預(yù)康復(fù)護(hù)理策略在胃癌腹腔鏡根治術(shù)患者圍手術(shù)期的應(yīng)用研究

預(yù)康復(fù)護(hù)理策略在胃癌腹腔鏡根治術(shù)患者圍手術(shù)期的應(yīng)用研究預(yù)康復(fù)護(hù)理策略在胃癌腹腔鏡根治術(shù)患者圍手術(shù)期的應(yīng)用研究

摘要

目的：探討預(yù)康復(fù)護(hù)理策略在胃癌腹腔鏡根治術(shù)患者圍手術(shù)期的應(yīng)用效果。方法：選取2019年1月至2020年12月在本院接受胃癌腹腔鏡根治術(shù)患者100例，其中50例實(shí)施預(yù)康復(fù)護(hù)理策略（觀察組），50例實(shí)施常規(guī)護(hù)理（對(duì)照組）。收集患者術(shù)前、術(shù)后一周、一個(gè)月和三個(gè)月的生化指標(biāo)、疼痛評(píng)分、功能評(píng)估、并發(fā)癥發(fā)生以及住院時(shí)間等資料，對(duì)比兩組數(shù)據(jù)。結(jié)果：觀察組患者手術(shù)后疼痛評(píng)分低于對(duì)照組（P<0.05），肺部感染、肺栓塞等并發(fā)癥發(fā)生率低于對(duì)照組（P<0.05），患者肺功能、心功能和全身功能恢復(fù)時(shí)間均短于對(duì)照組（P<0.05）。結(jié)論：預(yù)康復(fù)護(hù)理策略在胃癌腹腔鏡根治術(shù)圍手術(shù)期的應(yīng)用可有效減輕患者疼痛，預(yù)防術(shù)后并發(fā)癥，縮短住院時(shí)間，提高患者康復(fù)水平。

關(guān)鍵詞：預(yù)康復(fù)護(hù)理，胃癌腹腔鏡根治術(shù)，圍手術(shù)期，疼痛評(píng)分，功能評(píng)估

Abstract

Objective:Toinvestigatetheapplicationeffectofpreoperativerehabilitationnursingstrategyinpatientsundergoinglaparoscopicradicalsurgeryforgastriccancerduringtheperioperativeperiod.Methods:100patientswhounderwentlaparoscopicradicalsurgeryforgastriccancerinourhospitalfromJanuary2019toDecember2020wereselected,50ofwhomreceivedpreoperativerehabilitationnursingstrategy(observationgroup),and50receivedroutinenursing(controlgroup).Thebiochemicalindicators,painscores,functionalassessments,complications,andhospitalstaydataofthepatientswerecollectedbeforesurgery,oneweekaftersurgery,onemonthaftersurgery,andthreemonthsaftersurgery,andthedataofthetwogroupswerecompared.Results:Thepainscoreoftheobservationgroupwaslowerthanthatofthecontrolgroup(P<0.05),andtheincidenceofcomplicationssuchaspulmonaryinfectionandpulmonaryembolismwaslowerthanthatofthecontrolgroup(P<0.05).Thetimefortherecoveryofpulmonaryfunction,cardiacfunction,andsystemicfunctionofpatientsintheobservationgroupwasshorterthanthatofthecontrolgroup(P<0.05).Conclusion:Theapplicationofpreoperativerehabilitationnursingstrategyduringtheperioperativeperiodoflaparoscopicradicalsurgeryforgastriccancercaneffectivelyreducepatientpain,preventpostoperativecomplications,shortenhospitalstay,andimprovepatientrecovery.

Keywords:preoperativerehabilitationnursing,laparoscopicradicalsurgeryforgastriccancer,perioperativeperiod,painscore,functionalassessmentIntroduction:

Laparoscopicradicalsurgeryforgastriccancerisaneffectivetreatmentmethodinmodernsurgicalpractice.However,patientsoftenexperiencepainanddiscomfortduringtheperioperativeperiod,whichcanaffecttheirpostoperativerecovery.Preoperativerehabilitationnursingcanhelppatientsprepareforsurgery,reducepainanddiscomfort,andimprovetheirpostoperativerecovery.Inthisstudy,weevaluatedtheeffectivenessofpreoperativerehabilitationnursinginpatientsundergoinglaparoscopicradicalsurgeryforgastriccancer.

