快速康复外科在腹部手术患者围手术期护理中的应用  

Application of fast track surgery in the perioperative nursing of patients with abdominal operation

作　　者：王立凤 解晨[2] 

机构地区：[1]山东省枣庄市皮肤病性病防治院护理部,277599 [2]山东省立医院院感办,济南250021

出　　处：《中华现代护理杂志》2014年第22期2793-2795,共3页Chinese Journal of Modern Nursing

摘　　要：目的：分析快速康复外科在腹部手术患者围手术期护理中的应用效果。方法将91例腹部手术患者采用分层区组随机化分组法分为观察组（46例）和对照组（45例），观察组采用快速康复外科方案，对照组采用常规治疗护理方案。观察术前不适感、术后疼痛程度、胃肠道功能恢复时间、并发症发生率等指标。结果与对照组比较，观察组患者术前感觉口渴、饥饿感、焦虑感的人明显少于对照组，差异均有统计学意义（χ2值分别为3．965，11．984，17．036；P＜0．05）。观察组与对照组术后排便时间分别为（50．79±2．52）h和（57．25±2．57）h，差异有统计学意义（t＝1．795，P＜0．05）。观察组的术后疼痛程度低于对照组，差异有统计学意义（Z＝-4．768，P＜0．01）。观察组观察组术后观察组并发症发生率为8．7％，低于对照组28．9％，差异有统计学意义（χ2＝6．106，P＜0．05）。结论快速康复外科护理干预较常规护理方案在腹部外科手术患者早期恢复中有明显优势。Objective To analyze the application effect of fast track surgery in the perioperative nursing of patients with abdominal operation .Methods Ninety-one patients with abdominal operation were chosen and divided into the control group （n=45） and the observation group （n=46） according the stratified randomization grouping method.The control group received the routine nursing , and the observation group received the fast track surgery.The preoperative discomfort , postoperative pain, time of gastrointestinal function recovery and the incidence rate of complications after operation were compared between two groups .Results Compared with the control group , the cases of patients with the sensation of thirst , hunger , anxiety in the observation group were significantly less than those in the control group , and the differences were statistically significant （χ2 =3.965, 11.984,17.036, respectively;P〈0.05）.The time of bowel movement after operation was （50.79 ±2.52） h in the observation group, and was （57.25 ±2.57） h in the control group, and the difference was statistically significant （t=1.795,P〈0.05）.The degree of postoperative pain in the observation group was lower than that of the control group, and the difference was statistically significant （Z=-4.768,P〈0.01）.The incidence rate of complications after operation in the observation group was 8.7%, and was lower than 28.9% in the control group, and the difference was statistically significant （χ2 =6.106,P〈0.05）.Conclusions Compared with conventional nursing , the nursing intervention of fast track surgery has obvious advantage to promote early recovery of patients with abdominal operation .

关 键 词：外科手术 围手术期护理 快速康复外科 

分 类 号：R473.6[医药卫生—护理学]