Kết quả chăm sóc người bệnh sau phẫu thuật ung thư đại trực tràng tại Bệnh viện Trung ương Quân đội 108 năm 2024

Colorectal cancer (CRC) represents a significant global health challenge, ranking among the most prevalent malignancies with substantial morbidity and mortality rates, including in Vietnam. While surgical intervention remains the primary treatment modality, the efficacy of postoperative care critically influences patient recovery, complication prevention, and overall quality of life. Despite its importance, comprehensive evaluations of postoperative care outcomes for CRC patients have been limited in certain clinical settings. This study addresses this gap by investigating the specific outcomes of postoperative care delivered to colorectal cancer patients at the 108 Military Central Hospital in 2024, aiming to provide a scientific foundation for enhancing care quality and patient satisfaction.

Medical professionals, including surgeons, nurses, oncologists, and hospital administrators involved in colorectal cancer care, as well as healthcare policymakers and researchers.

This descriptive cross-sectional study assessed the care outcomes of postoperative management for 140 patients undergoing their first elective colorectal cancer surgery at the Institute of Gastrointestinal Surgery, 108 Military Central Hospital, between February and August 2024. The research evaluated 18 nursing activities across three levels of performance, classifying overall care as "good" if patients achieved at least 80% of the maximum score. Data analysis utilized SPSS 20.0. The findings revealed a generally high adequacy rate for postoperative care activities. Specifically, "medication administration" and "urinary catheter care" demonstrated the highest adequacy, exceeding 95% on day 1. Conversely, "psychological care" recorded the lowest adequacy at 73.6%. While adequacy rates for activities like monitoring, pain management, and nutritional care showed a decreasing trend over time, patient counseling and guidance, particularly concerning treatment adherence and perineal hygiene, significantly increased, surpassing 85% adequacy by day 5. Overall, 85.0% of patients received good postoperative care. The study concludes that the postoperative care provided for colorectal cancer patients at the 108 Military Central Hospital in 2024 was effective, with a significant majority of patients receiving adequate care and achieving favorable care outcomes. These insights underscore the importance of comprehensive and sustained care throughout the recovery period, providing valuable data for optimizing clinical protocols and improving patient well-being.