Evaluation of the effect of rapid rehabilitation nursing pathway after colorectal cancer surgery

doi:10.3877/cma.j.issn.2095-3224.2017.05.018

Abstract

Abstract:

Objective

To evaluate the effect of fast rehabilitation nursing pathway in postoperative patients with colorectal cancer.

Methods

Patients between Jun 2016 and Nov 2016 were randomly divided into control group and the experimental group. The control group was treated with routine nursing, and the experiment group adopted the fast rehabilitation nursing pathway. The two groups were compared with 48 h patients′ anxiety state, postoperative pain in 24 h, degree of satisfaction of hospitalized patients before discharge, opium dose after surgery, postoperative hospitalization days.

Results

Comparing with control group, the fast rehabilitation nursing group has lower postoperative 48 h SAS score (t=7.99, P<0.05) and 24 h VAS score (t=3.12, P<0.05), patient satisfaction improved significantly, the dose of opium days after surgery (t=2.46, P<0.05)and the postoperative hospital stay (t=3.42, P<0.05) was significantly less than the control group.

Conclusion

In the patients with colorectal cancer, fast rehabilitation nursing pathway can reduce the pain, improve the anxiety state of patients, reduce the postoperative dose of opium, shorten the length of hospital stay and improve the satisfaction of patients during hospitalization.

Key words: Colorectal neoplasms, Rapid rehabilitation nursing pathway, Anxiety, Pain, Patient satisfaction

Jingjing Ma, Jingjuan Chen. Evaluation of the effect of rapid rehabilitation nursing pathway after colorectal cancer surgery[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2017, 06(05): 435-437.

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References 14

[1]	王权，曹雪源，所剑, 等. 快速康复理念在老年结直肠癌患者腹腔镜手术中的应用[J]. 中国老年学杂志, 2011, 31(14):2745-2746.
[2]	施姬，黄桂芳. 快速康复外科理念对胃肠道手术患者护理的意义[J]. 中国医学创新, 2013, 10(30):72-73.
[3]	张晓红，邵卫玲. 快速康复外科理念在腹腔镜直肠癌围手术期的应用[J]. 实用临床医药杂志, 2014, 18(22):163-164.
[4]	江志伟，黎介寿. 快速康复外科—优化的临床路径[J]. 中华胃肠外科杂志, 2012, 15(1):12-13.
[5]	何丽英，刘恩君.焦虑自评量表在退变性腰椎管狭窄症患者术前护理中的应用研究[J]. 护士进修杂志, 2011, 26(21):1933-1935.
[6]	李伟. 预见性护理对改善腹腔镜胆囊切除术后并发症及VAS评分影响的作用[J]. 护士进修杂志, 2014, 29(21):1965-1967.
[7]	赵英.疼痛的测量和评估方法[J]. 中国临床康复, 2002, 6(16):2347-2349, 2352.
[8]	苏秋妹，王清华. 快速康复护理对胃肠手术患者术后恢复情况及并发症影响分析[J]. 现代中西医结合杂志, 2013, 22(30):3404-3406.
[9]	郑志水，左涛. 快速康复外科理念对开胸肺切除术后应激状态的影响[J]. 实用医学杂志, 2012, 28(18):3095-3098.
[10]	朱小丽.快速康复护理干预在胃癌患者围手术期的应用[J]. 临床护理杂志, 2013, 13(1):36-37.
[11]	屠伟峰，郝文郄. 麻醉科在快速康复外科中的作用和地位[J]. 实用医学杂志, 2012, 28(5):691-693.
[12]	张海花. 患者住院期间满意度低相关因素的调查分析[J]. 医学信息, 2013, 26(6):655.
[13]	徐剑鸥，许勤. 住院患者满意和体验监测量表的研制[J]. 中国护理管理, 2011, 12(12):32-34.
[14]	莫柳仙，黄伟韬. 人工髋关节置换术后行快速康复护理路径的效果评价[J]. 中国实用护理杂志, 2012, 28(21):8-10.

组别	例数	48 h SAS评分（分）	24 h VAS评分（分）	满意度评分（分）	阿片类使用天数（d）	术后住院天数（d）
对照组	29	49.52±4.95	5.34±1.63	91.80±2.45	0.83±0.33	8.90±1.29
试验组	33	40.64±3.79	4.00±1.75	96.58±2.09	0.33±0.15	7.76±1.30
t值		7.99	3.12	-2.67	2.46	3.42
P值		<0.01	<0.01	<0.01	<0.01	<0.01

组别	例数	48 h SAS评分（分）	24 h VAS评分（分）	满意度评分（分）	阿片类使用天数（d）	术后住院天数（d）
对照组	29	49.52±4.95	5.34±1.63	91.80±2.45	0.83±0.33	8.90±1.29
试验组	33	40.64±3.79	4.00±1.75	96.58±2.09	0.33±0.15	7.76±1.30
t值		7.99	3.12	-2.67	2.46	3.42
P值		<0.01	<0.01	<0.01	<0.01	<0.01

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[12]	Ruiqi Gu, Hongsheng Fang, Guoxiang Cai. Application and progress of circulating tumor DNA detection technology in the diagnosis and treatment of colorectal cancer [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2023, 12(06): 453-459.
[13]	Wenkai Ni, Chong Qi, Xiaodan Xu, Xiecheng Zhou, Qingzhang Yin, Yuankun Cai. Analysis of influencing factors of prolonged postoperative ileus in patients with colorectal cancer after operation [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2023, 12(06): 484-489.
[14]	Xiaoyu Fan, Sizheng Sun, Yimin E, Chunzhao Yu. Different surgical options for obstructive left colon cancer [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2023, 12(06): 500-504.
[15]	Zehui Huang, Jiexian Liang, Wei Zeng. Application of dexmedetomidine combined with esketamine in painless gastroscopy in children [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(06): 510-513.

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