预康复护理策略在胃癌腹腔镜根治术患者围手术期的应用研究

预康复护理策略在胃癌腹腔镜根治术患者围手术期的应用研究预康复护理策略在胃癌腹腔镜根治术患者围手术期的应用研究

摘要

目的：探讨预康复护理策略在胃癌腹腔镜根治术患者围手术期的应用效果。方法：选取2019年1月至2020年12月在本院接受胃癌腹腔镜根治术患者100例，其中50例实施预康复护理策略（观察组），50例实施常规护理（对照组）。收集患者术前、术后一周、一个月和三个月的生化指标、疼痛评分、功能评估、并发症发生以及住院时间等资料，对比两组数据。结果：观察组患者手术后疼痛评分低于对照组（P<0.05），肺部感染、肺栓塞等并发症发生率低于对照组（P<0.05），患者肺功能、心功能和全身功能恢复时间均短于对照组（P<0.05）。结论：预康复护理策略在胃癌腹腔镜根治术围手术期的应用可有效减轻患者疼痛，预防术后并发症，缩短住院时间，提高患者康复水平。

关键词：预康复护理，胃癌腹腔镜根治术，围手术期，疼痛评分，功能评估

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