老年结肠癌围术期快速康复护理理念应用

 目的 观察老年结肠癌围术期快速康复护理的应用效果。方法 选择2012-05至2014-05在我院接受手术治疗的老年结肠癌患者100例,根据术后采取的干预措施不同,将患者分为快速康复组(FTS组)和对照组,每组50例。对照组采取常规护理干预措施,FTS组在此基础上采用快速康复护理模式。结果 与对照组比较,FTS组患者手术时间短、术中出血量少、术后排气早,且住院时间短,差异具有统计学意义(P＜0.05)。手术后两组患者焦虑(SAS)和抑郁(SDS)评分均显著优于手术前,且FTS组显著优于对照组,差异具有统计学意义(P<0.05)。FTS组对护理服务的满意度为97.4%,对照组为88.7%,FTS组患者满意度显著高于对照组,差异有统计学意义(P＜0.05)。结论 快速康复护理干预对老年结肠癌手术患者具有良好的干预效果,能够显著改善患者的焦虑、抑郁情绪,提高患者的临床疗效,值得临床推广应用。

Fast-tract surgery nursing of the mental contion in Elderly Patients with Colorectal Cancer

Objective To study the effect of individualized nursing intervention on colon cancer patients with negative emotion and quality of sleeping. Methods 100 elderly patients with colon cancer who were treated in this hospital from May 2012 to May 2014 were recruited, and according to the different intervention methods, were divided into the FTS group and the control group, 50 cases in each group. The patients in the control group were treated by the conventional methods, while the patients in the FTS group were treated with the fast-track nursing methods. Results Compared with the control group, the operation time in the FTS group was shorter, the blood loss was lower, the time for exhaust was earlier, and the hospitalstay was shorter(P<0.05). After the intervention, the SAS and SDS scores in the two groups were significantly lower than before, and in the FTS group were more obvious than those in the control group, with statistically significant differences (P<0.05). The nursing satisfaction in the FTS group was 97.4%, which was higher than 88.7% in the control group with statistically significant difference (P<0.05). Conclusions The fast-tract surgery nursing intervention can significantly improve the negative emotions in elderly patients with colorectal cancer after surgery, which is worthy of clinical promotion.