|
|
|
| Risk factors and nursing countermeasures of rapid rehabilitation nursing for precision liver resection |
| ZHENG XiaoXU XiWEI Ying |
| Department of Hepatobiliary Surgery,Affiliated Hospital of Jiujiang University,Jiangxi province,Jiujiang 332000,China |
|
|
|
|
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.
|
|
|
|
|
|
| [1] |
陈亚，徐建波，顾殿华，等.精准肝切除理念下的中央型肝癌外科治疗[J].现代肿瘤医学，2018，26（23）：95-99.
|
| [2] |
李留峥，王峻峰，罗明菊，等.精准肝切除与传统肝切除术治疗原发性肝癌的疗效对比[J].肝胆胰外科杂志2019，31（7）：404-407.
|
| [3] |
骆鹏飞，穆夏黎，荚卫东.加速康复外科理念联合精准肝切除治疗肝细胞癌的有效性及安全性分析[J].中华普通外科杂志，2018，33（11）：911-914.
|
| [4] |
黄旭明，黄肇权，巫晓华，等.肝硬化患者Child-Pugh评分与菌血症发生的相关性[J].海南医学，2015，26（12）：1732-1734.
|
| [5] |
吴孟超.肝脏外科学[M].上海：上海科学技术出版社，2000：100-120.
|
| [6] |
陆晟，曹鑫坤，盛月红.肝癌初诊手术患者希望水平与心理弹性的相关性[J].解放军护理杂志，2018，35（21）：11-15.
|
| [7] |
黄纪伟，廖皓天，曾勇.精准肝切除术的技术要点[J].国际外科学杂志，2018，45（6）：408-411.
|
| [8] |
李玉民，陈昊.浅谈精准肝切除术[J].国际外科学杂志，2018，45（2）：89-93.
|
| [9] |
胡俊超，罗华，匡铭，等.加速康复外科在精准肝切除术患者肠道功能及并发症的影响[J].肝胆外科杂志，2019，27（6）：458-462.
|
| [10] |
姜海涛，熊奇如.加速康复外科理念对原发性肝癌患者精准肝切除术后康复的影响[J].肝胆外科杂志，2018，26（4）：286-288.
|
| [11] |
王润东，荚卫东，葛勇胜，等.加速康复外科方案在肝细胞癌手术的失败因素分析及风险预测模型的建立[J].中华外科杂志，2018，56（9）：693.
|
| [12] |
胡庆玲.快速康复外科在腹腔镜肝切除患者中的应用[J].实用医院临床杂志，2018，15（2）：199-201.
|
| [13] |
李蓉蓉，罗鸿萍，王婷，等.提高肝切除病人快速康复依从性的目标管理实践[J].护理学报，2019，26（21）：63-66.
|
| [14] |
徐凌云，薛文莉，侯诗箐，等.围术期快速康复护理在微创肝胆外科手术患者中的应用[J].实用临床医药杂志，2018，22（22）：168-170.
|
| [15] |
黄珏，徐静，吴兰梅，等.快速康复外科联合综合护理对肝癌开腹肝切除术患者细胞免疫功能的影响[J].河北医药，2018，5（40）：154-157.
|
|
|
|
