Applied effects of fast track surgery-based high quality nursing during surgery of colorectal cancer

doi:10.3877/cma.j.issn.2095-3224.2021.03.020

Abstract

Abstract:

Objective

To study the applied effects of fast track surgery-based high quality nursing during surgery of colorectal cancer.

Methods

100 colorectal cancer patients treated from July 2018 to July 2019 in Renmin Hospital of Wuhan University were investigated and randomly assigned to observation group (50 cases) and control group (50 cases). To explore the impact of different nursing care on postoperative recovery indicators, postoperative complications, and postoperative patient satisfaction.

Results

Initial anal exhaust time, early ambulant time and average hospital length of stay in the observation group were significantly shorter than control group (t=17.600, 8.882, 15.072; P＜0.05); complication rate in the observation group (2.00%) was significantly lower than control group (14.00%)(χ²=4.891, P＜0.05); nursing satisfaction in the observation group (98.00%) was significantly higher than control group (84.00%) (χ²=5.983, P＜0.05).

Conclusion

During surgery of colorectal cancer, fast track surgery-based high quality nursing can greatly reduce the operation indicators, postoperative complications, and increase the nursing satisfaction. It is worthy of application and promotion.

Key words: Colorectal neoplasm, High quality nursing, Fast track surgery, Complication

Ying Liu, Hongxue Wu, Baohong Hu. Applied effects of fast track surgery-based high quality nursing during surgery of colorectal cancer[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2021, 10(03): 332-336.

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变量	观察组（n=50）	对照组（n=50）	χ²/t值	P值
性别			0.174	0.677
男	33	31
女	17	19
年龄（岁）	54.29±5.15	54.32±5.23	0.029	0.977
部位			0.167	0.683
结肠	31	29
直肠	19	21
临床病理分期			0.063	0.969
Ⅰ期	14	15
Ⅱ期	18	17
Ⅲ期	18	18
Duke′s分期			0.924	0.630
A期	24	26
B期	19	20
C期	7	4

变量	观察组（n=50）	对照组（n=50）	χ²/t值	P值
性别			0.174	0.677
男	33	31
女	17	19
年龄（岁）	54.29±5.15	54.32±5.23	0.029	0.977
部位			0.167	0.683
结肠	31	29
直肠	19	21
临床病理分期			0.063	0.969
Ⅰ期	14	15
Ⅱ期	18	17
Ⅲ期	18	18
Duke′s分期			0.924	0.630
A期	24	26
B期	19	20
C期	7	4

组别	例数	肛门首次排气时间（h）	早期下床活动时间（h）	平均住院天数（d）
观察组	50	6.51±0.64	22.54±2.27	9.24±0.93
对照组	50	9.32±0.93	27.54±3.27	13.24±1.63
t值		17.600	8.882	15.072
P值		0.001	0.001	0.001

组别	例数	肛门首次排气时间（h）	早期下床活动时间（h）	平均住院天数（d）
观察组	50	6.51±0.64	22.54±2.27	9.24±0.93
对照组	50	9.32±0.93	27.54±3.27	13.24±1.63
t值		17.600	8.882	15.072
P值		0.001	0.001	0.001

组别	例数	切口感染	肠梗阻	尿路感染	肺部感染	发生例数
观察组	50	0	0	1	0	1（2.00）
对照组	50	2	1	3	1	7（14.00）
χ²值		-	-	-	-	4.891
P值		-	-	-	-	0.027

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