Effect of rapid rehabilitation nursing on prognosis and quality of life of patients after laparoscopic choledocholithotomy / 中国实用护理杂志

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.