快速康復(fù)教育路徑在胰腺癌圍手術(shù)期護(hù)理效果觀察及對(duì)患者生活質(zhì)量的影響

殷淑芳

【摘要】 目的：探究快速康復(fù)教育路徑在胰腺癌圍手術(shù)期的護(hù)理效果及對(duì)患者生活質(zhì)量的影響。方法：選取2014年5月-2016年6月本院確診為胰腺癌的50例患者，按照隨機(jī)數(shù)字表法將其分為對(duì)照組和研究組，各25例。對(duì)照組采用常規(guī)護(hù)理，研究組采用快速康復(fù)教育路徑，比較兩組手術(shù)指標(biāo)、術(shù)后并發(fā)癥發(fā)生情況及生活質(zhì)量。結(jié)果：研究組肛門通氣時(shí)間短于對(duì)照組（P<0.05），研究組下床活動(dòng)時(shí)間、住院時(shí)間均短于對(duì)照組，但比較差異均無統(tǒng)計(jì)學(xué)意義（P>0.05）；研究組并發(fā)癥發(fā)生率顯著低于對(duì)照組（P<0.05）；護(hù)理3個(gè)月后，兩組生活質(zhì)量評(píng)分均高于護(hù)理前（P<0.05），且研究組生活質(zhì)量評(píng)分均顯著高于對(duì)照組（P<0.05）。結(jié)論：胰腺癌圍手術(shù)期采用快速康復(fù)教育路徑具有良好的護(hù)理效果，患者的生活質(zhì)量得到了明顯的提高，值得在臨床上進(jìn)一步推廣和應(yīng)用。

【關(guān)鍵詞】 快速康復(fù)教育路徑； 胰腺癌； 圍手術(shù)期； 護(hù)理效果； 生活質(zhì)量的影響

Observation Effect of Rapid Rehabilitation Education Pathway in Perioperative Care of Patients with Pancreatic Cancer and Its Impact on Quality of Life/YIN Shufang.//Medical Innovation of China，2017，14（32）：104-107

【Abstract】 Objective：To explore the effect of rapid rehabilitation education pathway in perioperative care of pancreatic cancer and its impact on the quality of life of patients.Method：50 cases of pancreatic cancer diagnosed in our hospital from May 2014 to June 2016 were selected，according to the random number table method，they were divided into control group and study group，25 cases in each group.The control group was treated with routine nursing，and study group was treated with rapid rehabilitation education path.The operation indexes，postoperative complications and quality of life were compared between two groups.Result：The anal ventilation time of study group was shorter than that of control group（P<0.05），the ambulation time and hospitalization time of study group were shorter than those of control group，the differences were not statistically significant（P>0.05），the incidence of complications in study group was significantly lower than that of control group（P<0.05），after 3 months nursing，the quality of life scores of two groups were higher than those of before nursing（P<0.05），and study group were significantly higher than those of control group（P<0.05）.Conclusion：The rapid rehabilitation education pathway for pancreatic cancer in perioperative period has a good nursing effect，and the quality of life of patients has been significantly improved，which is worthy of further promotion and application in clinical practice.

【Key words】 Rapid rehabilitation education pathway； Pancreatic cancer； Perioperative period； Nursing efficacy； The influence of quality of life

First-authors address：Jiangsu Tumor Hospital，Nanjing 210009，China

doi：10.3969/j.issn.1674-4985.2017.32.026

胰腺癌是一種惡性程度相當(dāng)高的消化系統(tǒng)腫瘤，大多由腺管上皮的管腺癌發(fā)展而來。近幾年來，胰腺癌的發(fā)病率和死亡率逐漸上升，并且男性患者高于女性患者。胰腺癌的病因在臨床上還未得到證實(shí)，猜測(cè)其與飲酒、糖尿病、吸煙以及過量飲用咖啡和遺傳因素等有關(guān)[1]。胰腺癌在臨床上的病理主要有導(dǎo)管腺癌、腺泡細(xì)胞癌和特殊類型的導(dǎo)管起源的癌、小腺體癌等。胰腺癌在早期診斷中的確診率低，手術(shù)死亡率高，并且治愈率不高，為了使胰腺癌圍手術(shù)期的護(hù)理進(jìn)一步加強(qiáng)，本文探究了胰腺癌圍手術(shù)期運(yùn)用快速康復(fù)教育路徑護(hù)理方法的護(hù)理效果以及對(duì)患者生活質(zhì)量的影響，現(xiàn)報(bào)道如下。endprint

1 資料與方法

1.1 一般資料 選取2014年5月-2016年6月本院確診為胰腺癌的患者50例。（1）納入標(biāo)準(zhǔn)：年齡70歲以下；進(jìn)行擇期手術(shù)的胰腺癌患者；要求患者配合度高，具有高度的治療依從性；患者術(shù)前沒有接受過任何有關(guān)抗腫瘤的治療[2]。……