以FTS理念为基础的整体性护理干预在下肢动脉硬化闭塞症患者中的应用  

Application of holistic nursing intervention based on FTS concept in patients with lower extremity arteriosclerosis obliterans

作　　者：姜海英[1] 章希炜[1] 柏小丹[1] 沈静 谢静 邹君杰[1] 时晶 JIANG Haiying;ZHANG Xiwei;BAI Xiaodan;SHEN Jing;XIE Jing;ZOU Junjie;SHI Jing(Department of Vascular Surgery,the First Affiliated Hospital of Nanjing Medical University,Jiangsu Province,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院血管外科,江苏南京210029

出　　处：《中国医药导报》2022年第33期147-150,共4页China Medical Herald

基　　金：江苏省卫生计生委科研课题项目(H2017021)。

摘　　要：目的 探究以快速康复外科(FTS)理念为基础的整体性护理干预在下肢动脉硬化闭塞症患者中的应用。方法 选取南京医科大学第一附属医院血管外科2019年11月至2021年12月收治的下肢动脉硬化闭塞症患者82例,根据随机数字表法分为对照组和试验组,每组41例。对照组实施常规康复护理干预,试验组实施以FTS理念为基础的整体性护理干预,对两组干预前后遵医行为及干预后3、7、15 d的睡眠质量变化情况进行比较。结果 干预后,两组合理饮食、坚持锻炼、定时服药及定期复查得分均高于干预前,且试验组高于对照组,差异有统计学意义(P <0.05);整体分析发现:两组匹兹堡睡眠质量指数(PSQI)组间、时间点及交互作用比较,差异均有统计学意义(P <0.05)。进一步两两比较,组内比较:两组PSQI各时间点比较,差异均有统计学意义(P <0.05);组间比较:试验组各时间点PSQI均低于对照组,差异有统计学意义(P <0.05)。结论 对下肢动脉硬化闭塞症患者采取以FTS理念为基础的整体性护理干预措施,对强化患者遵医行为、睡眠质量等效果较为显著。Objective To explore the application of holistic nursing intervention based on fast track surgery(FTS)concept in patients with lower extremity arteriosclerosis obliterans. Methods A total of 82 patients with lower extremity arteriosclerosis obliterans received from the First Affiliated Hospital of Nanjing Medical University from November 2019 to December 2021 were selected, according to the random number table method, they were divided into control group and experimental group, with 41 cases in each group, the control group received routine rehabilitation nursing intervention, the experimental group implemented holistic nursing intervention based on FTS concept, the changes of compliance behavior before and after intervention and sleep quality 3,7,15 d after intervention of patients in the two groups were observed and compared between the two groups. Results After the intervention, the scores of reasonable diet, exercise, regular medication,and regular review in the two groups were higher than those before the intervention, and the experimental group was higher than the experimental group, and the differences were statistically significant(P < 0.05);overall analysis showed that there were statistically significant differences between groups, time points and interaction(P < 0.05);further pairwise comparison and intra-group comparison: there were statistically significant differences in Pittsburgh sleep quality index(PSQI) between the two groups at each time point(P < 0.05);comparison between groups: PSQI in the experimental group was lower than that in the control group at each time point, and the differences were statistically significant(P < 0.05). Conclusion The holistic nursing intervention based on FTS concept for patients with lower extremity arteriosclerosis obliterans has a considerable effect on strengthening patients’ compliance behavior and sleep quality.

关 键 词：下肢动脉硬化闭塞症 快速康复外科理念 整体性护理 遵医行为 睡眠质量 

分 类 号：R473[医药卫生—护理学]