Study on outcome-oriented bundled care in patients undergoing pancreatic cancer surgery
以结局为导向的集束化护理在胰腺癌手术患者中的研究

摘要

目的 探讨以结局为导向的集束化护理在胰腺癌手术患者中的应用价值。方法 纳入本院2024年1月-2024年8月期间45例胰腺癌手术患者，采用随机数据表法分为两组，分别为对照组（n=22，常规护理）与研究组（n=23，以结局为导向的集束化护理），比较两组患者护理效果。结果 研究组各项临床指标（首次排便、首次排气、肠鸣音恢复、首次进食、首次下床以及住院所需时间）均优于对照组，组间对比（P＜0.05）；护理前，两组患者各指标对比无明显差异（P＞0.05），护理后，研究组VAS 评分更低，而SQOL评分高于对照组，组间对比（P＜0.05）。结论 以结局为导向的集束化护理能够显著减轻胰腺癌手术患者的疼痛感，进而促进患者术后恢复，并提升患者生命质量，值得推广与应用。

Abstract

Objective To explore the application value of outcome-oriented bundled care in patients undergoing pancreatic cancer surgery.
Methods A total of 45 patients undergoing pancreatic cancer surgery in our hospital from January 2024 to August 2024 were enrolled and divided into two groups using a random data table method, namely, a control group (n=22, conventional care) and a study group (n=23, outcome-oriented bundled care). The nursing effects of the two groups were compared.
Results All clinical indicators (first defecation, first flatus, recovery of bowel sounds, first eating, first getting out of bed, and time required for hospitalization) of the study group were better than those of the control group, with a comparison between the two groups (P＜0.05); before nursing, there was no significant difference in the comparison of each indicator between the two groups of patients (P＞0.05). After nursing, the VAS score of the study group was lower, while the SQOL score was higher than that of the control group, with a comparison between the two groups (P＜0.05).
Conclusion   Outcome-oriented bundled care can significantly reduce the pain of patients undergoing pancreatic cancer surgery, thereby promoting postoperative recovery and improving the quality of life of patients. It is worthy of promotion and application.