Application of rapid rehabilitation surgical nursing in patients with colorectal cancer undergoing NOSES operation

doi:10.3877/cma.j.issn.2095-3224.2020.02.017

Abstract

Abstract:

Objective

To explore the effects of enhancing recovery after surgery (ERAS) nursing on postoperative recovery and mental state among colorectal cancer after natural orifice specimen extraction surgery (NOSES).

Methods

Ninety patients were enrolled. All the patients received natural orifice specimen extraction surgery from May 2018 to March 2019 and were divided into two groups with the method of random number table, 45 cases in each group. Observation group carried out ERAS nursing, while control group adopted routine nursing. To observe the differences in exhaust time, defecation time, hospitalization time, get out of bed time and the degree of anxiety and depression.

Results

At admission, there was no difference in the degree of anxiety (t=0.744, P=0.461) and depression (t=-1.879, P=0.066). After intervention, there were significant differences in the degree of anxiety (t=-5.85, P<0.01) and depression (t=-6.04, P<0.01), exhaust time (t=-2.32, P=0.025), defecation time (t=-2.48, P=0.017), time to get out of bed (t=-3.15, P=0.003) and the hospitalization time (t=-4.05, P<0.01).

Conclusion

ERAS nursing can effectively improve the postoperative recovery after the natural orifice specimen extraction surgery and alleviate the degree of anxiety and depression.

Key words: Colorectal neoplasms, Postoperative recovery, Natural orifice specimen extraction surgery, Anxiety and depression, Enhance recovery after surgery(ERAS) nurising

Xue Dong, Hong Yun, Yi Wang, Dongkui Xu, Zhixun Zhao, Xishan Wang, Zheng Liu. Application of rapid rehabilitation surgical nursing in patients with colorectal cancer undergoing NOSES operation[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2020, 09(02): 204-208.

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References 26

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组别	首次排气时间（天）	首次排便时间（天）	首次离床活动时间（h）	住院时间（天）
实验组	2.01±0.77	3.06±0.88	11.28±4.08	6.36±0.82
对照组	2.52±0.82	3.77±1.15	17.67±9.29	8.08±1.96
t值	-2.32	-2.48	-3.15	-4.05
P值	0.025	0.017	0.003	<0.01

组别	首次排气时间（天）	首次排便时间（天）	首次离床活动时间（h）	住院时间（天）
实验组	2.01±0.77	3.06±0.88	11.28±4.08	6.36±0.82
对照组	2.52±0.82	3.77±1.15	17.67±9.29	8.08±1.96
t值	-2.32	-2.48	-3.15	-4.05
P值	0.025	0.017	0.003	<0.01

组别	安全	环境	可及性	尊重患者	护理技术	身体舒适
实验组	14.07±2.10	8.96±0.57	19.56±0.44	14.92±1.97	4.87±0.16	24.64±0.46
对照组	13.88±2.48	8.75±0.95	19.33±0.90	14.32±1.54	4.85±0.22	23.11±1.72
t值	0.296	0.918	1.172	1.182	0.296	4.312
P值	0.769	0.363	0.247	0.243	0.769	<0.01
组别	健康教育	沟通交流	情感支持	患者、家属参与护理	出院及转诊
实验组	9.67±0.38	14.83±0.40	4.88±0.17	14.88±0.21	14.29±0.82
对照组	9.50±0.57	13.20±1.25	4.24±0.53	13.08±1.04	14.20±0.82
t值	1.112	6.241	5.771	8.459	0.379
P值	0.272	<0.01	<0.01	<0.01	0.706

组别	安全	环境	可及性	尊重患者	护理技术	身体舒适
实验组	14.07±2.10	8.96±0.57	19.56±0.44	14.92±1.97	4.87±0.16	24.64±0.46
对照组	13.88±2.48	8.75±0.95	19.33±0.90	14.32±1.54	4.85±0.22	23.11±1.72
t值	0.296	0.918	1.172	1.182	0.296	4.312
P值	0.769	0.363	0.247	0.243	0.769	<0.01
组别	健康教育	沟通交流	情感支持	患者、家属参与护理	出院及转诊
实验组	9.67±0.38	14.83±0.40	4.88±0.17	14.88±0.21	14.29±0.82
对照组	9.50±0.57	13.20±1.25	4.24±0.53	13.08±1.04	14.20±0.82
t值	1.112	6.241	5.771	8.459	0.379
P值	0.272	<0.01	<0.01	<0.01	0.706

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