The application value and impact of nursing intervention under the faster recovery after surgery (fts) concept on the perioperative period of patients undergoing laparoscopic radical nephrectomy for nephrotic cancer
快速康复外科理念下的护理干预在腹腔镜下肾癌根治术围术期患者中的应用价值及并发症发生率影响

摘要

目的 探讨腹腔镜下肾癌根治术患者实施快速康复外科（FTS）理念下护理干预的临床价值及对并发症发生率的影响。方法 择取2023年1月-2024年12月十堰市太和医院（湖北医药学院附属医院）的60例腹腔镜下肾癌根治术患者，基于“随机数字表法”划分为对照组（n=30）与观察组（n=30），两组对应的干预措施分别为常规围术期护理、FTS理念下护理干预；比较两组负性情绪、疼痛程度、康复进程、并发症发生率、生活质量。结果 干预后，两组DASS评分均降低，且观察组降低程度更明显（P＜0.05）；观察组术后疼痛VAS评分较对照组低（P＜0.05）；观察组肛门排气时间、进食时间、下床活动时间、引流管留置时间、住院时间短于对照组（P＜0.05）；组间对比并发症发生率，观察组总发生率更低（P＜0.05）；干预后，两组QLQ-C30功能评分均较干预前高，且观察组较对照组相对高（P＜0.05）。结论 FTS理念下护理干预的实施能减轻腹腔镜下肾癌根治术患者的负性情绪，并缓解术后疼痛和降低并发症发生风险，以促进术后恢复，实现提高患者生活质量的干预目的。

Abstract

Objective To explore the clinical value of nursing intervention under the Faster Recovery After Surgery (FTS) concept and its impact on the incidence of complications in patients undergoing laparoscopic radical nephrectomy for nephrotic cancer.
Methods Sixty patients undergoing laparoscopic radical nephrectomy for nephrotic cancer at Taihe Hospital, Shiyan (Affiliated Hospital of Hubei University of Medicine) from January 2023 to December 2024 were selected and randomly divided into a control group (n=30) and an observation group (n=30). The corresponding intervention measures for the two groups were routine perioperative nursing and FTS-based nursing intervention, respectively. Negative emotions, pain levels, recovery progress, complication rate, and quality of life were compared between the two groups.
Results After intervention, DASS scores decreased in both groups, with a more significant decrease in the observation group (P < 0.05). The postoperative pain VAS score in the observation group was lower than that in the control group (P < 0.05). The observation group had shorter times for first flatus, first meal, first ambulation, drainage tube placement, and hospital stay than the control group (P < 0.05). The overall complication rate was lower in the observation group (P < 0.05). After intervention, QLQ-C30 functional scores in both groups were higher than before intervention, with a relatively higher score in the observation group than in the control group (P < 0.05).
Conclusion   Nursing intervention based on the FTS concept can reduce negative emotions in patients undergoing laparoscopic radical nephrectomy for nephrotic cancer, alleviate postoperative pain, and reduce the risk of complications, thereby promoting postoperative recovery and improving patients' quality of life.