快速康复外科护理对心脏瓣膜置换术患者术后压疮及不良反应的影响  

Effect of rapid rehabilitation surgical nursing on postoperative pressure sore and adverse reactions in patients undergoing cardiac valve replacement

作　　者：杜晓培[1] 王海彦[1] DU Xiao⁃pei;WANG Hai⁃yan(Heart Surgery of Seventh People's Hospital of Zhengzhou City,Zhengzhou 450000,Henan,China)

机构地区：[1]郑州市第七人民医院心脏外科,河南郑州450000

出　　处：《中国校医》2020年第6期427-428,431,共3页Chinese Journal of School Doctor

摘　　要：目的研究快速康复外科护理对心脏瓣膜置换术患者术后压疮及不良反应的影响。方法研究对象为2017年4月—2019年4月于某医院行心脏瓣膜置换术患者106例,依据随机数表法分为对照组和观察组,每组53例。对照组选用常规外科术后护理,观察组在对照组基础上实施快速康复外科护理。对比分析两组患者的术后恢复、并发症及压疮发生情况。研究两组患者的护理满意度。结果观察组下床时间、排便时间、排气时间早于对照组,总满意率(98.11%)高于对照组(83.02%),住院时间短于对照组,不良反应发生率(3.77%)低于对照组(15.09%),差异均有统计学意义(P<0.05)。结论对行心脏瓣膜置换手术患者实施快速康复外科护理,能够提升术后恢复效率,降低压疮等并发症发生率,具有且较高的患者满意率。Objective To study the effect of rapid rehabilitation surgical nursing on postoperative pressure sore and adverse reactions in patients undergoing cardiac valve replacement.Methods A total of 106 patients undergoing the cardiac valve replacement from April 2017 to April 2019 were divided into a control group and a trial group according to the random number table method,with 53 cases in each group.In the control group,the routine surgical nursing was used,and in the trial group,the rapid rehabilitation surgical nursing was used on the basis of the control group.The postoperative recovery,complications and pressure sore in two groups were investigated and compared.The nursing satisfactions of two groups were also investigated.Results The time of off⁃bed,the time of defecation and the time of exhaust of the trial group were sooner than those of the control group.The total satisfaction rate of the trial group(98.11%)was higher than that of the control group(83.02%),the total hospitalization time of the trial group was shorter than that of the control group,and the total incidence of adverse reactions(3.77%)of the trial group was lower than that of the control group(15.09%).The differences were statisti⁃cally significant(all P<0.05).Conclusion The rapid rehabilitation surgical nursing for patients undergoing cardiac valve replacement can significantly improve the postoperative recovery efficiency,greatly reduce the incidence of complications such as pressure sore,and is conducive to the good development of prognosis,and a higher nursing satisfaction rate can promote the establishment of a good doctor⁃patient relationship.

关 键 词：心脏瓣膜置换术 快速康复外科 压疮 护理 患者满意度 

分 类 号：R473.6[医药卫生—护理学]