Xie C, Lai LL. Effect of comprehensive intervention on recovery of gastrointestinal function in patients with renal cancer after operation.
Shijie Huaren Xiaohua Zazhi 2015;
23:2328-2332. [DOI:
10.11569/wcjd.v23.i14.2328]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
AIM: To investigate the effect of comprehensive intervention on the recovery of gastrointestinal function in patients with renal cancer after operation.
METHODS: Ninety-eight patients with renal cancer who underwent surgery from January 2013 to October 2014 in Department of Urology Surgery of the Second Hospital of Tianjin Medical were enrolled and randomly divided into an observation group and a control group, with 49 cases in each group. Patients in the control group were given conventional gastrointestinal intervention. Based on it, cases in the observation group were given comprehensive intervention. The gastrointestinal functional recovery indexes, incidences of gastrointestinal complications, postoperative recovery indexes and patients' nursing satisfaction were compared between the two groups.
RESULTS: The times to recovery of bowel sound (15.95 h ± 3.73 h vs 18.74 h ± 4.16 h, P < 0.001), first exhaust (27.84 h ± 6.07 h vs 38.29 h ± 14.72 h, P < 0.001), and first defecation (46.08 h ± 7.84 h vs 61.23 h ± 14.10 h, P < 0.001), the incidences of gastrointestinal complications including nausea and vomiting (18.4% vs 40.8%, P < 0.05), abdominal distension (16.3% vs 34.7%, P < 0.05), and belching (12.2% vs 30.6%, P < 0.05), the time to ordinary diet (2.60 d ± 1.47 d vs 3.88 d ± 1.91 d, P < 0.001), wound healing time (6.62 d ± 2.54 d vs 8.34 d ± 2.31 d, P < 0.001), and hospital stay (10.69 h ± 2.83 h vs 13.45 h ± 4.71 h, P <0.001) in the observation group were significantly less than those in the control group, and the rate of cases with first exhaust within 30 h was significantly more than that in the control group (65.3% vs 34.7%, P < 0.05). Patients' total satisfactory rate in the observation group was significantly better than that in the control group (79.3% vs 55.1%, P < 0.05).
CONCLUSION: Comprehensive intervention could effectively accelerate the recovery of postoperative gastrointestinal function, promote the postoperative recovery and improve nursing satisfaction in patients with renal cancer.
Collapse