Effect of rapid rehabilitation surgery nursing on patients' recovery and reduce health care costs after colon cancer operation
10.3760/cma.j.issn.1674-2907.2015.13.020
- VernacularTitle:快速康复护理对结肠癌患者术后恢复及降低医疗费用的影响
- Author:
Lihua ZHANG
1
;
Pingjiang YE
;
Jia WANG
Author Information
1. 312000,浙江省绍兴市人民医院肛肠外科
- Keywords:
Colon cancer;
Rapid rehabilitation surgery nursing;
Gastrointestinal function;
Medical costs
- From:
Chinese Journal of Modern Nursing
2015;21(13):1552-1555
- CountryChina
- Language:Chinese
-
Abstract:
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 beth 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.
