Application of Rapid Rehabilitation Nursing in Perioperative Period of Laparoscopic Radical Prostatectomy for Prostate Cancer Patients

被引:3
作者
Liu, Huimin [1 ]
Yang, Ke [1 ]
Gong, Fanghua [1 ]
Wu, Yan [1 ]
Tang, Sanhui [1 ]
机构
[1] Hunan Normal Univ, Affiliated Hosp 1, Hunan Prov Peoples Hosp, 89 Guhan Rd, Changsha 410016, Hunan, Peoples R China
关键词
Clinical application - Experimental groups - Intra-operative - Patient satisfaction - Postoperative complications - Prostate cancers - Radical prostatectomy - Stress hormones;
D O I
10.1155/2021/9934539
中图分类号
TB3 [工程材料学];
学科分类号
0805 ; 080502 ;
摘要
The purpose of the study is to explore the application of rapid rehabilitation nursing strategy in the perioperative period of laparoscopic radical prostatectomy for patients with prostate cancer. A total of 120 patients with prostate cancer undergoing laparoscopic radical prostatectomy were randomly divided into two groups, with 60 cases per group. The control group was given routine nursing care, and the experimental group received rapid rehabilitation nursing strategies. The stress hormone (cortisol and norepinephrine) levels, patient satisfaction, length of hospitalization, hospitalization costs, and postoperative complication were compared between the two groups before and after nursing. The serum cortisol and norepinephrine levels in the control group before nursing were similar to those in the experimental group (P>0.05). The stress hormone levels in the experimental group were lower than those in the control group (P<0.05). It was found that the experimental group had reduced operation time, less intraoperative blood loss, shortened exhaust time, and hospitalization stay and was earlier to eat and to get out of bed than the control group (P<0.05). The time for the patients in the experimental group to pull out the drainage tube was significantly shorter than that of the control group (P<0.05), and the hospitalization costs were fewer than the control group (P<0.05). The rates of postoperative complications including nausea, vomiting, bleeding, and fever in the experimental group were significantly lower than those in the control group (P<0.05). In conclusion, the study suggests that rapid rehabilitation nursing strategies can reduce the stress hormone levels, shorten the length of hospitalization, reduce hospitalization costs, reduce postoperative complication rates, and improve patient satisfaction for prostate cancer patients undergoing laparoscopic radical prostatectomy, in support of clinical application.
引用
收藏
页数:5
相关论文
共 16 条
  • [1] Azawi NH, 2012, DAN MED J, V59
  • [2] Rapid rehabilitation in elderly patients after laparoscopic colonic resection
    Bardram, L
    Funch-Jensen, P
    Kehlet, H
    [J]. BRITISH JOURNAL OF SURGERY, 2000, 87 (11) : 1540 - 1545
  • [3] Colonic surgery with accelerated rehabilitation or conventional care
    Basse, L
    Thorbol, JE
    Lossl, K
    Kehlet, H
    [J]. DISEASES OF THE COLON & RECTUM, 2004, 47 (03) : 271 - 277
  • [4] Evidence-based surgical care and the evolution of fast-track surgery
    Kehlet, Henrik
    Wilmore, Douglas W.
    [J]. ANNALS OF SURGERY, 2008, 248 (02) : 189 - 198
  • [5] Hip arthroplasty patients benefit from accelerated perioperative care and rehabilitation - A quasi-experimental study of 98 patients
    Larsen, Kristian
    Hansen, Torben Baek
    Soballe, Kjeld
    [J]. ACTA ORTHOPAEDICA, 2008, 79 (05) : 624 - 630
  • [6] Cost-Effectiveness of Accelerated Perioperative Care and Rehabilitation After Total Hip and Knee Arthroplasty
    Larsen, Kristian
    Hansen, Torben B.
    Thomsen, Per B.
    Christiansen, Terkel
    Soballe, Kjeld
    [J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2009, 91A (04) : 761 - 772
  • [7] Lau A, 2018, CAN J ANESTH, V65, P1029, DOI 10.1007/s12630-018-1161-8
  • [8] Accelerated rehabilitation results in good outcomes following acute repair of proximal hamstring ruptures
    Leger-St-Jean, Benjamin
    Gorica, Zylyftar
    Magnussen, Robert A.
    Vasileff, W. Kelton
    Kaeding, Christopher C.
    [J]. KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2019, 27 (10) : 3121 - 3124
  • [9] The Diagnosis and Treatment of Prostate Cancer A Review
    Litwin, Mark S.
    Tan, Hung-Jui
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2017, 317 (24): : 2532 - 2542
  • [10] Fast-track surgery improves postoperative recovery in patients undergoing partial hepatectomy for primary liver cancer: A prospective randomized controlled trial
    Ni, C. Y.
    Yang, Y.
    Chang, Y. Q.
    Cai, H.
    Xu, B.
    Yang, F.
    Lau, W. Y.
    Wang, Z. H.
    Zhou, W. P.
    [J]. EJSO, 2013, 39 (06): : 542 - 547