Volume 30, Issue 1, 2021
DOI: 10.24205/03276716.2020.2066
Effects of application of rapid rehabilitation surgery concept in perioperative nursing on postoperative recovery of gastrointestinal function and shortening of hospital stay of patients with gastric cancer
Abstract
Objective: To assess the effects of the application of rapid rehabilitation surgery concept in perioperative nursing on the postoperative recovery of gastrointestinal function and shortening of hospital stay of patients with gastric cancer.
Methods: A total of 80 patients with gastric cancer who received radical gastrectomy in the Department of Gastrointestinal Surgery of our hospital from January 2017 to December 2019 were included and randomly divided into two groups (n=40/group). Routine perioperative nursing intervention was given in control group, while the rapid rehabilitation surgery concept was adopted in observation group based on perioperative nursing. The incidence rate of postoperative complications, recovery time of postoperative gastrointestinal function, hospital stay, postoperative pain score, adverse emotion score, life quality score and nursing satisfaction degree were compared between the two groups.
Results: The incidence rate of postoperative complications in observation group (0%) was lower than that in control group (10.00%) (P<0.05). The recovery time of bowel sounds, first exhaust recovery time, first eating time and hospital stay in observation group were shorter than those in control group (P<0.05). The pain scores in observation group were lower than those in control group at 12 h, 24 h, 36 h and 48 h after surgery (P<0.05). After nursing, self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores in observation group were lower than those in control group, but the life quality score in the former was higher than that in the latter (P<0.05). Observation group exhibited a higher total nursing satisfaction rate (97.50%) than control group (85.00%) (P<0.05).
Conclusion: The concept of rapid rehabilitation surgery applied to perioperative gastric cancer patients can effectively reduce postoperative complications, accelerate the recovery of postoperative gastrointestinal function, shorten the hospital stay, relieve postoperative pain and adverse emotion, improve the quality of life, and make patients more satisfactory with nursing services.
Keywords
gastric cancer; gastrointestinal surgery; nursing; rapid rehabilitation surgery