Abstract：Objective To discuss the risk factors and nursing countermeasures of rapid rehabilitation nursing for precision liver resection.Methods A retrospective selection of 44 patients who underwent precision liver resection and rapid rehabilitation care in the Affiliated Hospital of Jiujiang University from January 2018 to March 2019 were selected as the control group,and were divided into a good prognosis group (26 cases)and a poor prognosis group based on the nursing effect group (18 cases),and then from June 2019 to October 2020,a total of 30 patients with optimized precision liver resection and rapid rehabilitation care at the Affiliated Hospital of Jiujiang University served as the research group.Patients in the control group were given rapid rehabilitation care for precision liver resection,and patients in the study group were given rapid rehabilitation care for optimized precision liver resection.Calculate the basic clinical data of the two groups and conduct single-factor analysis,conduct multi-factor unconditional logistic regression analysis on related risk factors that affect precision liver resection and rapid rehabilitation care,and discuss nursing strategies.Results Univariate analysis showed that the poor prognosis group had ASA gradeⅢ-Ⅳ,total bilirubin (TBil)>21 μmol/L,alanine aminotransferase(ALT)>50 U/L,activated partial thromboplastin time(APTT)>40.0 s,blood transfusion and intraoperative blood loss>400 ml,the proportion of patients with good prognosis were higher than those of the good prognosis group,the differences were statistically significant(P<0.05);the results of multivariate analysis indicated that ASA grade Ⅲ-Ⅳ,TBIL>21 μmol/L,ALT>50 U/L,APTT>40.0 s,blood transfusion and intraoperative blood loss>400 ml were all precision liver resection rapid rehabilitation care plans Risk factors for failure (P<0.05).The postoperative anal exhaust time and hospital stay in the research group were shorter than those in the control group,the differences were statistically significant(P<0.05).The Connor-Davidson resilience scale (CD-RISC)scores after nursing in the research group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion Formulating nursing strategies for risk factors and optimizing precise liver resection and rapid rehabilitation nursing methods can help shorten the treatment time of patients,alleviate the patients′bad mood,and promote the recovery of the disease.
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