Application of fast-track pathway in perioperative patients with primary hepatic carcinoma

REN Chun-xia; LI Lun-lan; DING Ping; WANG Li; WANG Hong-xia; WU Le; FAN Yin-guang

doi:10.16462/j.cnki.zhjbkz.2016.06.015

Volume 20 Issue 6

Jun. 2016

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REN Chun-xia, LI Lun-lan, DING Ping, WANG Li, WANG Hong-xia, WU Le, FAN Yin-guang. Application of fast-track pathway in perioperative patients with primary hepatic carcinoma[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2016, 20(6): 600-603,608. doi: 10.16462/j.cnki.zhjbkz.2016.06.015

Citation:

REN Chun-xia, LI Lun-lan, DING Ping, WANG Li, WANG Hong-xia, WU Le, FAN Yin-guang. Application of fast-track pathway in perioperative patients with primary hepatic carcinoma[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2016, 20(6): 600-603,608. doi: 10.16462/j.cnki.zhjbkz.2016.06.015

Citation:

REN Chun-xia, LI Lun-lan, DING Ping, WANG Li, WANG Hong-xia, WU Le, FAN Yin-guang. Application of fast-track pathway in perioperative patients with primary hepatic carcinoma[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2016, 20(6): 600-603,608. doi: 10.16462/j.cnki.zhjbkz.2016.06.015

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Application of fast-track pathway in perioperative patients with primary hepatic carcinoma

doi: 10.16462/j.cnki.zhjbkz.2016.06.015

1. Ward One of Hepatopancreatobiliary Surgery Department, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China;
2. Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei 230032, China;
3. Department of Nursing, the Fist Affiliated Hospital of Anhui Medical University, Hefei 230022, China

Received Date: 2016-01-18
Rev Recd Date: 2016-03-20

Abstract

Abstract

Objective To evaluate the effect of clinical nursing pathway based on fast-track surgery in perioperative patients with primary hepatic carcinoma (PHC). Methods A total of 87 PHC patients undergoing elective hepatectomy were enrolled, and divided into two groups by admission time, namely the control group (45 cases) and the experimental group (42 cases). The patients in the experimental group participated in clinical nursing pathway (CNP) based on the fast-track surgery while the cases in the control group received traditional perioperative nursing care of hepatectomy. Level of perioperative anxiety and postoperative pain, discomfort and complications, hospital stay, costs and re-admission rate were measured. Results Final analysis included 39 patients in the experimental group and 43 patients in the control group. Compared with the control group, scores of self-rating anxiety scales (SAS) and pain were significantly lower in the experimental group (all P<0.05). No significantly differences between the two groups were observed regarding postoperative discomfort and most of complications,hospitalization expense and re-admission rates (all P>0.05) while pulmonary infection rate was lower and hospital stay was shorter in the experimental group (all P<0.05). Conclusions Application of fast-track nursing pathway in perioperative patients with PHC can reduce operative stress and anxiety, achieve faster recovery,which is safe and effective.
- Rehabilitation nursing,
- Clinical nursing research,
- Liver neoplasms,
- Hepatectomy

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References(17)

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