摘要
目的观察快速康复外科逐日目标清单在大肠癌患者围术期管理中的应用效果。方法选择2017年1月-2018年4月(快速康复外科逐日目标清单实施前)40例大肠癌患者为对照组,选取2018年5月-2019年8月实施后(快速康复外科逐日目标清单实施后)收治的40例大肠癌患者为观察组,对照组给予快速康复外科常规护理,观察组实施快速康复外科逐日目标清单管理,干预后比较2组术后肠道功能恢复时间、术后住院时间、疼痛评分和术后并发症发生率。结果观察组术后肠道功能恢复时间、术后住院时间均短于对照组(t=-6.586,P<0.001;t=-5.011,P<0.001),疼痛评分和术后并发症发生率均低于对照组(t=-3.541,P=0.001;χ^(2)=4.501,P=0.034)。结论采用快速康复外科逐日目标清单管理法对大肠癌患者围术期开展干预,可推进其快速康复进程,实现更优的快速康复效果。
Objective To observe the application effect of the daily target list in the fast track surgery of perioperative patients with colorectal cancer.Methods Forty colorectal cancer patients admitted to our hospital between January 2017 and April 2018 were selected into the control group,while another 40 counterparts treated between May 2018 and August 2019 were chosen into the observation group.The control group was given routine nursing for their fast track surgery,while the daily target list was employed in the observation group.The time for the recovery of intestinal function,postoperative hospital stay,the pain score and postoperative complications were compared between the two groups.Results The intestinal function of the observation group recovered earlier than that of the control group and the postoperative hospital stay of the former group was significantly shorter than the latter(t=-6.586,P<0.001;t=-5.011,P<0.001).Moreover,the pain score and rate of postoperative complications of the former were significantly lower than those of the control group(t=-3.541,P=0.001;χ^(2)=4.501,P=0.034).Conclusion The application of the daily target list in the fast track surgery can achieve better and quicker recovery of patients with colorectal cancer undergoing the fast track surgery.
作者
王日娟
梁桂花
蔡云霞
张春
李玉蓉
WANG Rijuan;LIANG Guihua;CAI Yunxia;ZHANG Chun;Li Yurong(Chashan Hospital of Guangdong Medical University,Dongguan 523380,China.)
出处
《中国临床护理》
2021年第5期295-297,301,共4页
Chinese Clinical Nursing
基金
东莞市社会科技发展项目(编号:201950715009815)。
关键词
大肠癌
快速康复外科
目标管理
清单管理
Colorectal cancer
Fast track surgery
Target management
List management
