摘要
目的 研究分析腹腔镜结直肠癌手术围术期预见性护理和常规护理效果。方法 选取我院2022年～2023年的80例结直肠癌患者，将80例腹腔镜手术患者随机分为对照组和观察组，分别给予常规护理及预见性护理，并比较不同护理方式对患者的康复影响。结果 观察组护理后VAS评分、SAS和SDS评分降低明显，患者的睡眠质量和胃肠功能恢复情况更好，与对照组患者形成鲜明的数据对比（P＜0.05）。结论 腹腔镜下结直肠癌手术患者，围术期应用预见性护理，可以极大程度上降低患者疼痛，减轻患者的心理压力，提升患者的睡眠质量，加快患者的康复速度，为恢复正常生活奠定良好基础。
关键词： 预见性护理；腹腔镜；结直肠癌手术；围术期；疼痛管理
Abstract
Objective To study and analyze the perioperative predictive nursing and routine nursing effects of laparoscopic colorectal cancer surgery. Methods 80 cases of colorectal cancer patients in our hospital from 2022 to 2023 were selected, and 80 cases of laparoscopic surgery patients were randomly divided into control group and observation group, respectively given routine nursing and predictive nursing, and compared the effects of different nursing methods on patients' rehabilitation. Results VAS scores, SAS scores and SDS scores of the observation group were significantly reduced after nursing, and the sleep quality and gastrointestinal function recovery of the patients were better, which formed a sharp contrast with the control group (P < 0.05). Conclusion For patients undergoing laparoscopic colorectal cancer surgery, perioperative application of predictive nursing can greatly reduce patients' pain, relieve patients' psychological pressure, improve patients' sleep quality, accelerate patients' recovery speed, and lay a good foundation for restoring normal life.
Key words： Predictive nursing; Laparoscopy; Colorectal cancer surgery; Perioperative period; Pain management
参考文献 References
[1] 王雅楠.预见性护理模式在直肠癌根治术后结肠造瘘口护理中的应用效果[J].中国医药指南,2023,21(05):47-50.
[2] 司艳平,黄艳玲.腹腔镜结直肠癌手术围术期预见性护理和常规护理效果的对比研究[J].河南外科学杂志,2023, 29(01):191-193.
[3] 唐珊珊,杨绪亮.结肠镜联合腹腔镜结直肠癌根治术与预见性护理在结直肠癌护理中的应用分析[J].现代医学与健康研究电子杂志,2022,6(16):119-122.
[4] 丁唯凤.反比通气对腹腔镜结直肠癌手术患者围术期氧合的影响[J].昆明医科大学, 2022.
[5] 白金山.加速康复外科对腹腔镜结直肠癌手术术后恢复及相关炎性因子的影响[J].宁夏医科大学, 2022.
[6] 朱世琴,邓波,宋美璇,等.结直肠癌腹腔镜术后病人早期下床活动与恢复质量的相关性[J].西南医科大学学报, 2022 ,45(6) :535 -538.
[7] 范劲秋,史俊.预见性护理对腹腔镜手术护理结肠癌患者预后的影响[J].航空航天医学杂志,2021,32(12):1522-1523.
[8] 何玲,陈晓娜,杜娟,等.预见性护理在腹腔镜结直肠癌根治术患者中的应用效果[J].中国当代医药,2021,28(08): 215-217.
[9] 肖吓鹏，李翰城,阮召杰,等.FTS的应用对腹腔镜结直肠癌手术患者疗效分析[J].中外医学研究, 2020, 18(29): 172-174.
[10] 李皓,李岳桓,彭小梅.集束化护理在腹腔镜结直肠癌根治术患者中的应用效果观察[J].结直肠肛门外科,2020 , 26(3) :376 - 378.