Clinical effect of trimodal pre-rehabilitation strategy in patients undergoing pancreatoduodenectomy
- VernacularTitle:三联预康复策略对胰十二指肠切除术患者的临床应用效果
- Author:
Hong YU
1
;
Wuying XU
;
Xinjian XU
Author Information
- Keywords: trimodal pre-rehabilitation; strategy; pancreatic cancer; pancreaticoduodenum; excision surgery; recovery
- From: Journal of Clinical Medicine in Practice 2024;28(1):94-97
- CountryChina
- Language:Chinese
- Abstract: Objective To observe the clinical effect of trimodal pre-rehabilitation strategy in pa-tients undergoing pancreatoduodenectomy.Methods A total of 110 patients undergoing elective pan-creaticoduodenectomy were selected as the study objects.Patients were randomly divided into control group and observation group according to the odd-even order,with 55 cases in each group.The con-trol group was given routine nursing during perioperative period,and the observation group was given trimodal pre-rehabilitation nursing before surgery based on the control group.The psychological state,quality of life,postoperative indexes and complications of the two groups were observed and com-pared.Serum albumin(ALB),prealbumin(PA)and transferrin(TRF)levels were detected in two groups.Results Postoperative exhaust time,getting out of bed time,first oral feeding time and hos-pital stay in the observation group were significantly shorter than those in the control group(P＜0.05).At 1 day before surgery and 14 days after surgery,the levels of ALB,PA,TRF and 36-item Short Form Health Assessment Scale(SF-36)in the observation group were significantly higher than those in the control group,and the Hospital Anxiety and Depression Scale(HADS)scores were signifi-cantly lower than those in the control group(P＜0.01 or P＜0.05).The incidence of pulmonary infec-tion and venous thrombosis in the observation group was significantly lower than that in the control group(P＜0.05).Conclusion Trimodal pre-rehabilitation nursing intervention can effectively im-prove the perioperative nutritional status and psychological state of patients with pancreaticoduodenectomy,improve their quality of life and reduce the incidence of complications.
