改良型加速康复护理在老年胰腺癌患者围手术期的临床应用

Clinical application of modified accelerated rehabilitation nursing in perioperative period of elderly patients with pancreatic cancer

中文关键词: 老年  胰腺癌  康复护理  应用分析  围手术期  临床应用  并发症

英文关键词: elderly  pancreatic cancer  rehabilitation nursing  application analysis  perioperation  clinical application  complication

中文摘要:

      目的 分析改良型加速康复护理在老年胰腺癌围手术期患者中的应用价值及其对患者护理体验的影响,为该病症提供护理方法.方法 本研究纳入2022年2月-2023年2月在上海市静安区中心医院接受胰腺癌根治术的老年胰腺癌患者78例,采用随机数字表法分为对照组和观察组,每组39例.对照组患者接受传统加速康复护理,观察组患者接受改良型加速康复护理.观察并比较2组患者对护理工作满意度、术后恢复情况、术后并发症发生率、围手术期营养状况.结果 观察组对围手术期护理满意度高于对照组(94.87％vs 74.36％)(P＜0.05).观察组术后肛门排气时间、术后进食时间、术后下床活动时间、术后住院时间均短于对照组(均P＜0.05).观察组并发症发生率显著低于对照组(7.7％vs 28.21％)(P＜0.05).2组入院术前(入院当日)血清转铁蛋白TF、白蛋白ALB、前白蛋白PA指标值差异均无统计学意义(P＞0.05);2组术后(出院前1 d)血清转铁蛋白TF、白蛋白ALB、前白蛋白PA指标值均高于同组术前,且观察组术后上述营养指标值均高于对照组,差异均有统计学意义(均P＜0.05).结论 改良型加速康复护理对于老年胰腺癌围手术期护理过程有积极的推动作用,可促进患者术后恢复,降低术后并发症发生率,改善营养状况,显著提高患者的护理满意度.

英文摘要:

      Objective To analyze the application value of modified accelerated rehabilitation nursing in elderly patients with pancreatic cancer during perioperative period and its impact on patients'nursing experience,so as to provide methods for nursing the disease.Methods 78 elderly patients with pancreatic cancer who received radical surgery for pancreatic cancer in Central Hospital of Jing'an District from February 2022 to February 2023 were included.They were randomly divided into con-trol group and observation group,with 39 cases in each group.The control group received traditional accelerated rehabilitation nursing,while the observation group received modified accelerated rehabilitation nursing.The satisfaction of nursing work,postoperative recovery,incidence of postoperative complications and perioperative nutritional status of the two groups were ob-served and compared.Results The satisfaction rate of the observation group with perioperative nursing was higher than that of the control group(94.87％vs74.36％)(P＜0.05).The postoperative anal exhaust time,postoperative feeding time,post-operative activity time and postoperative hospitalization time of the observation group were shorter than those of the control group(all P＜0.05).The incidence of the postoperative complications of the observation group was significantly lower than that of the control group(7.7％vs 28.21％)(P＜0.05).There was no statistically significant difference in the levels of ser-um transferrin TF,albumin(ALB),and prealbumin PA between the two groups before admission(on the day of admission)(P＞0.05).The levels of serum transferrin TF,ALB,and prealbumin PA in both groups after surgery(1 day before dis-charge)were higher than those in the same group before surgery(on the day of admission),and the levels of these indicators in the observation group were higher than those in the control group,with statistically significant differences(all P＜0.05).Conclusion The modified accelerated rehabilitation nursing has a positive role in promoting the perioperative nursing process of elderly patients with pancreatic cancer.It can promote the postoperative recovery of patients,reduce the incidence of postop-erative complications,improve the nutritional status and the nursing satisfaction of patients.