摘要
目的探讨加速康复外科(ERAS)干预在食管胃结合部腺癌患者术后恢复中的应用效果。方法将102例食管胃结合部腺癌患者根据术后干预方法不同分为研究组(52例)和对照组(50例)。对照组给予常规护理干预,研究组给予ERAS干预。比较两组患者血清癌胚抗原(CEA)、心理状态、生活质量、临床指标、护理满意度。结果干预后,两组患者血清CEA水平及抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均低于本组干预前,且研究组患者血清CEA水平及SDS、SAS评分均低于对照组,差异均有统计学意义(P﹤0.05)。研究组患者胸管留置时间、住院时间、肛门排气时间及术后首次下床活动时间均明显短于对照组,差异均有统计学意义(P﹤0.01)。干预后,研究组患者生活环境、社会关系、独立能力、身体机能评分均高于对照组,差异均有统计学意义(P﹤0.05)。结论基于ERAS理念的护理干预能明显缓解食管胃结合部腺癌患者的术后负性情绪,提高生活质量和护理满意度,具有较高的临床应用和推广价值。
Objective To investigate the effect of enhanced recovery after surgery(ERAS)intervention in postoperative recovery of patients with esophagogastric junction adenocarcinoma.Method A total of 102 patients with esophagogastric junction adenocarcinoma were divided into study group(52 cases)and control group(50 cases)according to different postoperative intervention methods.The control group was given routine nursing intervention,and the study group was given ERAS intervention.The serum carcinoembryonic antigen(CEA),psychological state,quality of life,clinical indicators,and nursing satisfaction were compared between the two groups.Result After the intervention,the serum CEA level,the self-rating depression scale(SDS)and self-rating anxiety scale(SAS)scores of the two groups were lower than those before the intervention in the same group,and the foregoing terms of the patients in the study group were all lower than those of the control group,and the differences were statistically significant(P<0.05).The chest tube indwelling time,hospitalization time,anal exhaust time,and the first time to get out of bed after the operation in the study group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.01).After the intervention,the scores of the living environment,social relationship,independent ability,and physical function in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The nursing intervention following the idea of ERAS could significantly relieve postoperative negative emotions in patients with esophagogastric junction adenocarcinoma,improve their quality of life and nursing satisfaction,and has high clinical application and promotion value.
作者
安可九
王娜
李景景
AN Kejiu;WANG Na;LI Jingjing(Department of General Surgery,Cancer Hospital Affiliated to Zhengzhou University/He’nan Cancer Hospital,Zhengzhou 450001,He’nan,China)
出处
《癌症进展》
2022年第18期1919-1922,共4页
Oncology Progress
关键词
加速康复外科
食管胃结合部腺癌
健康恢复
enhanced recovery after surgery
esophagogastric junction adenocarcinoma
healthy recovery
