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Application of rapid rehabilitation surgery nursing during perioperative period of laparoscopic total cystectomy |
GAO Shi-jie1 GUAN Rui2 DONG Nan-jun1 |
1.Department of Surgery,Fushun Central Hospital,Liaoning Province,Fushun 113006,China;
2.Department of Internal Medicine,Fushun Central Hospital,Liaoning Province,Fushun 113006,China |
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Abstract Objective To investigate clinical value of rapid rehabilitation surgery nursing during perioperative period of laparoscopic total cystectomy.Methods 96 patients with laparoscopic total cystectomy were selected in our hospital from October 2013 to October 2015,who were divided into two groups by random number table method.48 patients treated routine nursing during perioperative period as control group.48 patients treated rapid rehabilitation surgery nursing during perioperative period as observation group.Recovery indications,postoperative quality of life,complications were compared between two groups.Results Postoperative feeding time ([7.1±1.3] h),postoperative ventilation time ([31.5±4.6] h),postoperative defecation time([67.9±8.1]) h,ambulation time ([2.8±0.4] d) in observation group were earlier than control group ([18.3±2.0] h [53.2±5.7] h,[82.5±7.2] h,[3.6±0.7] d).Postoperative hospitalization time ([6.5±1.0] d) in observation group was less than control group ([9.8±1.2] d).Postoperative quality of life [psychological function:(85.9±7.3) points,material life:([87.2±6.4] points,physical function:[81.3±5.7] points,social function:[88.0±6.1] points,overall score:[84.6±7.9] points) in observation group were higher than control group ([70.2±5.8] points,[66.3±5.1] points,[69.7±9.2] points,[71.2±5.3] points,[72.4±4.6] points).Complication rate (2.1%) in observation group was lower than control group (14.6%).Differences were statistically significant (P<0.05).Conclusion Rapid rehabilitation surgery nursing have significant application effect during perioperative period of laparoscopic total cystectomy,which can shorten postoperative recovery time and improve quality of life,which also have high safety and worth of clinical use.
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