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TANG Shu, TANG Li, CAI Guangrong, MAO Huajin. Nursing for patients with liver cancer based on concept of fast track surgery[J]. Journal of Clinical Medicine in Practice, 2021, 25(8): 60-63. DOI: 10.7619/jcmp.20210623
Citation: TANG Shu, TANG Li, CAI Guangrong, MAO Huajin. Nursing for patients with liver cancer based on concept of fast track surgery[J]. Journal of Clinical Medicine in Practice, 2021, 25(8): 60-63. DOI: 10.7619/jcmp.20210623
shu

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

  • 1.

    Department of General Surgery, First People's Hospital of Longquanyi District in Chengdu City of Sichuan Province, Chengdu, Sichuan, 610100

  • 2.

    Department of Respiratory and Critical Care Medicine, First People's Hospital of Longquanyi District in Chengdu City of Sichuan Province, Chengdu, Sichuan, 610100

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  • Received Date: February 04, 2021
  • Available Online: April 29, 2021
  • Published Date: April 27, 2021
    Graphical Abstract
    • Abstract
  •   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.
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    • References (15)
  • [1]
    王昕云, 戴霞, 滕艳娟, 等. 基于快速康复外科理念的肝癌合并糖尿病患者围手术期运动-营养管理模式的探讨[J]. 广西医科大学学报, 2018, 35(11): 1597-1601. https://www.cnki.com.cn/Article/CJFDTOTAL-GXYD201811037.htm
    [2]
    桂璇, 吴晓琅, 廖珊娇. 以肝功能衰竭分级为基准的针对性护理在肝癌肝切除术后患者中的应用[J]. 中国实用护理杂志, 2020, 36(17): 1326-1330. doi: 10.3760/cma.j.cn211501-20190411-00958
    [3]
    中华人民共和国国家卫生健康委员会医政医管局. 原发性肝癌诊疗规范(2019年版)[J]. 中国实用外科杂志, 2020, 40(2): 121-138. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWK202002001.htm
    [4]
    张丽敏, 李新省, 王海燕, 等. 健康信念教育对肝癌介入患者预防下肢深静脉血栓的影响[J]. 河北医药, 2017, 39(20): 3180-3182. doi: 10.3969/j.issn.1002-7386.2017.20.041
    [5]
    郑春晓, 郑亦胡, 谢少华. 快速康复外科护理模式在腹腔镜肝癌切除术围手术期的应用[J]. 肝胆胰外科杂志, 2017, 29(6): 502-504. https://www.cnki.com.cn/Article/CJFDTOTAL-GDYW201706018.htm
    [6]
    赵当宁, 常莹, 郑明霞. 无陪护护理模式对腹腔镜肝癌切除术患者焦虑状况与治疗依从性的影响[J]. 贵州医药, 2020, 44(8): 1313-1314. doi: 10.3969/j.issn.1000-744X.2020.08.067
    [7]
    严京哲, 韩伟, 刘亚辉. 快速康复外科理念在腹腔镜肝切除术围手术期中的应用[J]. 癌症进展, 2017, 15(3): 338-341. https://www.cnki.com.cn/Article/CJFDTOTAL-AZJZ201703034.htm
    [8]
    BRINDLE M E, HEISS K, SCOTT M J, et al. Embracing change: the era for pediatric ERAS is here[J]. Pediatr Surg Int, 2019, 35(6): 631-634. doi: 10.1007/s00383-019-04476-3
    [9]
    温婧, 严文婵, 彭书崚. 加速康复外科理念下胸段硬膜外镇痛与腹横筋膜阻滞对腹腔镜肝癌根治术患者术后综合效果的影响[J]. 广东医学, 2020, 41(11): 1112-1117. https://www.cnki.com.cn/Article/CJFDTOTAL-GAYX202011009.htm
    [10]
    陈丽芬, 谢少华, 郑春晓, 等. 加速康复外科理念结合床旁平板电脑视频教育在肝癌围手术期的应用[J]. 肝胆胰外科杂志, 2019, 31(5): 318-320. https://www.cnki.com.cn/Article/CJFDTOTAL-GDYW201905017.htm
    [11]
    周蓓蕾, 菁茹, 单晶, 等. 快速康复外科理念在老年肝癌切除术患者中的应用效果[J]. 症进展, 2020, 18(10): 1065-1068. https://www.cnki.com.cn/Article/CJFDTOTAL-AZJZ202010025.htm
    [12]
    张杨, 袁清平, 彭慧. 快速康复外科理念在肝癌切除术围手术期护理中的应用[J]. 实用医院临床杂志, 2017, 14(4): 156-159. doi: 10.3969/j.issn.1672-6170.2017.04.045
    [13]
    周兵, 金珊珊, 夏源. 快速康复外科理念在腹腔镜小肝癌治疗中的应用[J]. 中国普通外科杂志, 2018, 27(7): 834-839. https://www.cnki.com.cn/Article/CJFDTOTAL-ZPWZ201807009.htm
    [14]
    杨丽红, 徐春艳, 张翠萍. 快速康复外科理念在肝癌患者围术期护理中的应用[J]. 实用临床医药杂志, 2017, 21(8): 103-105. doi: 10.7619/jcmp.201708031
    [15]
    钟海, 周春晖, 黄彦华, 等. 快速康复外科在肝癌肝切除术中的应用及对细胞免疫功能的影响[J]. 浙江医学, 2016, 38(1): 49-51, 59. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJYE201601015.htm
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