Nursing for patients with liver cancer based on concept of fast track surgery

  Objective  To analyze the application value of nursing model in the treatment of patients with hepatic carcinectomy based on concept of fast track surgery (FTS).

  Methods  A total of 108 patients with hepatic carcinectomy were randomly divided into control group (n=54) and observation group (n=54). The control group was given routine intervention, and the observation group was given nursing intervention model based on FTS concept. The intraoperative and postoperative conditions, complications and nursing satisfaction degree of the two groups were observed. The serological indexes before operation and 3 days after operation were compared between the two groups.

  Results  There were no significant differences in the amount of intraoperative blood transfusion, blood loss, block time of porta hepatis and operation time between the two groups (P>0.05). The time to anal exhaustion, postoperative time to bed-off activity, time to defecation, extubation time of abdominal drainage, time to meal and hospitalization time in the observation group were significantly shorter than those in the control group (P < 0.05). Three days after operation, the level of serum pre-albumin increased significantly in both groups, and the level of serum pre-albumin in the observation group was significantly higher than the control group, while the levels of serum alanine aminotransferase (ALT) and C reactive protein decreased significantly in both groups, and the levels of ALT and C reactive protein were significantly lower than the control group (P < 0.05). The incidence of liver function damage in the observation group was 18.52%, which was significantly lower than 37.04% in the control group (P < 0.05). At discharge, the total satisfaction degree of the observation group was 96.30%, which was higher than 74.07% of the control group (P < 0.05).

  Conclusion  Nursing intervention model based on FTS concept can promote ALT recovery in patients with hepatic carcinectomy, control the body inflammatory reactions, reduce the risk of liver function damage, shorten the recovery process after operation, and increase nursing satisfaction degree.