KẾT QUẢ CHĂM SÓC, ĐIỀU TRỊ NGƯỜI BỆNH SAU PHẪU THUẬT UNG THƯ ĐẠI TRỰC TRÀNG TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

A prospective descriptive study was performed at the Department of General Surgery - Hanoi Medical University Hospital from October 2020 to June 2021 on 120 patients after the first colorectal cancer surgery. Objectives: (1) Describe the clinical course of patients after colorectal cancer surgery at Hanoi Medical University Hospital. (2) Analysis of patient care results and some related factors. Results: the mean postoperative hospital stay was 15.58 ± 4.26 days. Patients have severe pain in turn - Fever: accounted for the highest rate on day 1 (6.7%), followed by day 3 (20%), by day 5 (14.2%, day 7 only 2 days) .5% Abnormal blood pressure: the highest rate is on day 2 (12.5%), followed by day 1 (6.7%), by day 5 (9.2%), only on day 7 4.2% Postoperative pain: Patient had severe pain on day 1, accounted for 5.8%, increased to 10.8% on day 3, on day 5 reduced to 7.5%, and on day 7 the pain was much less (0.0%) ) Moderate pain accounted for the highest on day 3 (74.2%) and the lowest rate on day 7 (6.7%). Only mild pain on day 1 accounted for 47.5% and increased on day 1. 7 accounted for 93.3% Passing: on day 1 there was no patient with defecation (100%), on day 3, it accounted for 27.5%, on day 5 it increased to 71.7% and on day 7 had 100% The patient had a bowel movement Regarding care activities: the rate of incision care ≥ 1 time/day accounted for 90%; drain care ≥ 1 time/day accounted for 70%; urinary catheter care ≥ 1 time/day accounting for 67.5%; IVF care ≥ 1 time/day accounted for 31.7%. Results of good care (77.5%); good/moderate care (22.5%). low and statistically significant between age; between education level, hospital stay and outcome of care (p < 0.05). Between patients receiving incision and drainage care < 1 time/day and ≥ 1 time/day; between colostomy care < 1 time/day and ≥ 1time/day with care outcome (p < 0.05).