摘要
目的探讨快速康复外科(ERAS)护理在肝癌介入术患者中的应用价值.方法选择2020年6月—2022年6月该院收治的74例行肝癌介入术患者,依照随机数字表法分为两组,各37例.对照组实施常规护理,观察组实施ERAS护理,均护理至患者出院.对比两组术后恢复情况、负性情绪、疼痛程度、睡眠质量及并发症发生率.结果观察组术后首次下床活动时间(18.42±2.35)h、首次排气时间(28.16±2.34)h、首次排便时间(38.74±3.12)h、首次进食时间(11.73±1.04)h、住院时间(10.03±1.38)d,均短于对照组,组间差异有统计学意义(P<0.05).护理3 d后,观察组焦虑自评量表评分(45.88±3.29)分、抑郁自评量表评分(46.11±3.04)分、视觉模拟评分(3.18±0.59)分、匹兹堡睡眠质量指数量表评分(7.12±1.30)分,均低于对照组,组间差异有统计学意义(P<0.05).观察组并发症发生率为5.41%,低于对照组的21.62%,差异有统计学意义(P<0.05).结论ERAS护理能够有效减轻肝癌介入术患者的术后疼痛程度,缓解其负性情绪,减少并发症的发生,加快患者术后恢复,改善睡眠质量.
Objective To investigate the application value of enhanced recovery after surgery(ERAS)in patients with hepatocellular carcinoma undergoing interventional surgery.Methods A total of 74 patients receiving hepatocellular carcinoma undergoing interventional surgery in the hospital from June 2020 to June 2022 were selected and divided into two groups according to random number table method,with 37 cases in each group.The control group received routine nursing and the observation group received ERAS nursing until the patient was discharged.The postoperative recovery,negative emotion,pain degree,sleep quality and complication rate of the two groups were compared.Results The first time of getting out of bed(18.42±2.35)h,the first time of exhaust(28.16±2.34)h,the first time of defecation(38.74±3.12)h,the first time of eating(11.73±1.04)h and the length of hospital stay(10.03±1.38)d in the observation group were all shorter than those in the control group,and the differences between groups were statistically significant(P<0.05).After 3 days of nursing,the selfrating anxiety scale score(45.88±3.29)points,self-rating depression scale score(46.11±3.04)points,visual analog score(3.18±0.59)points,and Pittsburgh sleep quality index score(7.12±1.30)points in the observation group were all lower than those in the control group,and the differences between groups were statistically significant(P<0.05).The incidence of complications in the observation group was 5.41%,lower than 21.62%in the control group,and the difference was statistically significant(P<0.05).Conclusion ERAS nursing can effectively reduce postoperative pain,relieve negative emotions,reduce complications,accelerate postoperative recovery and improve sleep quality in patients undergoing hepatocellular carcinoma interventional surgery.
作者
薛平
梅思静
XUE Ping;MEI Sijing(Department of Interventional Medicine,Lanling County People's Hospital,Linyi Shandong,276000,China;Department of Neurodegenerative Diseases,Lanling County People's Hospital,Linyi Shandong,276000,China)
出处
《反射疗法与康复医学》
2022年第23期112-115,共4页
Reflexology And Rehabilitation Medicine
关键词
肝癌介入术
快速康复外科护理
疼痛程度
睡眠质量
负性情绪
并发症
Hepatocellular carcinoma undergoing interventional surgery
Enhanced recovery after surgery nursing
Degree of pain
Sleep quality
Negative emotions
Complication
