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《Chinese Journal of Clinical Oncology and Rehabilitation》 2018-09
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Efficacy of clinical nursing pathway combined with fast-track surgery guided nursing in postoperative radical gastrectomy

WU Yan;LI Ping;Department of General Surgery,Yangzhou University Affiliated Hospital;  
Objective To explore the efficacy of clinical nursing pathway( CNP) combined with fast-track surgery( FTS) guided nursing in postoperative radical gastrectomy and its effects on stress response. Methods A total of 86 patients who underwent adical gastrectomy for gastric cancer at Yangzhou University Affiliated Hospital from December 2016 to March 2018 were selected and randomly divided into a research group and a control group with 43 patients in each group. The research group received CNP combined with FTS guided nursing intervention and the control group received routine perioperative nursing intervention. Results The overall knowledge awareness socre was high in the research group than in the control group( P 0. 05). The anal exhaust time and hospital stay was shorter in the research group than in the control group( all P 0. 05). Changes in inflammatory factor C reactive protein( CRP),serum amyloid a protein( SAA),and IL-6 were significantly better in the research group than in the control group( all P 0. 05). The overall complication rate was 18. 6% in the research group which was lower than 41. 9% of the control group( P 0. 05). Conclusion The efficacy of CNP combined with FTS guided nursing in postoperative radical gastrectomy is high and should be further popularized in clinical practice.
【CateGory Index】: R473.73
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