快速康复外科理念进行围术期护理在甲状腺外科中的应用研究  

Application of the Concept of Rapid Rehabilitation Surgery for Perioperative Nursing in Thyroid Surgery

作　　者：李燕萍[1] 林明芳 林国辉[2] LI Yanping;LIN Mingfang;LIN Guohui(Day Surgery Center Ward,the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361000 China;Department of General Surgery,the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361000 China)

机构地区：[1]厦门大学附属第一医院日间手术中心病房,福建厦门361000 [2]厦门大学附属第一医院普外科,福建厦门361000

出　　处：《中外医疗》2021年第33期149-151,156,共4页China & Foreign Medical Treatment

基　　金：厦门市科技计划指导性项目(3502Z20199011)。

摘　　要：目的探讨对甲状腺外科患者采用快速康复外科理念以及方法完成围术期管理后的临床效果。方法便利选取2020年2—12月收治的120例甲状腺外科患者进行围术期护理研究,随机分为常规护理组(常规护理)和康复护理组(常规护理+快速康复外科理念)各60例。比较两组患者并发症总发生率、护理质量评分、术中出血量、手术时间、术后下床时间、术后排气时间以及住院天数。结果康复护理组患者并发症总发生率8.33%明显低于常规护理组,差异有统计学意义(χ^(2)=6.000,P<0.05);康复护理组护理服务体系、诊区管理、护理满意度、护理服务态度评分高于常规护理组,差异有统计学意义(P<0.05);康复护理组术中出血量、手术时间同常规护理组比较,差异无统计学意义(P>0.05);护理后,康复护理组术后下床时间、术后排气时间以及住院天数均短于常规护理组,差异有统计学意义(P<0.05)。结论快速康复外科理念有效应用于围术期护理后,患者并发症、护理质量、术后下床时间、术后排气时间以及住院天数改善程度明显,可促进甲状腺外科患者整体预后水平提升。Objective To explore the clinical results obtained after perioperative management by adopting the concepts and methods of rapid rehabilitation surgery for thyroid surgery patients.Methods A total of 120 thyroid surgery patients admitted from February to December 2020 were conveniently selected for perioperative nursing research,they were randomly divided into routine care group(routine care)and rehabilitation care group(routine care+rapid recovery surgical concept),60 cases each.Compared the total incidence of complications,nursing quality scores,intraoperative blood loss,operation time,postoperative time to get out of bed,postoperative exhaust time,and hospital stays between the two groups.Results The total incidence of complications in the rehabilitation nursing group was 8.33%significantly lower than that in the conventional nursing group,and the difference was statistically significant(χ^(2)=6.000,P<0.05);nursing service system,clinic area management,nursing satisfaction and nursing service attitude score in the rehabilitation nursing group were higher than the conventional nursing group,and the difference was statistically significant(P<0.05);compared with the conventional nursing group in the amount of bleeding and operation time in the rehabilitation nursing group,the difference was not statistically significant(P>0.05);the time to get out of bed after operation,the exhaust time after operation,and the length of stay in the rehabilitation nursing group were shorter than those in the conventional nursing group,and the difference was statistically significant(P<0.05).Conclusion After the concept of rapid rehabilitation surgery is effectively applied to perioperative nursing,of complications,nursing quality,postoperative out-of-bed time,postoperative exhaust time,and hospitalization days of patients is obvious,which can promote the overall prognosis of patients with thyroid surgery.

关 键 词：围术期管理 快速康复外科理念 甲状腺外科 应用效果 

分 类 号：R47[医药卫生—护理学]