The value of rapid rehabilitation surgery concept in nursing care after laparoscopic radical nephrectomy
快速康复外科理念在腹腔镜肾癌根治术后护理中的价值

摘要

目的 分析在腹腔镜肾癌根治手术之后护理中采用快速康复外科理念的应用价值。方法 试验将选取2017年1月至2020年1月期间在我院就诊的肾癌根治手术患者100例为研究的对象。通过随机分配，将受试者分为观察组和对照组，每组各有50名患者。对照组实施常规护理，而观察组则采纳快速康复外科护理模式。对比两组患者的术后恢复情况。结果 观察组在首次排气、进食、下床活动及自主排尿的时间上均早于对照组；同时，观察组的并发症发生率也低于对照组；此外，观察组患者对护理服务的满意度也高于对照组。这些差异在统计学上均具有显著性（P＜0.05）。结论 对于接受肾癌根治术的患者而言，应用快速康复外科护理模式能够显著促进术后恢复，缩短关键恢复时间指标，并减少并发症的发生，提高护理满意度，可进行广泛推广。

Abstract

Objective To analyze the application value of rapid rehabilitation surgery in nursing care after laparoscopic radical renal cancer surgery.
Methods The experiment will select 100 patients who underwent radical nephrectomy in our hospital between January 2017 and January 2020 as the research subjects. By random allocation, the subjects were divided into an observation group and a control group, with 50 patients in each group. The control group received routine nursing care, while the observation group received rapid recovery surgical nursing care. Compare the postoperative recovery of two groups of patients. The observation group had earlier times of first defecation, eating, getting out of bed activity, and spontaneous urination than the control group; Meanwhile, the incidence of complications in the observation group was lower than that in the control group; In addition, the satisfaction of the observation group patients with nursing services was higher than that of the control group. These differences are statistically significant (P<0.05).
Conclusion   For patients undergoing radical nephrectomy, the application of rapid recovery surgical nursing model can significantly promote postoperative recovery, shorten key recovery time indicators, reduce the occurrence of complications, improve nursing satisfaction, and can be widely promoted.