中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
13期
1552-1555
,共4页
结肠肿瘤%快速康复护理%胃肠功能%医疗费用
結腸腫瘤%快速康複護理%胃腸功能%醫療費用
결장종류%쾌속강복호리%위장공능%의료비용
Colon cancer%Rapid rehabilitation surgery nursing%Gastrointestinal function%Medical costs
目的 探讨快速康复护理理念的应用对结肠癌患者术后恢复及降低医疗费用的影响.方法 选取结肠癌患者122例作为研究对象,根据是否采用快速康复护理分为观察组和对照组各61例.对照组给予常规护理,观察组以快速康复护理理念为基础进行围术期护理及健康教育,采用SPSS 17.0统计学软件于出院前1 ～2d对患者住院天数、住院费用、住院期间并发症发生情况及胃肠功能进行比较.结果 观察组患者住院时间为(14.91 ±2.09)d,明显低于对照组的(18.63±2.52)d,营养支持费用为(2.07±0.49)元,低于对照组的(2.62±0.92)元,差异有统计学意义(t值分别为10.309,4.787;P＜0.05);观察组术后疼痛评分为(4.01±0.59)分低于对照组(6.87±0.76)分,下床恢复时间为(4.61±0.30)d,少于对照组的(7.22±0.47)d,肠蠕动恢复时间为(3.10±0.71)d,优于对照组的(5.66±0.80)d,差异有统计学意义(t值分别为7.026,4.721,5.774:P ＜0.01);观察组患者术后肛门首次排气时间、拔胃管时间、恢复普通饮食时间分别为(2.91±0.62),(3.59±0.33),(8.07±0.74)d,分别低于对照组的(3.93±0.79),(4.27±0.45),(9.62±0.83)d,差异均有统计学意义(t值分别为-5.403,-4.492,-6.415;P ＜0.01).结论 通过快速康复护理理念的应用,可缩短结肠癌手术患者的住院时间,减少住院费用,加快胃肠功能恢复,值得临床广泛推广和应用.
目的 探討快速康複護理理唸的應用對結腸癌患者術後恢複及降低醫療費用的影響.方法 選取結腸癌患者122例作為研究對象,根據是否採用快速康複護理分為觀察組和對照組各61例.對照組給予常規護理,觀察組以快速康複護理理唸為基礎進行圍術期護理及健康教育,採用SPSS 17.0統計學軟件于齣院前1 ～2d對患者住院天數、住院費用、住院期間併髮癥髮生情況及胃腸功能進行比較.結果 觀察組患者住院時間為(14.91 ±2.09)d,明顯低于對照組的(18.63±2.52)d,營養支持費用為(2.07±0.49)元,低于對照組的(2.62±0.92)元,差異有統計學意義(t值分彆為10.309,4.787;P＜0.05);觀察組術後疼痛評分為(4.01±0.59)分低于對照組(6.87±0.76)分,下床恢複時間為(4.61±0.30)d,少于對照組的(7.22±0.47)d,腸蠕動恢複時間為(3.10±0.71)d,優于對照組的(5.66±0.80)d,差異有統計學意義(t值分彆為7.026,4.721,5.774:P ＜0.01);觀察組患者術後肛門首次排氣時間、拔胃管時間、恢複普通飲食時間分彆為(2.91±0.62),(3.59±0.33),(8.07±0.74)d,分彆低于對照組的(3.93±0.79),(4.27±0.45),(9.62±0.83)d,差異均有統計學意義(t值分彆為-5.403,-4.492,-6.415;P ＜0.01).結論 通過快速康複護理理唸的應用,可縮短結腸癌手術患者的住院時間,減少住院費用,加快胃腸功能恢複,值得臨床廣汎推廣和應用.
목적 탐토쾌속강복호리이념적응용대결장암환자술후회복급강저의료비용적영향.방법 선취결장암환자122례작위연구대상,근거시부채용쾌속강복호리분위관찰조화대조조각61례.대조조급여상규호리,관찰조이쾌속강복호리이념위기출진행위술기호리급건강교육,채용SPSS 17.0통계학연건우출원전1 ～2d대환자주원천수、주원비용、주원기간병발증발생정황급위장공능진행비교.결과 관찰조환자주원시간위(14.91 ±2.09)d,명현저우대조조적(18.63±2.52)d,영양지지비용위(2.07±0.49)원,저우대조조적(2.62±0.92)원,차이유통계학의의(t치분별위10.309,4.787;P＜0.05);관찰조술후동통평분위(4.01±0.59)분저우대조조(6.87±0.76)분,하상회복시간위(4.61±0.30)d,소우대조조적(7.22±0.47)d,장연동회복시간위(3.10±0.71)d,우우대조조적(5.66±0.80)d,차이유통계학의의(t치분별위7.026,4.721,5.774:P ＜0.01);관찰조환자술후항문수차배기시간、발위관시간、회복보통음식시간분별위(2.91±0.62),(3.59±0.33),(8.07±0.74)d,분별저우대조조적(3.93±0.79),(4.27±0.45),(9.62±0.83)d,차이균유통계학의의(t치분별위-5.403,-4.492,-6.415;P ＜0.01).결론 통과쾌속강복호리이념적응용,가축단결장암수술환자적주원시간,감소주원비용,가쾌위장공능회복,치득림상엄범추엄화응용.
Objective To investigate the effects of rapid rehabilitation surgery nursing on patients' recovery and reducing health care costs after colon cancer operation.Methods A total of 122 patients with colon cancer were selected and randomly divided into two groups on average.The patients of observation group were treated with rapid rehabilitation surgery nursing while the patients of control group were treated with routine care.We used statistical software SPSS 17.0 1 d before discharge to assess patient hospitalization time,hospital costs,complications during hospitalization and gastrointestinal function for all patients in beth groups.Results After the intervention,the time of hospitalization and costs of hospital in the experimental group were significantly lower than those in the control group [(14.91 ±2.09) vs (18.63±2.52)d,(2.07 ±0.49) vs (2.62 ±0.92)yuan],and these differences were statistically significant between the two groups (t =10.309,4.787;P ＜0.05).The pain score,bed recovery time and recovery time of bowel movements in experimental group were better than these of the control group [(4.01 ±0.59) vs (6.87 ±0.76) score,(4.61 ±0.30) vs (7.22 ± 0.47) d,(3.10±0.71) vs (5.66±0.80)d](t=7.026,4.721,5.774;P＜0.01).However,the time of anal first exhaust,pull the tube,resume normal diet in the experimental group were significantly lower than those in the control group [(2.91 ±0.62) vs (3.93 ±0.79)d,(3.59 ±0.33) vs (4.27 ±0.45),(8.07 ± 0.74) vs (9.62±0.83)d] (t=-5.403,-4.492,-6.415;P＜0.01).Conclusions The rapid rehabilitation surgery nursing can shorten the hospital stay of patients with colon cancer surgery,reduce hospital costs,speed up the recovery of gastrointestinal function,so it is worthy of wider promotion and application.
