Volume 20 Issue 7
Jul.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(7): 1255-1258
LIANG Rui, LIU Na-na, LI Li, WANG Mei, YUAN Sha-sha, YANG Shan-shan, PANG Qing. Application of accelerated rehabilitation concept in nursing of patients undergoing laparoscopic hepatocarcinoma resection[J]. Chinese Journal of General Practice, 2022, 20(7): 1255-1258. doi: 10.16766/j.cnki.issn.1674-4152.002571
Citation: LIANG Rui, LIU Na-na, LI Li, WANG Mei, YUAN Sha-sha, YANG Shan-shan, PANG Qing. Application of accelerated rehabilitation concept in nursing of patients undergoing laparoscopic hepatocarcinoma resection[J]. Chinese Journal of General Practice, 2022, 20(7): 1255-1258. doi: 10.16766/j.cnki.issn.1674-4152.002571
shu

Application of accelerated rehabilitation concept in nursing of patients undergoing laparoscopic hepatocarcinoma resection

doi: 10.16766/j.cnki.issn.1674-4152.002571

  • Department of Hepatobiliary Surgery, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

Funds:

 81600452

 2008085J37

  • Received Date: 2021-09-27
    Available Online: 2022-09-23
    Abstract
  •   Objective  To explore the clinical application value of accelerated rehabilitation concept in nursing of patients undergoing laparoscopic hepatocarcinoma resection.  Methods  The clinical data of 80 patients who underwent laparoscopic hepatocarcinoma resection at the Department of Hepatobiliary Surgery in First Affiliated Hospital of Bengbu Medical College from August 2019 to October 2020 were retrospectively analysed. Random table method was used for grouping. Forty cases were categorized into observation group, who received nursing measures with the concept of accelerated rehabilitation. Another 40 cases were categorized into control group, who received traditional nursing measures. The differences in postoperative pain score, perioperative index, postoperative stress index and nursing satisfaction index between the two groups were compared.  Results  The pain scores of patients in the observation group at 24 h (t=5.300, P < 0.01) and 48 h (t=6.030, P < 0.01) after operation were significantly lower than those of the control group and the differences were statistically significant. Meanwhile, the postoperative exhaust time [(2.68±1.01) d vs. (3.21±1.13) d], postoperative defecation time [(3.56±1.02) d vs. (4.55±1.21) d], abdominal drainage tube removal time [(3.39±1.05) d vs. (4.14±0.99) d], hospital stay [(7.53±1.74) d versus (9.28±2.13) d] and other perioperative indicators in the observation group were better than those in the control group, and the difference was statistically significant (all P < 0.05). By contrast, no statistical difference was found in the operation time, intraoperative blood loss and hepatic port occlusion time between the two groups (all P>0.05). The fasting blood glucose and C-reactive protein indices of the observation group were better than those of the control group on the 1st and 4th day after operation and the difference was statistically significant (all P < 0.05). The nursing satisfaction of the observation group was significantly higher than that of the control group (90.00% vs. 70.00%) and the difference was statistically significant (P < 0.05).  Conclusion  Accelerated rehabilitation concept in nursing measures could reduce postoperative pain in patients with laparoscopic hepatocarcinoma resection, promote postoperative recovery, reduce postoperative stress response and improve patients'satisfaction with medical care. These measures have good safety and clinical practicability.

     

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