围术期中医辨证施护联合快速康复护理对卵巢癌患者术后康复及生活质量的影响

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目的

探讨围术期中医辨证施护与快速康复护理联合应用对卵巢癌术后康复及生活质量的影响。

方法

选取2018年5月至2019年10月在复旦大学附属妇产科医院行手术治疗的卵巢癌患者92例,随机分为对照组与观察组,各46例。对照组予以前者常规护理,观察组患者在予以常规护理的同时采取围术期中医辨证施护和快速康复护理联合干预。比较两组患者术后康复情况,对比干预前后两组患者的负性情绪、生活质量。

结果

干预后,观察组首次排气与排便时间、胃肠功能恢复、开始进食、下床活动时间均早于对照组,差异有统计学意义(P<0.05)。观察组在术后6 h、12 h、24 h、3 d、5 d的视觉模拟评分法(VAS)疼痛评分明显低于对照组,差异有统计学意义(P<0.05)。干预4 w后,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均明显降低,观察组降低较对照组明显,差异有统计学意义(P<0.05);观察组生活质量量表各维度评分均明显优于对照组,差异有统计学意义(P<0.05)。

结论

为卵巢癌患者提供围术期中医辨证施护联合快速康复护理干预效果明显,能有效促进患者术后康复,缓解术后疼痛,改善生活质量。

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