快速康复外科护理在小儿腹股沟斜疝围手术期中管理的应用  

Application of Fast-track Surgery in perioperative management for children with indirect inguinal hernia

作　　者：李珂[1] 张镟 段守兴[1] 符马贤 杨绿频 李建宏[1] 蒋学武 LI Ke;ZHANG Xuan;DUAN Shouxing;FU Maxian;YANG Lvpin;LI Jianhong;JIANG Xuewu(Department of Pediatric Surgery,the Second Affiliated Hospital of Shantou University Medical College,Shantou 515041,China;Department of Pediatric Surgery,Maternal and Child Health Hospital of Pingshan District in Shenzhen(Maternal and Child Health Hospital of Shenzhen University),Shenzhen 518122,China)

机构地区：[1]汕头大学医学院第二附属医院小儿外科,汕头市515041 [2]深圳市坪山区妇幼保健院(深圳大学妇幼保健院)小儿外科,518122

出　　处：《护理管理杂志》2019年第11期824-827,共4页Journal of Nursing Administration

基　　金：国家自然科学基金(81501240);深圳市坪山区卫生科研项目(201732)

摘　　要：目的探讨快速康复外科护理在小儿腹股沟斜疝围手术期护理中的作用。方法将2017年1月至6月收治的100例患儿设为对照组,采用常规护理模式,将2017年7月至12月收治的100例患儿设为实验组,采用快速康复外科护理模式,包括完善术前准备、加强术中管理、促进术后康复等。结果实验组平均住院时间、术后并发症发生率均明显低于对照组(P<0.01或P<0.05),患儿家属满意度明显高于对照组(P<0.05)。结论快速康复外科护理应用于小儿腹股沟斜疝的围手术期管理,可有效降低患儿的平均住院时间及术后并发症发生率,同时提高家属满意度,为推广和深化整体医疗护理工作管理模式累积经验,也为小儿外科其他亚专业快速康复外科的实施提供参考。Objective To explore the effect of Fast-track Surgery(FTS)in perioperative management for children with indirect inguinal hernia.Methods A total of 200 children with indirect inguinal hernia were divided into experiment group(n=100,from July to December in 2017)and control group(n=100,from January to June in 2017).The control group were given traditional care,and the experimental group received FTS,including promoting preoperative readiness,strenthening operating management and postoperative rehabilitation.Results The average hospitalization time,the incidence of postoperative complicate in the experimental group were significantly lower than those of the control group(P<0.01 or P<0.05),the family satisfaction in the experimental group was higher than that of the control group(P<0.05).Conclusion The application of FTS in perioperative management for children with indirect inguinal hernia can effectively decrease average hospitalization time,the incidence of postoperative complicates,and improve patients'satisfaction,to accumulate experience for the promotion and deepening of the overall medical care management mode,and provide reference for the implementation of other sub-proffessional FTS in pediatric surgery.

关 键 词：小儿 腹股沟斜疝 快速康复外科 围手术期 

分 类 号：R473.72[医药卫生—护理学]