Influence of fast track surgery and systematic intervention on the quality of life of empty-nest operation patients with anus for rectal cancer living on basic subsistence allowances

Objective To explore the influence of fast track surgery and systematic intervention (FTS)on the quality of life of empty-nest operation patients with anus for rectal cancer living on basic subsistence allowances.Methods Totals of 94 cases with anus for rectal cancer living empty-nest on basic subsistence were randomly divided into observational group (n =46) which received FTS,and control group(n =48) received traditional management.They were investigated with health survey simple scale and nutritional risk screening scale.The complication incidence,exhaust and defecation time,and hospitalization time were observed and compared.Results The score of observational group in physical ability (84.90 ± 17.29 vs 75.29 ± 19.45),role physical (76.03 ± 37.55 vs 55.15 ± 46.38),body aches (79.23 ± 19.56 vs 69.29 ± 25.76),general health (58.12 ±21.78 vs 49.47 ± 21.80),effort (72.00 ± 17.99 vs 64.26 ± 19.71),social activities (85.96 ± 18.28 vs 73.90 ± 22.48),mental health (77.09 ± 37.07 vs 61.76 ± 44.29),role emotional (79.69 ± 15.79 vs 75.29 ± 15.52),were significantly higher than that of control group(t =3.8,3.88,3.85,4.01,5.12,6.08,3.11,4.31 ; P ＜ 0.01).No significant difference was found in the incidence of malnutrition and nutritional risk between two groups before surgery (P ＞0.05).While after surgery 7th day,the incidence of malnutrition (54.2％ vs 8.7％) and nutritional risk (37.5％ vs 17.39％) of control group were significantly higher than that of observational group (x2 =9.27,P ＜ 0.01).And the time of removing gastric tube the first exhaust defecation time,first off the bed time,length of stay,expenditure in observational group were significantly lower than than that of controlgroup [(0.5 ± 0.14) vs (5.52 ± 1.52) d,(2.94 ± 0.78) vs (5.22 ± 1.10) d,(0.55 ±0.43) vs (3.75 ±0.94)d,(6.81 ±2.36) vs (9.66 ±3.71)d,(21065.45 ±2365.67) vs (24 355.34 ± 3 245.23) ￥ ; P ＜ 0.01].Conclusions Fast track surgery and systematic intervention do good for the cure of the empty-nest operation patients with anus for rectal cancer living on basic subsistence allowances and improve their quality of life. Key words: Anus cancer;  Nursing;  Quality of life ;  Fast track surgery