Application of fast track surgery in perioperative nursing of laryngeal carcinoma

Abstract:

Objective：To explore the application effect of fast track surgery（FTS） in perioperative nursing of laryngeal carcinoma. Methods：This study recruited 77 patients with laryngeal carcinoma admitted to our hospital in July 2016 and December 2019. With the consent of the patients，the patients were randomized into control group（38 cases） and observation group（39 cases）. The control group were given routine nursing，the observation group were treated with FTS perioperative nursing，and the nursing indexes of pa－tients such as postoperative complications，nutritional indicators，average postoperative length of stay，average hospitalization expens－es，patient satisfaction，scoring results of self-rating anxiety scale（SAS） and self-rating depression scale（SDS） and so on during hos－pitalization between the two groups were compared. Results：The total incidence of postoperative complications in the observation group was 5.12%，significantly lower than that（14.91%） in the control group（χ2=10.970，P=0.001）. The values of hemoglobin and serum protein in the observation group before discharge were significantly higher than those in the control group（P<0.05）. The average post－operative hospital stay in the observation group was（10.00±1.05） days and the average hospital stay expense was （36 943.00±2 101.90） yuan，both significantly lower than those in the control group（P<0.05）. The satisfaction scores of patients in the observa－tion group were significantly better than those in the control group（P<0.05）. SAS and SDS scores of patients in the observation group were significantly lower than those in the control group before and after operation（P<0.05）. Conclusion：Patients with laryngeal car－cinoma treated with perioperative nursing by FTS can reduce the incidence of stress reaction and postoperative complications. The perioperative nursing of patients could acquire fast physical and mental recovery after the surgery and short-term hospital stay，which is a safe and efficient new nursing mode that is worthy of clini－cal nursing promotion and application.