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| Application of multidisciplinary assisted rapid rehabilitation nursing in patients with laparoscopic gastrointestinal surgery |
| QING Yi1 HUANG Minrui2 ZHANG Yongli3 LIN Jianling1 TANG Guixiang1 YANG Kai4 TANG Bo |
1. Operating Room, Yunfu People's Hospital, Guangdong Province, Yunfu 527300, China;
2. Department of Anesthesiology, Yunfu People's Hospital, Guangdong Province, Yunfu 527300, China;
3. Intensive Care Center, Yunfu People's Hospital, Guangdong Province, Yunfu 527300, China;
4. Department of General Surgery, Yunfu People's Hospital, Guangdong Province, Yunfu 527300, China |
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Abstract Objective To analyze the application effect of multidisciplinary assisted rapid rehabilitation nursing in patients with laparoscopic gastrointestinal surgery. Methods A total of 80 patients who underwent laparoscopic gastrointestinal surgery in Yunfu Peoples Hospital from April 2019 to October 2021 were selected as the research objects. The patients were randomly divided into the observation group and the control group according to random number table method, with 40 patients in each group. The patients in the control group were treated with routine rehabilitation nursing, and the patients in the observation group were treated with multidisciplinary assisted rapid rehabilitation nursing. The perioperative conditions (operation time, intraoperative bleeding, catheter retention time, time to get out of bed and start activities, total hospitalization time and hospitalization expenses), postoperative gastrointestinal function recovery (postoperative recovery time of exhaust time, recovery time of bowel sounds, recovery time of eating, recovery time of defecation, abdominal distension score, bowel sounds score), the levels of C-reactive protein and leukocyte count before and 24 hours after operation, and the incidence of adverse reactions (intestinal adhesion, constipation, abdominal abscess, lower extremity venous thrombosis, bleeding, pulmonary infection, anastomotic fistula) were compared between the two groups. Results The indwelling time of catheter, the time of getting out of bed and starting activities, and the total hospitalization time of patients in the observation group were shorter than those in the control group, andthe hospitalization expenses of patients in the observation group were lower than those in the control group, the differences were statistically significant (P＜0.05). There were no significant difference in the operation time and intraoperative bleeding between the two groups (P＞0.05). The postoperative recovery time of exhaust, the recovery time of bowel sounds, the recovery time of eating and the recovery time of defecation in the observation group were shorter than those in the control group, and the abdominal distension score and bowel sounds score in the observation group were lower than those in the control group, the differences were statistically significant (P＜0.05). There were no significant differences between the two groups in the incidence of adverse reactions such as intestinal adhesion, constipation, abdominal abscess, lower extremity venous thrombosis, bleeding, pulmonary infection, anastomotic fistula (P＞0.05). The levels of C-reactive protein and leukocyte count in the observation group at 24 hours after operation were lower than those in the control group, the differences were statistically significant (P＜0.05). Conclusion Using multidisciplinary assisted rapid rehabilitation nursing for patients undergoing laparoscopic gastrointestinal surgery can promote the recovery of gastrointestinal tract after operation and the recovery of related indicators during perioperative period, and reduce inflammatory reaction.
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