快速康复外科理念对腹部手术患者围手术期护理影响的Meta分析  

Effect of fast-track surgery on perioperative nursing care for patients with abdominal surgery： a Meta analysis

作　　者：郭宪民[1] 唐婉[1] 王秀荣[1] 

机构地区：[1]吉林大学第一医院第三手术室,长春130021

出　　处：《中国实用护理杂志》2018年第2期154-160,共7页Chinese Journal of Practical Nursing

摘　　要：目的评价分析快速康复外科理念在腹部手术患者围手术期护理中的应用效果。方法以快速康复外科、围手术期护理为关键词，计算机检索中国知网、万方医学、Cochrane Library、PubMed数据库发表的相关文献，并筛选出以进行腹部手术的患者为研究对象的文献，采用RevMan5．3软件统计分析。结果有7篇文献纳入分析，试验组288例，对照组290例，运用快速康复外科理念进行护理的患者，患者对护理工作的满意度增高（P〈0．05），患者术后住院时间缩短（Z=6．71，P〈0．05），术后肛门排气时间缩短（Z=9．08，P〈0．05），术后切口感染的发生率降低（Z=2．65，P=0．05），节省了住院费用（Z=11．75，P〈0．05），而术后腹腔感染、吻合口瘘、肠梗阻、下肢深静脉血栓形成等并发症的发生并未增加。结论快速康复外科护理应用于腹部手术患者的围手术期能够提高患者的满意度，节省患者的住院费用，缩短住院时间，是安全可行的护理措施。Objective To evaluate the effect of fast-track surgery on perioperative nursing care for patients with abdominal surgery. Methods Using FTS and perioperative nursing as keywords, relevant literature was retrieved from the CNKI, Wanfang Med, Cochrane Library and PubMed databases. Articles including patients who underwent abdominal surgery as the research subjects were screened and analyzed with RevMan 5.3. Results Seven articles were included, covering 288 experimental cases and 290 control cases. Patients with FTS nursing had a higher satisfaction with nursing （P〈0.05）, shorter postoperative hospital stay （Z=6.71, P 〈 0.05）, shorter postoperative anal exhaust time （Z=9.08, P 〈 0.05）, and lower incidence of postoperative incision infection （Z=2.65, P=0.05）,Hospitalization costs were also reduced （Z=11.75, P 〈 0.05）. The incidence of complications, including postoperative abdominal infection, anastomotic fistula, intestinal obstruction, and lower extremity deep vein thrombosis, did not increase. Conclusions FTS nursing can improve the satisfaction of patients with abdominal surgery and reduce their hospitalization expenses and recovery time these results indicate that FTS is a safe and feasible nursing measure.

关 键 词：腹部 快速康复外科 围手术期护理 

分 类 号：R473.6[医药卫生—护理学]