动机激发策略在后腹腔镜肾癌根治术快速康复外科干预中的应用  

Application of fast track surgery motivational intervention strategies in renal carcinoma after laparoscopic

作　　者：武雪梅[1] 黄和平[1] 陶玲[2] 

机构地区：[1]新疆石河子大学医学院第一附属医院泌尿外科,新疆石河子832008 [2]新疆石河子大学医学院第一附属医院社区卫生服务站,新疆石河子832008

出　　处：《现代预防医学》2015年第15期2855-2858,共4页Modern Preventive Medicine

基　　金：新疆生产建设兵团科技攻关计划课题(2014BA037)

摘　　要：目的研究动机激发策略在后腹腔镜肾癌根治术快速康复外科干预中的应用效果。方法按照随机数字表法将110例患者分为对照组55例,试验组55例,对照组接受快速康复外科干预,试验组在此基础上,将动机激发策略应用于快速康复外科干预的过程中,对两组患者干预后的相关指标进行比较。结果试验组干预后治疗依从性高于对照组,术后通气、进食、下床时间均早于对照组,住院时间较对照组缩短,住院费用较对照组减少,镇痛效果优于对照组,差异均有统计学意义(P<0.05)。结论将动机激发策略应用于后腹腔镜肾癌根治术快速康复外科干预中,可提高患方对FTS方案的依从性,充分发挥其主观能动性,可获得更满意的临床效果和更优的镇痛效果。Objective To investigate the practical effect of the motivational strategies in laparoscopic radical nephrectomy after fast track surgery. Methods According to a random number table, 110 cases were equally divided into a control group and an experimental group. The control group received the intervention of fast track surgery, while the experimental group, in addition to the experimental treatment, received the motivational strategy for rapid rehabilitation of surgical intervention. The relevant indexes after the intervention of the two groups of patients were compared. Results Experimental group had a higher compliance rate after the intervention, and their postoperative ventilation, eating, and ambulation time were earlier than those in the control group. The experimental group shortened hospital stay, and reduced hospital costs compared with the control group. The analgesic effect was better than the control group, the difference existed statistically significant（P0.05）. Conclusion Motivational Strategies can improve the risk of side of the FTS program compliance, and it can get more satisfactory clinical results and better analgesia.

关 键 词：腹腔镜 肾癌 快速康复外科 动机激发 

分 类 号：R69[医药卫生—泌尿科学]