Abstract
Objective To explore the clinical value of whole nursing model in enhanced recovery after surgery (ERAS) in perioperative colorectal surgery. Methods Chose 150 patients with colorectal cancer who underwent laparoscopic surgery from July 2015 to July 2016 were selected as the subjects, they were randomly divided into the whole course nursing group (75 cases) and the control group (75 cases), perioperative control group with accelerated rehabilitation nursing, nursing group were given nursing intervention on the basis of accelerated rehabilitation nursing, the whole nursing group nurses and doctors cooperate with the patients during the whole hospital during the diagnosis and treatment of nursing, cooperate with doctors to adjust treatment plan in time, further promoting the implementation of accelerated rehabilitation measures. Compared two groups of patients with postoperative anal exhaust defecation time, postoperative eating for the first time, postoperative ambulation time, hospitalization time, and the incidence of complications such as urinary retention, abdominal distension, pulmonary infection, postoperative pain, hypoproteinemia and other complications. Results In the whole nursing group, the first defecation time (t=-13.49, P=0.034), the first postoperative ambulation time (t=17.067, P=0.044), the postoperative eating time (t=9.704, P<0.01), and total hospitalization time (t=-0.195, P=0.045) were less than the control group, the complications of postoperative pulmonary infection (χ2=4.807, P=0.028), pain (χ2=5.021, P<0.025) were also better than the control group, the differences were statistically significant (P< 0.05) . Conclusion The whole nursing mode in colorectal surgery system provide patients with a full, systematic, continuous holistic care. Furthermore, the model can reduce the postoperative complications, improve patient′s satisfaction, shorten the hospitalization time of patients with positive significance. Key words: Nursing services; Enhanced recovery after surgery; Perioperative
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