快速康复外科护理对行胆结石根治术患者术后康复效果分析  

Analysis of the Effect of Rapid Rehabilitation Surgical Care on Postoperative Rehabilitation of Patients Undergoing Radical Gallstone Surgery

作　　者：兰丽芬 林荣珍 魏建兰[1] LAN Lifen;LIN Rongzhen;WEI Jianlan(Department of Surgery,Union Hospital Affiliated to Fujian Medical University,Fuzhou,Fujian Province,350000 China)

机构地区：[1]福建医科大学附属协和医院外科,福建福州350000

出　　处：《中外医疗》2023年第19期154-157,共4页China & Foreign Medical Treatment

摘　　要：目的 探讨快速康复外科护理对行胆结石根治术患者术后康复效果的影响。方法 随机选取2021年2月-2022年12月福建医科大学附属协和医院收治的行胆结石根治术患者90例为研究对象,将其随机划分至对照组(45例,常规护理)及观察组(45例,快速康复外科护理)内,记录评价心理状态、住院时间、肠道功能恢复时间及生活质量。结果 观察组住院时间、肠鸣音恢复时间及肛门排气时间均短于对照组,差异有统计学意义(P<0.05)。护理前,两组抑郁自评量表(Self-rating Depression Scale, SDS)、焦虑自评表(Self-rating Anxiety Scale, SAS)评分比较,差异无统计学意义(P>0.05),护理后,观察组SDS评分[(48.02±1.36)分]、SAS评分[(42.62±1.95)分]均低于对照组,差异有统计学意义(t=21.478、32.530,P<0.05)。观察组生活质量调查表各维度评分均高于对照组,差异有统计学意义(P<0.05)。讨论为胆结石根治术患者术后实施快速康复外科护理干预可明显改善患者的心理状态及生活质量水平,且对缩短患者住院时间及肠道功能恢复时间均具有积极作用。Objective To investigate the effect of rapid rehabilitation surgical care on the postoperative rehabilitation of patients who underwent radical gallstone surgery.Methods Ninety patients who underwent radical cholecystectomy at the Union Hospital Affiliated to Fujian Medical University from February 2021 to December 2022 were randomly selected as the study subjects.They were randomly divided into a control group(45 cases,routine care)and an observation group(45 cases,rapid rehabilitation surgical care),and their psychological status,hospitalization time,intestinal function recovery time,and quality of life were recorded and evaluated.Results The hospitalization time,recovery time of bowel sounds,and anal exhaust time of the observation group were shorter than those of the control group,and the difference was statistically significant(P<0.05).Before nursing,there was no statistically significant difference in the scores of the Self-rating Depression Scale(SDS)and Self-rating Anxiety Scale(SAS)between the two groups(P>0.05).After nursing,the SDS score[(48.02±1.36)points]and SAS score[(42.62±1.95)points]of the observation group were lower than those of the control group,and the difference was statistically significant(t=21.478,32.530,P<0.05).The scores of all dimensions of the quality of life questionnaire in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion The implementation of rapid rehabilitation surgical nursing intervention for radical gallstone surgery patients after surgery can significantly improve the psychological state and quality of life level of patients,and has a positive effect on shortening the hospitalization time and intestinal function recovery time of patients,which is worthy of promotion.

关 键 词：快速康复 外科护理 胆结石根治术 术后康复 

分 类 号：R5[医药卫生—内科学]