快速康复外科理念在胆石症患者手术护理中的应用  

Application of rapid rehabilitation surgery theory in surgical care of patients with cholelithiasis

作　　者：孙静[1] 杨扬[1] 王亚丰[1] 单单单 SUN Jing;YANG Yang;WANG Ya-feng;SHAN Dan-dan

机构地区：[1]河南省人民医院心脏中心手术部,郑州市450003

出　　处：《护理实践与研究》2019年第5期104-106,共3页Nursing Practice and Research

基　　金：河南省科技厅攻关项目(172102310015)

摘　　要：目的探讨快速康复外科理念在胆石症患者手术护理中的应用效果,为临床指导胆石症患者围术期护理方案提供参考。方法选取2017年1—12月在我院行胆石症手术治疗的患者80例作为研究对象,按照手术顺序编号等分为两组,单号设为对照组,双号设为观察组。两组患者均行常规围术期护理,观察组在此基础上引入快速康复外科理念。比较两组患者入组时、术后1周焦虑自评量表(SAS)和抑郁自评量表(SDS)评分、术后不同时间点疼痛评分、术后排气时间、术后下床活动时间、住院时间、治疗费用、术后并发症发生情况及护理满意度。结果两组患者入组时SDS,SAS评分比较差异无统计学意义(P> 0. 05),术后1周两组患者SDS,SAS评分均较入组时明显降低,且观察组均明显低于对照组(P <0. 05);观察组患者术后1,2,3 d疼痛评分明显低于对照组(P <0. 05),两组患者术后6 h疼痛评分比较差异无统计学意义(P> 0. 05);观察组患者术后排气时间、下床活动时间均明显低于对照组(P <0. 05);观察组患者术后并发症发生率明显低于对照组(P <0. 05);观察组患者出院1周后回院随访时护理满意度显著高于对照组(P <0. 05)。结论快速康复外科理念引入胆石症手术患者围术期护理中,可有效改善患者负性情绪状态,缓解疼痛程度,减少并发症,提高患者护理满意度,具有较高的临床价值。Objective To explore the effect of rapid rehabilitation surgery concept on postoperative complications and satisfaction of patients with cholelithiasis, thus providing reference for clinical guidance of perioperative nursing programs for patients with cholelithiasis. Methods A total of 80 cases of patients with cholelithiasis in our hospital from January 2017 to December 2017 were selected as the study subjects. They were divided into two groups with the same number of patients according to the order of operation. Patients with the single number were set as the control group and patients with the double number were set as the observation group. The patients in both groups underwent routine perioperative nursing. The observation group was given the concept of rapid rehabilitation surgery into perioperative care based on the control group. The scores of SAS and SDS at the time of enrollment and 1 week after operation, the pain score at different time points after operation, the postoperative exhaust time, the time of postoperative outpatient activity, the length of hospital stay, the treatment cost, the postoperative complications and care satisfaction were compared between the two groups. Results There was no significant statistical difference in SDS and SAS scores between the two groups before the treatment( P >0.05). The SDS and SAS scores of the two groups at 1 week after surgery were significantly lower than those at the enrollment, and the scores of the observation group were significantly lower than those of the control group( P < 0.05 ). The pain scores of the observation group were significantly lower than those of the control group at 1 day, 2 days, and 3 days after operation( P <0.05). There was no significant statistical difference in pain scores between the two groups at 6 hours after operation( P >0.05). The postoperative exhaust time and time of getting out of bed in the observation group were significantly lower than that in the control group( P <0.05).The incidence of complications in the observati

关 键 词：胆石症 快速康复外科理念 并发症 满意度 

分 类 号：R473.6[医药卫生—护理学]