快速康复外科理念联合临床护理路径模式对胃癌患者相关康复指标和心理状态的影响

Effects of enhanced recovery after surgery concept combined with clinical nursing pathway model on related rehabilitation indexes and mental state of patients with gastric cancer

  • 摘要:
      目的  探讨快速康复外科(ERAS)理念联合临床护理路径(CNP)模式对胃癌患者相关康复指标和心理状态的影响。
      方法  将接受手术治疗的胃癌患者200例纳入本研究,按照随机数字表法分为对照组(130例)和观察组(70例)。对照组给予常规护理,观察组在常规护理的基础上予以ERAS理念联合CNP模式护理干预,比较2组胃癌患者护理后相关康复指标和心理状态的变化。
      结果  观察组护理后总蛋白水平、血红蛋白水平、前清蛋白水平和转铁蛋白水平高于对照组,首次进食时间、排气时间、肠鸣音恢复时间、排便时间短于对照组,角色功能评分、躯体功能评分、社会功能评分、情绪功能评分高于对照组,术后焦虑评分、抑郁评分均低于对照组,差异有统计学意义(P < 0.05)。
      结论  ERAS理念联合CNP模式护理干预在胃癌患者的临床护理中有重要临床意义,可显著改善患者术后各项康复指标和心理状态,提升出院后生活质量。

     

    Abstract:
      Object   To explore the clinical effects of enhanced recovery after surgery(ERAS)concept combined with clinical nursing pathway(CNP)model on related rehabilitation indexes and mental state of patients with gastric cancer.
      Methods  A total of 200 patients with gastric cancer who accepted surgical treatment were randomly divided into control group (130 patients) and observation group (70 patients). The control group was given routine nursing, while the observation group was treated with ERAS concept combined with CNP model nursing intervention on the base of routine nursing. The relevant rehabilitation indexes and psychological status of the two groups after nursing intervention were compared.
      Results  After nursing, total protein levels, hemoglobin levels, prealbumin and transferrin levels in the observation group were higher than those in the control group, the first time of food intake and exhaust time, recovery time of bowel sound, defecation time were shorter than those in the control group, role function score, body function evaluation, social function, emotional function score were higher than those in the control group, postoperative anxiety score and depression score were lower than those in the control group (P < 0.05).
      Conclusion  ERAS concept combined with CNP model has important clinical significance in the clinical nursing of gastric cancer patients, which can significantly improve postoperative rehabilitation indicators and psychological status, and improve the quality of life after discharge.

     

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