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| Application effect of quantitative activity intervention in clinical nursing of gastric cancer patients undergoing enhanced recovery after surgery |
| LIN Chunyan BAO Chuanqing XU Binghua YANG Zenghui▲ |
| Gastrointestinal Surgery Department, Affiliated Hospital of Jiangnan University (Formerly the Third People′s Hospital of Wuxi), Jiangsu Province, Wuxi 214000, China |
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Abstract Objective To explore the effect of application activity intervention in clinical nursing of gastric cancer patients undergoing enhanced recovery after surgery (ERAS). Methods A total of 150 patients who underwent gastric cancer surgery in the Affiliated Hospital of Jiangnan University (Formerly the Third People′s Hospital of Wuxi City) from January 2017 to January 2019 were selected. According to the random number table method, they were divided into control group (75 cases) and observation group (75 cases). Both groups received ERAS care, the control group received routine activities, and the observation group receiveded quantitative activity intervention; Physical recovery, activity, pain score, postoperative complications and sleep were compared between the two groups. Results The postoperative out-of-bed activity time, normal diet recovery and anal exhaust time of the observation group were shorter than that of the control group, with statistically significant differences (P ＜ 0.05). There was no significant difference between the two groups immediately after surgery (P ＞ 0.05). The pain scores of the two groups were compared with the immediate scores at 24, 48 h and 72 h after surgery, and the differences were statistically significant (P ＜ 0.05). Immediate postoperative, 24, 48 h and 72 h after surgery patients in the two groups were compared, the differences were statistically significant (P ＜ 0.05). The differences of time and interaction between the two groups were statistically significant (P ＜ 0.05). At 24, 48 and 72 h after surgery, the number of active steps, distance of active distance and duration of sleep in the two groups were compared, and the difference was statistically significant (P ＜ 0.05), and the number of active steps, distance of active steps and night sleep in the observation group were more than that in the control group (P ＜ 0.05). The probability of postoperative complications in the observation group was lower than that in the control group (P ＜ 0.05). Conclusion Quantitative activity intervention has a significant effect on the clinical nursing of ERAS in patients with gastric cancer surgery. Quantitative activity intervention measures can reduce postoperative pain and postoperative complications, improve sleep quality and postoperative recovery of patients.
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