多学科协作促进结直肠癌患者术后康复护理的比较研究。

IF 2.5 4区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
Li-Fen You, Ping Zhang, Qin-Qin Zhang
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引用次数: 0

摘要

背景:结直肠癌(CRC)手术后长时间的恢复可导致生理不适和心理压力,强调有效的围手术期护理对提高患者预后的重要性。目的:探讨多学科协同促进术后康复护理对结直肠癌手术患者的影响。方法:本研究纳入了2022年8月至2024年8月期间接受结直肠癌手术的100例患者。根据围手术期护理方法将患者分为两组。对照组(n = 50)采用常规护理,观察组(n = 50)采用多学科协同ERAS护理。比较两组患者术后恢复时间、疾病感知、疼痛程度、应对策略、自我管理效能和生活质量。结果:观察组患儿下床时间、胃肠蠕动时间、首餐进食时间、住院时间均明显短于对照组(P < 0.05)。两组患者护理前各项指标比较差异无统计学意义(P < 0.05)。护理后,两组患者的疾病感知评分、自我管理效能和生活质量评分均有所改善,疼痛水平和应对策略评分均有所降低,但对抗和发泄维度除外。观察组患者上述评分改善明显,组间、组内差异均有统计学意义(P < 0.05)。结论:多学科协同ERAS护理可促进结直肠癌患者术后恢复,增强疾病认知,减轻疼痛,鼓励积极应对,从而提高自我管理效能和生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Multidisciplinary collaborative enhanced recovery after surgery nursing in patients with colorectal cancer: A comparative study.

Background: Prolonged recovery following colorectal cancer (CRC) surgery can result in physiological discomfort and psychological stress, underscoring the importance of effective perioperative care to enhance patient outcomes.

Aim: To evaluate the impact of multidisciplinary collaborative enhanced recovery after surgery (ERAS) nursing on patients undergoing CRC surgery.

Methods: This study included 100 patients who underwent CRC surgery between August 2022 and August 2024. Patients were divided into two groups based on the perioperative nursing approach. The control group (n = 50) received conventional nursing care, whereas the observation group (n = 50) received multidisciplinary collaborative ERAS nursing. Postoperative recovery time, disease perception, pain levels, coping strategies, self-management efficacy, and quality of life were compared between the two groups.

Results: Compared with the control group, the observation group exhibited significantly shorter times to ambulation, gastrointestinal motility, first meal intake, and hospital stay (P < 0.05). No significant differences were observed in pre-nursing indicators between the two groups (P > 0.05). After nursing, both groups showed improvements in disease perception scores, self-management efficacy, and quality of life scores, along with reductions in pain levels and coping strategy scores, except for the confrontative and venting dimensions. The observation group demonstrated significantly greater improvements in these scores, with significant intergroup and intragroup differences (P < 0.05).

Conclusion: Multidisciplinary collaborative ERAS nursing can facilitate postoperative recovery in patients with CRC, enhance disease cognition, alleviate pain, and encourage active coping, thereby improving self-management efficacy and quality of life.

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来源期刊
World Journal of Gastrointestinal Oncology
World Journal of Gastrointestinal Oncology Medicine-Gastroenterology
CiteScore
4.20
自引率
3.30%
发文量
1082
期刊介绍: The World Journal of Gastrointestinal Oncology (WJGO) is a leading academic journal devoted to reporting the latest, cutting-edge research progress and findings of basic research and clinical practice in the field of gastrointestinal oncology.
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