论文部分内容阅读
目的探讨加速康复营养护理对结肠癌患者围手术期胃肠功能状态和生活质量的影响。方法选取2012年9月至2015年9月陕西省咸阳市二一五医院收治的90例结肠癌患者,采用随机数字表法随机分为常规护理组和加速康复营养护理组,每组45例。比较两组患者术后肛门初排气时间、术后肛门初排便时间、输液时间、住院时间和腹胀。行护理干预后,SCL-90评分情况以及患者再行护理干预1周内平均进行癌性疲乏评估情况。结果加速康复营养护理组与常规护理组比较,患者术后肛门初排气时间、术后肛门初排便时间、输液时间、住院时间显著缩短;腹胀率显著降低(P<0.05)。加速康复营养护理组患者护理后,SCL-90各项评分均较常规护理组明显增加(P<0.05)。加速康复营养护理组患者护理后,癌因性疲乏评估情况明显优于常规护理组(P<0.05)。结论加速康复营养护理比常规护理可有效改善患者围手术期的身心状态,能有效保障患者的术后营养供给和身心康复,促进胃肠功能的恢复,提高生活质量。
Objective To investigate the effects of accelerated rehabilitation nursing on the gastrointestinal function and quality of life of patients with colon cancer during perioperative period. Methods From September 2012 to September 2015, 90 patients with colon cancer who were treated in 215 Hospital of Xianyang City, Shaanxi Province were randomly divided into routine nursing group and accelerated rehabilitation nursing group with 45 cases in each group. The time of initial anal discharge, anal defecation time, infusion time, hospital stay and bloating after operation were compared between the two groups. After the nursing intervention, the SCL-90 score and the patient’s recurrence nursing intervention averaged within one week of cancer fatigue assessment. Results Compared with the routine nursing group, the patients with accelerated rehabilitative nursing group had significantly shorter anus postoperative anus initial defecation time, postoperative anus defecation time, infusion time and hospitalization time; the rate of bloating was significantly lower (P <0.05). After SCT-90 patients nursing care, SCL-90 scores were significantly increased (P <0.05) compared with routine care group. After accelerated nursing care patients nursing care, fatigue assessment was significantly better than the conventional care group (P <0.05). Conclusion Accelerated rehabilitation nutritional nursing can improve perioperative physical and mental status effectively than conventional nursing, which can effectively protect patients’ nutritional supply and physical and psychological recovery, promote the recovery of gastrointestinal function and improve the quality of life.