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南阳医学高等专科学校第一附属医院甲状腺乳腺外科
纸质出版日期:2022,
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吴哲, 李婷, 金小霞. 基于FTS理念的医护一体化护理干预在结直肠癌患者围术期中的应用研究[J]. 保健医学研究与实践, 2022,19(1):118-122.
Wu Zhe, Li Ting, Jin Xiaoxia. Study on the application of integrated medical and nursing intervention based on the FTS concept in the perioperative period of colorectal cancer[J]. Health Medicine Research and Practice, 2022,19(1):118-122.
吴哲, 李婷, 金小霞. 基于FTS理念的医护一体化护理干预在结直肠癌患者围术期中的应用研究[J]. 保健医学研究与实践, 2022,19(1):118-122. DOI:
Wu Zhe, Li Ting, Jin Xiaoxia. Study on the application of integrated medical and nursing intervention based on the FTS concept in the perioperative period of colorectal cancer[J]. Health Medicine Research and Practice, 2022,19(1):118-122. DOI:
目的探讨基于快速康复外科(FTS)理念的医护一体化护理干预在结直肠癌患者围术期中的临床应用价值。方法选取2019年1月—2020年11月南阳市某医院收治的81例行手术治疗的结直肠癌患者为研究对象
采用随机数字表法分为研究组(41例)与对照组(40例)
对照组患者给予常规护理
研究组患者给予基于FTS理念的医护一体化护理干预
2组患者均持续护理7 d。比较2组患者护理前后胃动素(MTL)、生长抑素(SS)及D-乳酸(D-LA)水平
焦虑自评量表(SAS)、抑郁自评量表(SDS)评分
比较2组患者并发症发生情况。结果护理前
2组患者血清MTL
SS及D-LA水平比较
差异均无统计学意义(P
>
0.05)。护理后
2组患者血清MTL水平高于护理前
研究组高于对照组
差异均有统计学意义(P
<
0.05);D-LA水平高于护理前
但研究组低于对照组
差异均有统计学意义(P
<
0.05);SS水平均高于护理前
差异均有统计学意义(P
<
0.05)
但组间差异无统计学意义(P
>
0.05)。护理前
2组患者SDS及SAS评分比较
差异均无统计学意义(P
>
0.05);护理后
研究组患者的SDS及SAS评分均低于对照组
差异均有统计学意义(P
<
0.05)。对照组患者的并发症发生率为17.50%
高于研究组的4.88%
但差异无统计学意义(χ
2
=3.608
P=0.058)。结论基于FTS理念的医护一体化护理干预
可有效改善结直肠癌手术患者围术期的负性情绪
促进术后胃肠道功能恢复
可在临床上推广应用。
Objective To explore the clinical application value of integrated medical and nursing care intervention based on the concept of fast track surgery(FTS) in the perioperative period of colorectal cancer patients.Methods Eighty-one patients with colorectal cancer treated with surgery in a hospital in Nanyang city from January 2019 to November 2020 were selected as the study subjects
and were divided into the study group(41 cases) and the control group(40 cases) using the random number table method.Patients in the control group were given conventional nursing care while patients in the study group received integrated medical and nursing care intervention based on the FTS concept;the treatment in both groups lasted for 7 days.The levels of motilin(MT)
somatostatin(SS) and d-lactate(D-LA)
and the scores of self-rating anxiety scale(SAS) and self-rating depression scale(SDS) were compared before and after care
and the occurrence of complications was compared between the two groups.Results Before care
serum MTL
SS and D-LA levels of patients in the 2 groups were compared
and the differences were not statistically significant(P>0.05).After care
the serum MTL levels of patients in the 2 groups were higher than before care
and the study group was higher than the control group
with statistically significant differences(P<0.05);the D-LA levels were higher than before care
but the study group was lower than the control group
and the differences were statistically significant(P <0.05);the SS levels were higher than before care
and the differences were statistically significant(P<0.05)
but the differences between the groups were not statistically significant(P>0.05).Before care
the differences in SDS and SAS scores were not statistically significant(P >0.05) when compared between the 2 groups.After care
the SDS and SAS scores of patients in the study group were lower than those in the control group
and the differences were all statistically significant(P<0.05).The complication rate of patients in the control group was 17.50%
which was higher than that of 4.88% in the study group
but the difference was not statistically significant(χ~2=3.608
P=0.058).Conclusion The integrated medical and nursing intervention based on the FTS concept can effectively improve the negative perioperative emotions of colorectal cancer surgery patients and promote the recovery of postoperative gastrointestinal function
which can be promoted and applied in clinical practice.
快速康复外科结直肠癌胃肠功能医护一体化负性情绪
Fast track surgeryColorectal cancerGastrointestinal functionHealth and nursing care integrationNegative emotion
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