快速康复外科护理在重度脊柱侧凸行后路矫正术患者中的应用效果  

Effect of Fast Track Surgery Nursing in Patients with Severe Scoliosis Undergoing Posterior Correction Surgery

作　　者：胡冠兰 尤芸芸 HU Guanlan;YOU Yunyun(Department of Orthopedics,No.909 Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army/Southeast Hospital Affiliated to Xiamen University,Zhangzhou 363000,Fujian Province,China)

机构地区：[1]中国人民解放军联勤保障部队第九〇九医院/厦门大学附属东南医院骨科,福建漳州363000

出　　处：《中国实用乡村医生杂志》2023年第5期60-63,共4页Chinese Practical Journal of Rural Doctor

摘　　要：目的探讨重度脊柱侧凸行后路矫正术患者实施快速康复外科(fast track surgery,FTS)护理的效果。方法选取在2021年1月—2022年12月中国人民解放军联勤保障部队第九〇九医院/厦门大学附属东南医院行后路矫正术治疗的82例重度脊柱侧凸患者,随机分为FTS组和常规组各41例,FTS组给予FTS护理,常规组给予临床常规护理。观察并比较两组术后恢复指标,以及干预前后生命质量和自我效能感。结果FTS组术后至首次肛门排气时间、首次排大便时间、首次下床活动时间均短于常规组,差异均有统计学意义(P<0.05)。干预后两组生命质量和自我效能感均得到改善,且FTS组优于常规组,差异均有统计学意义(P<0.05)。结论FTS护理能够促进重度脊柱侧凸行后路矫正术患者术后康复,提升生命质量和自我效能感,值得推广使用。Objective To Explore the effectiveness of fast track surgery(FTS) nursing for patients with severe scoliosis undergoing posterior correction surgery. Methods A total of 82 patients with severe scoliosis who were treated by posterior correction surgery in the No. 909 Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army/Southeast Hospital Affiliated to Xiamen University from January 2021 to December 2022 were selected. They were randomly divided into FTS group and conventional group with 41 cases each. FTS group was given FTS nursing, and conventional group was given routine clinical nursing. Observe and compare postoperative recovery indicators, as well as quality of life and self-efficacy before and after intervention between the two groups. Results The postoperative anal exhaust time, first bowel movement, and first time out of bed activity in the FTS group were all significantly shorter than those in the conventional group(P<0.05). After intervention,the quality of life and self-efficacy of both groups were improved, and the FTS group was significantly superior to the conventional group(P<0.05). Conclusion FTS nursing can promote postoperative rehabilitation, improve quality of life and self-efficacy for patients undergoing posterior correction surgery for severe scoliosis, and is worth promoting and using.

关 键 词：脊柱侧凸 重度 后路矫正术 护理 快速康复外科 效果 

分 类 号：R47[医药卫生—护理学]