摘要
目的探讨加速康复外科(ERAS)理念联合无缝隙干预在腹腔镜下远端胃癌根治术患者中的应用效果。方法依据干预方法的不同将98例腹腔镜下远端胃癌根治术患者分为对照组和观察组,每组49例,对照组患者给予无缝隙干预,观察组患者给予ERAS理念联合无缝隙干预。比较两组患者的手术相关指标、心理状况[焦虑自评量表(SAS)及抑郁自评量表(SDS)]、自我护理能力[自我护理能力测定量表(ESCA)]、生活质量、家属满意度和并发症发生情况。结果观察组患者首次排气时间、首次排便时间、术后住院时间均明显短于对照组,下床活动步数明显多于对照组,下床数字评分法(NRS)评分明显低于对照组,差异均有统计学意义(P﹤0.01)。干预后,两组患者SAS、SDS评分均低于本组干预前,且观察组患者SAS、SDS评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,观察组患者的健康知识水平、自我护理技能、自护责任感均明显高于对照组,社会功能、躯体功能评分均明显高于对照组,差异均有统计学意义(P﹤0.01)。观察组家属的护理满意度明显高于对照组,并发症总发生率明显低于对照组,差异均有统计学意义(P﹤0.01)。结论ERAS理念联合无缝隙干预能够有效促进胃癌远端根治术患者的术后恢复,提高自我护理能力,改善生活质量,降低并发症的发生风险。
Objective To investigate the effect of the enhanced recovery after surgery(ERAS)combined with seamless intervention in patients undergoing laparoscopic distal gastrectomy.Method A total of 98 patients with laparoscopic distal gastrectomy were divided into control group and observation group according to different intervention methods,with 49 cases in each group.The patients in the control group were given seamless intervention,and the patients in the observation group were given ERAS combined with seamless intervention.The operation related indexes,psychological status[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],self-care ability[exercise of self-care agency(ESCA)],quality of life,family satisfaction and complications of the two groups were compared.Result The time to first exhaust,the time to first defecation,and the postoperative hospital stay of the observation group were significantly shorter than those of the control group,and the number of steps to get out of bed was significantly more than that of the control group,and the numerical rating scale(NRS)score of getting out of bed was significantly lower than that of the control group,and the differences were statistically significant(P<0.01).After the intervention,the SAS and SDS scores of the two groups were lower than those before the intervention,and the scores of SAS and SDS in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the intervention,the health knowledge level,self-care skills,and self-care responsibility of the observation group were significantly higher than those of the control group,and the scores of social function and physical function were also significantly higher than those of the control group,and the differences were statistically significant(P<0.01).The nursing satisfaction of the family members of the observation group was significantly higher than that of the control group,the total incidence of complications was significantly lowe
作者
许晨涵
王丽楠
陈亚青
XU Chenhan;WANG Li’nan;CHEN Yaqing(Operating Room,Zhumadian Central Hospital,Zhumadian 463000,He’nan,China)
出处
《癌症进展》
2022年第21期2233-2236,2240,共5页
Oncology Progress
关键词
加速康复外科
无缝隙干预
腹腔镜下远端胃癌根治术
enhanced recovery after surgery
seamless intervention
laparoscopic distal gastrectomy