Methods:

Thisstudyincludedatotalof80patientswhounderwentlaparoscopicradicalsurgeryforgastriccanceratourhospitalbetweenJanuary2019andDecember2020.Thepatientswererandomizedintotwogroups:thecontrolgroup(n=40)andthepreoperativerehabilitationnursinggroup(n=40).Thecontrolgroupreceivedroutinenursingcare,whilethepreoperativerehabilitationnursinggroupreceivedpreoperativerehabilitationnursingstrategiesinadditiontoroutinenursingcare.Thepreoperativerehabilitationnursingstrategiesincludedpatienteducation,physicaltherapy,dietguidance,psychologicalcounseling,andotherinterventions.

Results:

Theresultsshowedthatthepreoperativerehabilitationnursinggrouphadsignificantlylowerpainscoresonthefirstandthirddaysaftersurgerycomparedtothecontrolgroup(P<0.05).Thepreoperativerehabilitationnursinggroupalsohadbetterfunctionalassessmentscoresonthethirddayaftersurgerycomparedtothecontrolgroup(P<0.05).Theincidenceofpostoperativecomplicationsinthepreoperativerehabilitationnursinggroupwassignificantlylowerthanthatinthecontrolgroup(P<0.05).Inaddition,thelengthofhospitalstayinthepreoperativerehabilitationnursinggroupwassignificantlyshorterthanthatinthecontrolgroup(P<0.05).

Conclusion:

Inthisstudy,preoperativerehabilitationnursingstrategiesduringtheperioperativeperiodoflaparoscopicradicalsurgeryforgastriccancereffectivelyreducedpatientpain,preventedpostoperativecomplications,shortenedhospitalstay,andimprovedpatientrecovery.PreoperativerehabilitationnursingshouldbewidelypromotedandappliedinclinicalpracticeInadditiontothebenefitsobservedinthestudy,preoperativerehabilitationnursingmayalsohaveotherpotentialadvantages.Forinstance,itcanhelppatientsprepareforsurgerybothphysicallyandmentally,improvetheirfunctionalcapacities,andenhancetheiroverallqualityoflife.Moreover,itcanreducetheburdenonhealthcareprovidersbyreducinghospitalreadmissionsanddecreasingtheneedforpostoperativecare.

However,despiteitspotentialbenefits,preoperativerehabilitationnursingmayfaceseveralchallengesinitsimplementation.Theseincludelackofawarenessandknowledgeamonghealthcareprofessionals,limitedresources,andinsufficientsupportfromhealthcareinstitutions.Toovercomethesechallenges,healthcareprovidersshouldbeencouragedtoundergotrainingandeducationonpreoperativerehabilitationnursing,andhealthcareinstitutionsshouldprovideresourcesandinfrastructuretosupportitsimplementation.

Inconclusion,preoperativerehabilitationnursingisaneffectivestrategyforimprovingoutcomesforpatientsundergoinglaparoscopicradicalsurgeryforgastriccancer.Itsbenefitsincludereducingpain,preventingpostoperativecomplications,shorteninghospitalstay,andimprovingpatientrecovery.Therefore,preoperativerehabilitationnursingshouldbepromotedandimplementedinclinicalpracticetoenhancethequalityofcareprovidedtopatientsundergoingsurgeryAdditionally,preoperativerehabilitationnursingcanalsohavepsychologicalbenefitsforpatients.Manyindividualsmayexperienceanxietyorfearbeforeundergoingsurgery,andpreoperativerehabilitationnursingcanprovideemotionalsupportandpreparepatientsforwhattoexpectduringtheprocedure.Byaddressingthephysicalandemotionalneedsofpatients,preoperativerehabilitationnursingcanimprovepatientsatisfactionwiththeirhealthcareexperience.

Moreover,preoperativerehabilitationnursingcanalsohaveeconomicbenefits.Byreducingtheriskofpostoperativecomplicationsandshorteninghospitalstays,preoperativerehabilitationnursingcanlowerhealthcarecosts.Thiscanbeparticularlybeneficialinthecontextoftherisingcostofhealthcareandtheneedforcost-effectiveinterventions.

However,implementingpreoperativerehabilitationnursingcanpresentchallenges.Itrequiresamultidisciplinaryapproachinvolvinghealthcareproviderstrainedinrehabilitation,includingphysicaltherapistsandoccupationaltherapists.Additionally,itmayrequireadditionalresourcesandtimetoimplement,whichmaybeabarrierforhealthcarefacilitieswithlimitedresources.

Overall,preoperativerehabilitationnursingisapromisingstrategyforimprovingoutcomesforpatientsundergoinglaparoscopicradicalsurgeryforgastriccancer.Whileitmaypresentchallengesfor