Different Positions Nursing in Anal Endoscopic Minimally Invasive Surgery Treatment on Localized Colorectal Cancer

doi:10.3969/j.issn.1004-5775.2014.08.064

Abstract：Objective To explore the different postures nursing effect in anal endoscopic minimally invasive treatment on localized colorectal cancer.Methods 120 patients with rectal cancer were divided into the observation group and the control group by digital randomized method.Each group included 60 cases.For observation group , the left leg was pushed up and 1 min later the right leg was pushed up.After surgery , left leg was lowered down and 1 min later the right leg was lowered down.For control group , two legs were pushed up and lowered down at the same preoperative and postoperative time.Regular nursing was taken for patients in two groups.Postoperative pain , patient satisfaction and hemodynamics of the two groups were compared.Results Rate of patients in observation group with pain score below 5 points was higher than that of control group , and rate of patients with score more than five points was lower than the control group.The difference was statistically significant (P<0.01).Satisfaction rate of observation group was 80%, which was significantly higher than that of control group (56.67%,χ2 =6.87, P<0.01).Control of SBP, DBP, MAP, CVP and HR hemodynamic level of observation group was superior to that of control group ( P<0.05 ).Conclusion Nursing with single leg lithotomy position can effectively reduce surgical pain of rectal cancer patients treated with anal endoscopic minimally invasive surgery , improve patient satisfaction and control hemodynamics.It is worthy of promotion.