本文選題：加速康復(fù)護(hù)理　切入點(diǎn)：胃癌　出處：《廣東醫(yī)學(xué)》2017年16期

【摘要】：目的通過(guò)研究加速康復(fù)模式在胃癌患者術(shù)后的康復(fù)療效,為患者術(shù)后快速康復(fù)提供依據(jù)。方法選取我科2015年7月到2016年1月期間57例住院患者,按照隨機(jī)對(duì)照原則,分成干預(yù)組(21例)和對(duì)照組(36例)。其中,干預(yù)組采取加速康復(fù)模式,包括術(shù)前加速康復(fù)的宣教、術(shù)前腸道準(zhǔn)備、術(shù)后疼痛管理、活動(dòng)管理、留置管道管理及出院管理等措施。對(duì)照組采用傳統(tǒng)的圍手術(shù)期的護(hù)理,包括術(shù)前口服瀉藥行腸道準(zhǔn)備,手術(shù)當(dāng)天留置胃管,術(shù)后拔除胃管后視情況進(jìn)食等。采用VAS法評(píng)估兩組患者術(shù)后6、12、24、48 h疼痛得分情況,觀察其術(shù)后首次肛門(mén)排氣時(shí)間、住院時(shí)間、住院費(fèi)用情況。結(jié)果干預(yù)組在術(shù)后6、12、24、48 h的疼痛得分均低于對(duì)照組(P0.05)。同時(shí),干預(yù)組患者術(shù)后首次肛門(mén)排氣時(shí)間(P0.05)和住院天數(shù)(P0.05)短于對(duì)照組,干預(yù)組患者住院費(fèi)用少于對(duì)照組(P0.05)。結(jié)論加速康復(fù)模式可顯著減輕胃癌術(shù)后患者的疼痛,縮短患者術(shù)后首次肛門(mén)排氣時(shí)間和縮短住院天數(shù),減少住院費(fèi)用,加速患者的康復(fù)。
[Abstract]:Objective to study the effect of accelerated rehabilitation model in rehabilitation of postoperative patients with gastric cancer, and provide the basis for the rapid rehabilitation of patients after surgery. Methods in our hospital from July 2015 to January 2016 57 cases of hospitalized patients were randomly divided into intervention group (21 cases) and control group (36 cases). The intervention group adopted accelerated rehabilitation model, including preoperative accelerated rehabilitation education, preoperative bowel preparation, postoperative pain management, activity management, pipeline management and discharge indwelling management measures. The control group using conventional perioperative nursing, including preoperative oral purgative bowel preparation, postoperative indwelling gastric tube on the day of surgery, extubation after eating. Using the method of VAS assessment of 6,12,24,48 h pain scores of two groups of patients, observe the postoperative anal exhaust time, hospitalization time, hospitalization cost. The intervention group H in postoperative pain 6,12,24,48 鐥涘緱鍒嗗潎浣庝簬瀵圭収緇，

本文編號(hào)：1684344