目的 探讨快速康复外科护理联合运动锻炼在胃肠肿瘤手术患者中的应用效果.方法 选取福建省龙岩市第二医院2020年1月1日—2022年12月31日收治的80例胃肠肿瘤患者,随机分为对照组和观察组各40例,所有患者均行手术治疗.对照组实施快速康复外科护理,观察组实施快速康复外科护理联合运动锻炼,比较两组患者恢复情况、并发症发生情况、满意度,以及干预前后焦虑和抑郁情况.结果 观察组患者排气、肠鸣音恢复、排便、进食恢复、住院、下床活动时间,以及尿路感染、切口感染、下肢静脉血栓、腹腔感染发生情况均优于对照组,差异有统计学意义(P<0.05).干预后观察组抑郁和焦虑评分均低于对照组,差异有统计学意义(P<0.05).观察组总满意度高于对照组,差异有统计学意义(P<0.05).结论 胃肠肿瘤手术患者应用快速康复外科护理联合运动锻炼具有较好的效果,可有效促进患者术后恢复,改善负性情绪,减少并发症的发生,提高满意度.
Objective To explore the application effect of rapid rehabilitation surgery nursing combined with exercise in patients undergoing gastrointestinal tumor surgery.Methods A total of 80 patients with gastrointestinal tumors admitted to the Second Hospital of Longyan,Fujian Province from January 1,2020 to December 31,2022 were randomly divided into a control group and an observation group,with 40 patients in each group.All patients underwent surgical treatment.The control group received rapid rehabilitation surgical nursing,while the observation group received rapid rehabilitation surgical nursing combined with exercise.Compare the recovery,complications,satisfaction degree,as well as anxiety and depression before and after intervention between the two groups.Results The observation group had significantly better exhaust time,bowel sound recovery time,defecation time,eating recovery time,hospitalization time,ambulation time,as well as urinary tract infection,incision infection,lower limb venous thrombosis,and abdominal infection compared to the control group(P<0.05).After treatment,the depression and anxiety scores of the observation group were significantly lower than those of the control group(P<0.05).The overall satisfaction of the observation group was significantly higher than that of the control group(P<0.05).Conclusion The application of rapid rehabilitation surgical nursing combined with exercise for patients undergoing gastrointestinal tumor surgery has a good effect,which can effectively promote postoperative recovery,improve negative emotions,reduce the occurrence of complications,and improve satisfaction.