Application of enhanced recovery after surgery theory based "non-tube, no fasting" in perioperative nursing of esophageal cancer
10.3760/cma.j.issn.1674-2907.2018.03.019
- VernacularTitle:基于快速康复理念的免管免禁法在食管癌患者围术期护理中的应用
- Author:
Jie LU
1
;
Dongying LIU
;
Yin LI
;
Haibo SUN
;
Ning WU
;
Kexin ZHANG
Author Information
1. 郑州大学附属肿瘤医院(河南省肿瘤医院)胸外科
- Keywords:
Esophageal neoplasms;
Perioperative nursing;
Enhanced recovery after surgery;
Non-tube;
no fasting
- From:
Chinese Journal of Modern Nursing
2018;24(3):328-331
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore and evaluate the application effect of enhanced recovery after surgery (ERAS) concept based "non-tube, no fasting" perioperative nursing method in esophageal cancer. Methods A total of 136 esophageal carcinoma patients who underwent minimally invasive surgery and treated with conventional perioperative care in the thoracic surgery department of the Affiliated Cancer Hospital of Zhengzhou University from March to December 2012 were chosen as the control group. A total number of 132 patients who received minimally invasive surgical treatment from November 2015 to June 2016 were recruited in the observation group, and treated with ERAS concept based "non-tube, no fasting" perioperative nursing method. All the patients of the two groups were observed for recovery status (including postoperative exhaust and defecation, hospitalization time and ambulation time) and complications (including anastomotic leakage, pulmonary infection and hoarseness), and the nursing effects were retrospectively analyzed.Results In the observation group, 9 of the 132 patients were unable to implement the nursing measures. Comparing patients' conditions of the observation group with the control group for postoperative exhaust time [(2.2±0.5) vs. (3.5±1.0) d], postoperative defecation time [(4.1±1.1) vs. (6.6±0.9) d], ambulation time [(1.5±0.5) vs. (3.7±1.1) d], and hospitalization time [(8.2±2.0) vs. (11.0±4.0) d], the differences were statistically significant (P<0.01). However, there was no significant difference in analgesic effect [(2.8±0.8) vs. (3.0±0.9)] and incidence of postoperative complications [25.8％ (34/132) vs. 28.7％ (39/136)]between the two groups (P>0.05).Conclusions For esophageal cancer patients, ERAS concept based perioperative "non-tube, no fasting" fast track surgery program nursing method can reduce the stress reaction to surgery and treatment, shorten the postoperative hospitalization time and gastrointestinal recovery time without increase of complication incidence.
