作者：曾庆兵，陈柳云，龚懿，余华，姚典业，龚凤球

单位：中山大学附属第一医院 手术麻醉中心，广东 广州 510080

Authors:  ZENG Qingbing, CHEN Liuyun, GONG Yi, YU Hua, YAO Dianye, GONG Fengqiu

Unit:  Surgical Anesthesia Center, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, Guangdong, China

摘要：

目的  探讨加速康复外科护理在机器人辅助胃癌根治术病人中的应用效果。方法  选取2017年1月至2018年12月在我院胃肠外科中心行机器人辅助胃癌根治术的病人128例,随机分为对照组与观察组,每组64例。对照组按照胃癌手术常规围手术期护理;观察组患者采用加速康复外科护理干预,针对健康指导、心理护理,术前准备,术中护理,术后镇痛、饮食、早期活动几方面实施护理措施。比较两组患者术后的各项指标,主要包括患者对护理人员护理满意度调查、术后排气及排便时间、术后住院天数。结果  加速康复外科护理干预组的排气及排便时间、住院天数均短于对照组,护理满意度观察组高于对照组,组间差异显著(P<0.05),具有统计学意义。结论  对机器人辅助胃癌根治术患者实施加速康复外科护理,可促进患者术后康复,促进肚门尽快排气与排便,缩短患者的住院时间,提高护理满意度。

关键词： 加速康复外科; 机器人; 胃癌; 护理

Abstract：

Objective  To investigatet the effect of enhanced recovery after surgery nursing on robotassisted gastric cancer. Methods  The patients who underwent robot-assisted gastric cancer of 128 cases in our hospital from January 2017 to December 2018 were randomly divided into control group (n=64) and observation group (n=64). Routine nursing was applied to patients in the control group and enhanced recovery after surgery nursing to patients in the observation group with nursing measures of health guidance, psychological nursing, preoperative preparation, intraoperative nursing, postoperative analgesia, diet and early activities. The postoperative indexes of the two groups were compared, including anal exsufflation time, defecation time, hospitalization time and nursing satisfaction. Results  The exsufflation time, defecation time and hospitalization time in the observation group were shorter than those in the control group, while the nursing satisfaction of the observation group was higher than that of the control group, and the difference was statistically significant (P<0.05). Conclusion  The enhanced recovery after surgery nursing for patients undergoing robot-assisted gastric cancer can promote the postoperative rehabilitation of patients, promote the exhaust and defecation of belly door as soon as possible, shorten the hospitalization time and improve nursing satisfaction.

Key Words:  Enhanced recovery after surgery; Robotics; Gastric cancer; Nursing