Observation of nursing effect about patients' accelerated rehabilitation surgery after thoracoscopic esophageal carcinoma_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

 DENG Yanhua , LI Qin , LI Jinman , FAN Qiao , 劉涌 , JIHui

Department of Urology and Thoracic surgery, Integrated Traditional Chinese and Western Medicine Hospital, Panzhihua, 617000, Sichuan, P.R.China;

Corresponding?author：

DENG Yanhua, Email: 469196294QQ.com

Keywords：

食管癌; 胸腔鏡手術; 加速康復外科; 效果觀察

DOI：

10.7507/1007-4848.201903012

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore Nursing Effect about patients' Accelerated Rehabilitation Surgery after Thoracoscopic Esophageal CarcinomaMethods Continuous collection of 90 patients with thoracoscopic esophageal cancer from March 2017 to 2018 in this hospital, of which 45 patients in the control group were given routine care, and 45 patients in the experimental group were given individualized care. Analysis of nursing satisfaction and gastrointestinal function in two groups.Results The satisfaction and gastrointestinal function of the two groups of patients were analyzed.. The average bowel sound recovery time and anal exhaust time were significantly shorter in the experimental group(31.25 ± 2.25 H, 50.12 ± 1.47 H) than in the control group(45.26 ± 2.17 H, 67.36 ± 1.06 H)(P = 0.028, P = 0.030). The incidence of adverse reactions was significantly lower in the experimental group(4.44 %) than in the control group(17.77 %)(P = 0.012), Nursing satisfaction was significantly higher in the experimental group(97.78 %) than in the control group(80%)(P = 0.007), Average hospitalization days and hospitalization costs in the experimental group(12.5±2.8d,9823±720￥),They were all significantly shorter than the control group16.3±3.4d,1378±790￥)(P =0.023, P =0.036）.Conclusion The accelerated rehabilitation surgical care of patients with thoracoscopic esophageal cancer during perioperative period can help patients to accelerate recovery by promoting the recovery of gastrointestinal energy.

1.	郭聰穎, 蓋玉杰, 林麗, 等. 護理配合對胸腔鏡聯合腹腔鏡行食管癌根治術患者療效實驗. 檢驗醫學與臨床, 2015, 5(3): 405-407.
2.	季建芳. 心理護理干預對食管癌根治術后患者生存質量的影響. 現代醫, 2013, 6(6): 418-419.
3.	Jiang C, Li S, Li Y, et al. Anticancer effects of dihydroartemisinin on human esophageal cancer cells in vivo. Analytical Cellular Pathology, 2018, 4(6): 1-7.
4.	高健, 杜彥玲, 王巨, 等. 應用電視胸腔鏡進行三切口食管癌根治術的手術配合及護理體會. 現代生物醫學進展, 2013, 13(36): 7108-7111.
5.	余麗輝, 蔡瀟潔, 楊育兵, 等. 胸腹腔鏡聯合微創食管癌根治術的護理配合. 中國微創外科雜志, 2015, 18(4): 46-47.
6.	王俏麗. 全胸腔鏡聯合腹腔鏡食管癌根治術的手術護理配合. 江蘇醫藥, 2014, 40(2): 244-245.
7.	Egeland C, Baeksgaard L, Johannesen H H, et al. Endoscopic electrochemotherapy for esophageal cancer: a phase I clinical study. Endoscopy International Open, 2018, 6(6): E727-E734.
8.	朱希燕, 張海燕, 袁彩欣, 等. 圍手術期個體化護理對老年食管癌患者術后心理狀態的影響. 河北醫藥, 2014, 4(23): 3666-3667.
9.	韓芳, 李鸝, 劉麗, 等. 胸腔鏡食管癌根治術的手術室護理配合要點分析. 世界中醫藥, 2016, 08(b03): 856-856.
10.	Arnold B N, Chiu A S, Hoag J R, et al. Spontaneous regionalization of esophageal cancer surgery: an analysis of the National Cancer Database. J Thorac Dis, 2018, 10(3): 1721.
11.	袁清萍, 張楊, 陳晶. 電視胸腔鏡下三切口食管癌根治術手術及護理. 中國腫瘤臨床與康復, 2014, 9(9): 1134-1136.
12.	鄒曉影. 胸腔鏡下小切口食管癌根治術的圍術期護理體會. 中華腫瘤防治雜志, 2016, 7(2): 336-337.
13.	張樂, 姜寧, 陳丹, 等. 個體化化護理對胸腹腔鏡聯合食管癌切除術患者的感染率改善作用. 結直腸肛門外科, 2017, 5(s1): 45-50.
14.	余航. 個體化護理在兒童手術護理中的應用價值探討. 四川醫學, 2013, 34(8): 1270-1272.
15.	范海燕, 康宜琴. 18例胸腔鏡下食管癌根治術的手術配合護理體會. 世界中醫藥, 2017, 9(1): 183.
16.	余航. 個體化護理在兒童手術護理中的應用價值探討. 四川醫學, 2013, 34(8): 1270-1272.
17.	劉微, 關丹丹. 食管癌患者胸腔鏡術后引流管護理的應用. 中國腫瘤臨床與康復, 2017, 7(11): 1377-1379.

