基于加速康复理念的循证护理措施在腹腔镜肾囊肿去顶术患者中的应用效果  

Application Effect of Evidence-based Nursing Measures Based on Accelerated Rehabilitation in Patients Undergoing Laparoscopic Renal Cyst Decaperation

作　　者：任振娟 任振亭 范慧杰 苌静[3] Ren Zhen-juan;Ren Zhen-ting;Fan Hui-jie;Chang Jing(The First Affiliated Hospital of Zhengzhou University,General Department,1 Ward,Zhengzhou 450000,Henan Province,China;The First Affiliated Hospital of Zhengzhou University,Urology Department,Zhengzhou 450000,Henan Province,China;The First Affiliated Hospital of Zhengzhou University,Health Care Office,Zhengzhou 450000,Henan Province,China)

机构地区：[1]郑州大学第一附属医院综合科一病区,河南郑州450000 [2]郑州大学第一附属医院泌尿外科,河南郑州450000 [3]郑州大学第一附属医院保健办公室,河南郑州450000

出　　处：《罕少疾病杂志》2023年第8期100-102,共3页Journal of Rare and Uncommon Diseases

基　　金：2019年河南省医学科技攻关计划联合共建项目(LHGJ20190072)。

摘　　要：目的分析加速康复理念应用于腹腔镜肾囊肿去顶术循证护理的应用价值。方法收集2019年1月至2022年1月在我院行腹腔镜下肾囊肿去顶术的患者合计86例,随机分组,即对照组、观察组,均43例。对照组常规护理,观察组应用加速康复理念下的循证护理措施。统计两组患者术后康复指标(首次下床时间、术后平均住院时长、术后肛门初次排气时长)、舒适度评分(活动后疼痛、静息疼痛、术前口渴、术后口渴以及患者满意度)以及术后并发症发生率。结果观察组患者术后首次下床时间、术后平均住院时间、肛门排气时间均短于对照组,P<0.05。观察组舒适度评分(活动后疼痛、静息疼痛、术前口渴、术后口渴以及患者满意度)均高于对照组,P<0.05。两组均未发生切口出血、切口感染、泌尿系感染,对照组出现1例术后心脑血管意外,1例出现深静脉血栓,并发症总发生率为4.65%(2/43),两组术后并发症发生率比较,P>0.05。结论加速康复理念应用于腹腔镜肾囊肿去顶术循证护理中不仅能够缩短患者首次下床时间、住院时长、术后肛门初次排气时长,提高患者舒适度,有效预防术后并发症,值得在临床上推广应用。Objective To evaluate the effectiveness of the accelerated rehabilitation concept in the laparoscopic renal cyst decapitation evidence-based nursing care.Methods From January 2019 to January 2022,86 patients had laparoscopic renal cyst decaperation at our hospital;43 patients were randomly assigned to the control group and the observation group.The observation group got evidence-based nursing interventions in accordance with the theory of rapid rehabilitation,while the control group received normal nursing care.The analysis included comfort scores(pain after activity,resting pain,thirst before surgery,thirst after surgery,and patient satisfaction),postoperative rehabilitation indexes(time to get out of bed for the first time,average length of hospital stay after surgery,duration of initial anal exhaustion after surgery),and incidence of postoperative complications.Results The first time of getting out of bed,the mean postoperative hospital stay and the anal exhaust time in the observation group were shorter than those in the control group,P<0.05.Comfort scores(post-activity pain,resting pain,preoperative thirst,postoperative thirst and patient satisfaction)in observation group were higher than those in control group(P<0.05).There was no incision bleeding,incision infection or urinary tract infection in the two groups.In the control group,there was 1 case of postoperative cardiovascular and cerebrovascular accident and 1 case of deep vein thrombosis,and the total complication rate was 4.65%(2/43).The postoperative complication rate was compared between the two groups,P>0.05.Conclusions The application of the concept of accelerated rehabilitation in the evidencebased nursing of laparoscopic renal cyst decapitation can not only shorten the time of patients getting out of bed for the first time,the length of hospital stay,the time of initial anal exhaust after surgery,improve the comfort of patients,and effectively prevent postoperative complications,which is worthy of clinical promotion and application.

关 键 词：腹腔镜 肾囊肿去顶术 加速康复理念 循证护理 临床效果 安全性 

分 类 号：R473.6[医药卫生—护理学]