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中国临床研究:2024,37(9):1453-1457
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无缝衔接整体护理对腔镜结直肠癌手术患者术中寒战及肠道功能恢复的影响
(皖南医学院第二附属医院手术室,安徽 芜湖 241000)
Effect of seamless integrated care on intraoperative shivering and intestinal function recovery in patients undergoing laparoscopic colorectal cancer surgery
(Operation Room, the Second Affiliated Hospital of Wannan Medical College, Wuhu, Anhui 241000, China)
摘要
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投稿时间:2023-12-12   网络发布日期:2024-09-21
中文摘要: 目的 探讨无缝衔接整体护理对腔镜结直肠癌手术患者术中寒战发生及肠功能恢复时间的影响。方法 选取2021年11月至2023年11月于皖南医学院第二附属医院行腔镜结直肠癌手术的患者82例,按随机数字生成表将其分为观察组(无缝衔接整体护理)和对照组(常规围手术期护理),各41例。比较两组术中寒战发生率、术后肠道功能恢复情况,术后1、3、7 d胃肠功能障碍评分,护理满意度。结果 观察组术中寒战发生率低于对照组(7.32%? vs 24.39%, P<0.05),胃管留置时间、肠鸣音恢复时间、首次排气时间、首次排便时间、首次摄入流食时间、住院时间短于对照组(P<0.05);术后1、3、7 d观察组胃肠功能障碍评分低于对照组(P<0.05);观察组纽卡斯尔护理服务满意度量表(NSNS)各评分和总分均高于对照组(P<0.05)。结论 无缝衔接整体护理可减少腔镜结直肠癌手术患者术中寒战,促进术后肠道功能恢复,提高护理满意度。
Abstract:Objective To study the effect of seamless integrated care on intraoperative shivering and intestinal function recovery time in patients undergoing laparoscopic colorectal cancer surgery. Methods A total of 82 patients who underwent laparoscopic colorectal cancer surgery at the Second Affiliated Hospital of Wannan Medical College from November 2021 to November 2023 were selected. They were randomly divided into an observation group (seamless integrated care) and a control group (conventional perioperative care), with 41 cases in each group. The occurrence of intraoperative shivering, postoperative intestinal function recovery, gastric and intestinal dysfunction scores on postoperative days 1, 3, and 7, and nursing satisfaction were compared between the two groups. Results The incidence of intraoperative shivering in the observation group was lower than that in the control group (7.32%? vs 24.39%, P<0.05). The observation group showed shorter gastric tube retention time, faster recovery of bowel sounds, shorter time to first flatus, first bowel movement, and first intake of liquid diet, as well as a shorter hospital stay compared to the control group (P<0.05). The observation group had lower gastric and intestinal dysfunction scores on postoperative days 1, 3, and 7 compared to the control group (P<0.05). The Newcastle Satisfaction with Nursing Scale (NSNS) scores in the observation group, including individual scores and total score, were higher than those in the control group (P<0.05). Conclusion Seamless integrated care can reduce intraoperative shivering in patients undergoing laparoscopic colorectal cancer surgery, promote postoperative intestinal function recovery, and enhance nursing satisfaction.
文章编号:     中图分类号:R473.73    文献标志码:B
基金项目:安徽省高校自然科学研究项目(2023AH051777)
引用文本:
李林,邹俊伟,侯志楠.无缝衔接整体护理对腔镜结直肠癌手术患者术中寒战及肠道功能恢复的影响[J].中国临床研究,2024,37(9):1453-1457.

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