1. 郭聰穎, 蓋玉杰, 林麗, 等. 護理配合對胸腔鏡聯合腹腔鏡行食管癌根治術患者療效實驗. 檢驗醫學與臨床, 2015, 5(3): 405-407.
2. 季建芳. 心理護理干預對食管癌根治術后患者生存質量的影響. 現代醫, 2013, 6(6): 418-419.
3. Jiang C, Li S, Li Y, et al. Anticancer effects of dihydroartemisinin on human esophageal cancer cells in vivo. Analytical Cellular Pathology, 2018, 4(6): 1-7.
4. 高健, 杜彥玲, 王巨, 等. 應用電視胸腔鏡進行三切口食管癌根治術的手術配合及護理體會. 現代生物醫學進展, 2013, 13(36): 7108-7111.
5. 余麗輝, 蔡瀟潔, 楊育兵, 等. 胸腹腔鏡聯合微創食管癌根治術的護理配合. 中國微創外科雜志, 2015, 18(4): 46-47.
6. 王俏麗. 全胸腔鏡聯合腹腔鏡食管癌根治術的手術護理配合. 江蘇醫藥, 2014, 40(2): 244-245.
7. Egeland C, Baeksgaard L, Johannesen H H, et al. Endoscopic electrochemotherapy for esophageal cancer: a phase I clinical study. Endoscopy International Open, 2018, 6(6): E727-E734.
8. 朱希燕, 張海燕, 袁彩欣, 等. 圍手術期個體化護理對老年食管癌患者術后心理狀態的影響. 河北醫藥, 2014, 4(23): 3666-3667.
9. 韓芳, 李鸝, 劉麗, 等. 胸腔鏡食管癌根治術的手術室護理配合要點分析. 世界中醫藥, 2016, 08(b03): 856-856.
10. Arnold B N, Chiu A S, Hoag J R, et al. Spontaneous regionalization of esophageal cancer surgery: an analysis of the National Cancer Database. J Thorac Dis, 2018, 10(3): 1721.
11. 袁清萍, 張楊, 陳晶. 電視胸腔鏡下三切口食管癌根治術手術及護理. 中國腫瘤臨床與康復, 2014, 9(9): 1134-1136.
12. 鄒曉影. 胸腔鏡下小切口食管癌根治術的圍術期護理體會. 中華腫瘤防治雜志, 2016, 7(2): 336-337.
13. 張樂, 姜寧, 陳丹, 等. 個體化化護理對胸腹腔鏡聯合食管癌切除術患者的感染率改善作用. 結直腸肛門外科, 2017, 5(s1): 45-50.
14. 余航. 個體化護理在兒童手術護理中的應用價值探討. 四川醫學, 2013, 34(8): 1270-1272.
15. 范海燕, 康宜琴. 18例胸腔鏡下食管癌根治術的手術配合護理體會. 世界中醫藥, 2017, 9(1): 183.
16. 余航. 個體化護理在兒童手術護理中的應用價值探討. 四川醫學, 2013, 34(8): 1270-1272.
17. 劉微, 關丹丹. 食管癌患者胸腔鏡術后引流管護理的應用. 中國腫瘤臨床與康復, 2017, 7(11): 1377-1379.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Latest ArticlesObservation of nursing effect about patients' accelerated rehabilitation surgery after thoracoscopic esophageal carcinoma

Abstract Full text Figures/Tables Video References Cited by

Format

Content