Effect of rapid rehabilitation nursing on prognosis and quality of life of patients after laparoscopic choledocholithotomy
10.3760/cma.j.issn.1672-7088.2019.24.008
- VernacularTitle: 快速康复理念护理对腹腔镜胆总管切开取石患者预后转归和生命质量的影响
- Author:
Zhilan LIU
1
;
Guixian LI
;
Hui WANG
Author Information
1. Hepatobiliary and Pancreatic Surgery Department of Peking University Shenzhen Hospital, Shenzhen 518000, China
- Publication Type:Clinical Trail
- Keywords:
Rehabilitation nursing;
Laparoscopy;
Choledocholithiasis;
Oxidative stress;
Quality of life
- From:
Chinese Journal of Practical Nursing
2019;35(24):1877-1882
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of rapid rehabilitation concept nursing on prognosis and quality of life of patients after laparoscopic choledocholithotomy.
Methods:A total of 140 patients undergoing laparoscopic choledocholithotomy in our hospital were selected as the subjects, and they were divided into control group (n=70) and experimental group (n=70) by random number table method. The patients in the control group received routine nursing intervention during the perioperative period, and the patients in the experimental group were based on the idea of rapid rehabilitation to carry out nursing intervention. The operation condition, postoperative recovery, incidence of postoperative complications, anti-oxidative stress ability, postoperative fatigue (fatigue visual analogue scale) and postoperative quality of life (QLO-C30 quality of life scale) were compared between the two groups.
Results:The operation time, hospitalization time, hospitalization cost, incidence of postoperative complications, postoperative fatigue score on the 4th and 5th day after operation in the experimental group were (120.49±16.74) min, (7.05±1.47) d, (17 482.82±849.37) yuan, 31.43% (22/70) , (1.56±0.12) points, (0.92±0.10) points, the control group were (156.13±14.59) min, (13.75±1.45) d, (28 544.58±1 549.05) yuan, 71.43% (50/70), (3.38±0.87) points and (1.89±0.29) points, respectively. The differences between the two groups were significant (t=8.446, 9.325, 7.763, χ2=9.545, t=10.235, 12.402, P< 0.05). The postoperative recovery, quality of life and anti-oxidative stress ability of the patients in the experimental group were significantly better than those of the control group (P<0.05) .
Conclusion:Rapid rehabilitation nursing can improve the recovery of gastrointestinal function, reduce the incidence of complications, eliminate fatigue and improve the quality of life of patients after laparoscopic choledocholithotomy.
