Effect of rapid rehabilitation surgery nursing on patients′ recovery and reduce health care costs after colon cancer operation

医学 康复 结直肠癌 护理 胃肠功能 癌症 护理部 外科 物理疗法 内科学
作者
Lihua Zhang,Pingjiang Ye
出处
期刊:Chinese Journal of Modern Nursing [Chinese Medical Association]
卷期号:21 (13): 1552-1555
标识
DOI:10.3760/cma.j.issn.1674-2907.2015.13.020
摘要

Objective To investigate the effects of rapid rehabilitation surgery nursing on patients′ recovery and reducing health care costs after colon cancer operation. Methods A total of 122 patients with colon cancer were selected and randomly divided into two groups on average. The patients of observation group were treated with rapid rehabilitation surgery nursing while the patients of control group were treated with routine care. We used statistical software SPSS 17.0 1 d before discharge to assess patient hospitalization time, hospital costs, complications during hospitalization and gastrointestinal function for all patients in both groups. Results After the intervention, the time of hospitalization and costs of hospital in the experimental group were significantly lower than those in the control group [(14.91±2.09) vs (18.63±2.52)d, (2.07±0.49) vs (2.62±0.92) yuan], and these differences were statistically significant between the two groups (t=10.309, 4.787; P<0.05). The pain score, bed recovery time and recovery time of bowel movements in experimental group were better than these of the control group [(4.01±0.59) vs (6.87±0.76) score, (4.61±0.30) vs (7.22±0.47) d, (3.10±0.71) vs (5.66±0.80)d](t=7.026, 4.721, 5.774; P<0.01). However, the time of anal first exhaust, pull the tube, resume normal diet in the experimental group were significantly lower than those in the control group [(2.91±0.62) vs (3.93±0.79)d, (3.59±0.33) vs (4.27±0.45), (8.07±0.74) vs (9.62±0.83)d] (t=-5.403, -4.492, -6.415; P<0.01). Conclusions The rapid rehabilitation surgery nursing can shorten the hospital stay of patients with colon cancer surgery, reduce hospital costs, speed up the recovery of gastrointestinal function, so it is worthy of wider promotion and application. Key words: Colon cancer; Rapid rehabilitation surgery nursing; Gastrointestinal function; Medical costs
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