摘要
目的 探讨基于快速康复理念的中西医结合护理策略对卵巢癌患者术后康复质量的影响。方法 选取2020年7月至2022年7月收治在华中科技大学同济医学院附属同济医院并行手术治疗的卵巢癌患者为研究对象,共112例。根据数字随机表法将其分为2组,即对照组(常规护理)和观察组(基于快速康复理念的中西医结合护理策略),各56例。比较2组的术后疼痛缓解情况、术后恢复情况、生活质量综合评定量表(GQOLI-74)评分及并发症发生情况等。结果 观察组在术后6 h、12 h、24 h、48 h以及术后5 d的视觉模拟评分法评分均低于同期对照组(P均<0.05)。观察组的胃肠道功能恢复时间、首次排气时间、首次排便时间、开始进食时间和下床活动时间均早于对照组(P均<0.05)。术后1个月、3个月,观察组患者的GQOLI-74中3项评分均明显高于对照组(P均<0.05),且2组均高于术前(P均<0.05)。观察组的并发症总发生率低于对照组(P<0.05)。结论 卵巢癌患者在术后康复中应用基于快速康复理念的中西医结合护理策略,能够有效减轻术后疼痛程度,加快恢复,并提高生活质量,减少并发症的发生。
Objective To explore the effect of integrated traditional Chinese and western medicine nursing strategy based on rapid rehabilitation concept on the postoperative rehabilitation quality of ovarian cancer patients.Methods A total of 112 ovarian cancer patients who underwent surgical treatment were enrolled from Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology between July 2020 and July 2022.According to random number table method,they were divided into two groups,with 56 cases in the control group(routine nursing)and 56 cases in the observation group(traditional Chinese and western medicine nursing strategy based on rapid rehabilitation concept).The postoperative pain relief,postoperative recovery status,Generic Quality of Life Inventory-74(GQOLI-74)scores,and complications were compared between the two groups.Results The observation group had lower Visual Analogue Scale scores than the control group at 6 h,12 h,24 h,48 h,and 5 days after surgery(all P<0.05).The gastrointestinal function recovery time,first exhaust time,first defecation time,food intake time,and ambulation time in the observation group were all earlier than those in the control group(all P<0.05).At 1 and 3 months after surgery,the three item scores of the GQOLI-74 in the observation group were significantly higher than those in the control group(all P<0.05),and both groups had higher scores than those before surgery(all P<0.05).The observation group had a lower total complication rate than the control group(P<0.05).Conclusion The application of integrated traditional Chinese and western medicine nursing strategy based on rapid rehabilitation concept in the postoperative rehabilitation of ovarian cancer patients can effectively reduce the postoperative pain,promote the recovery,improve the quality of life,and reduce the occurrence of complications.
作者
段佳君
郭亚伦
潘梦蝶
刘録露
DUAN Jiajun;GUO Yalun;PAN Mengdie;LIU Lulu(Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei,430030,China)
出处
《中西医结合护理（中英文）》
2024年第8期57-60,共4页
Journal of Clinical Nursing in Practice
关键词
卵巢癌
快速康复理念
中西医结合护理
术后康复
生活质量
ovarian cancer
rapid rehabilitation concept
integrated traditional Chinese and western medicine nursing
postoperative rehabilitation
quality of life
作者简介
段佳君(1995.11-),女,本科,护师,中医科,研究方向:中医肿瘤护理;通信作者:刘録露,E-mail:892950296@qq.com。
