快速康复外科护理对外科手术患者恢复效率及护理满意度的影响  

Influence of fast track surgery nursing on recovery efficacy and satisfactory degree toward nursing in patients with surgery

作　　者：张小红[1] 何红燕[1] 何红[1] 夏红霞[1] 

机构地区：[1]湖北省襄阳市中心医院护理部,湖北襄阳441021

出　　处：《实用临床医药杂志》2014年第4期18-21,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨快速康复外科在围术期护理中的应用效果。方法 100例手术治疗患者随机分为观察组和对照组,每组50例,对照组采用常规护理,观察组采用快速康复外科护理,比较2组患者的护理效果。结果 2组手术时间、术中出血量差异无统计学意义(P>0.05);观察组术后肠鸣音恢复时间、排便时间、住院时间、术后并发症显著少于对照组(P<0.05);观察组术后1 d的C反应蛋白和白细胞介素6显著低于对照组(P<0.05);观察组在总体服务、环境舒适和流程便捷方面的护理满意度显著高于对照组(P<0.05)。结论快速康复外科护理能够降低手术应激、加快外科手术患者术后恢复、减少并发症,是一种安全、有效的围术期护理方式。Objective To explore the effect of fast track surgery on the perioperative nurs- ing of patients with surgery. Methods 100 patients with surgery were randomly divided into the observation group and the control group, 50 cases in each group. The control group was treated with conventional nursing, while the observation group was treated with fast track surgery nursing. Nursing efficacy was compared between two groups. Results There were no significant differences of operation time and amount of intraoperative bleeding between two groups（P 〉0.05）. Postopera- tive recovery time of bowel sound, defecation time, hospital stay and postoperative complications in the observation group were significantly shorter and less than those in the control group （ P 〈0.05）. C reactive protein and IL-6 levels one day after operation in the observation group were sig- nificantly lower than those in the control group （P 〈 0.05）. Satisfactory degree toward nursing in the observation group was significantly higher than that in the control group （ P 〈 0.05）. Conclu- sion Fast track surgery nursing can reduce surgical stress reaction, promote the postoperative re- covery and reduce incidence of complications, so it is a safe and effective perioperative nursing method.

关 键 词：快速康复外科 护理 手术 术后恢复 护理满意度 

分 类 号：R473.6[医药卫生—护理学]