancer patients after radical surgery,randomly divided 98 cases who had received laparoscopic radical procedure for colonic cancer into control group(49 cases,alone fast-track nursing)and observation group(49 cases,based on fast-tract nursing,added with mindfulness strain-reducing training);then,compared both groups’ postoperative rehabilitation efficacy.As results,in the time for first out-ofbed,for first flatus,for first defecation,for intravenously transfusion,and for hospitalization,observation group was all significantly shorter than control group(all,P <0.05);1 day after surgery,both groups’ pain score ratings were all significantly increased,but 7 days after surgery,the ratings in both groups were all significantly declined,merely,observation groups’ one was significantly lower than control groups’ one(P<0.05);0.5 years after surgery the score ratings on patients’ quality of life in observation group were significantly higher than that in control group(P <0.05).Results show that mindfulness strain-reducing training combined with fast-track nursing on the patients underwent radical surgery for colonic cancer can effectively promote their recovery course,relieve postoperative pain,so that enhance their quality of life,thus has certain clinical value to be popularized.
作者 曹艳 王勇 徐崇娟 CAO Yan;WANG Yong;XU Chong-juan(The Central Hospital of Shenma Med.Group,Pingdingshan,Henan 467000)
出处 《中国肛肠病杂志》 2021年第1期61-63,共3页 Chinese Journal of Coloproctology
关键词 结肠癌 腹腔镜 手术 正念减压 快速康复护理 Colonic cancer Laparoscope Surgery Mindfulness strain-reducing Fast-track nursing
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