基于快速康复外科理念联合中医情志护理探讨其在机器人辅助下妇科恶性肿瘤根治术围术期护理中的应用价值  

To explore the application value of rapid rehabilitation surgery concept in perioperative nursing of gynecological malignant tumor with robot-assisted radical operation based on traditional Chinese medicine emotional nursing

作　　者：李艳玲 廖爱红[1] 李秋莲 袁菁 谢晓英[1] LI Yanling;LIAO Aihong;LI Qiulian;YUAN Jing;XIE Xiaoying(The First Affiliated Hospital of Gannan Medical College,Ganzhou 341000,China)

机构地区：[1]赣南医学院第一附属医院,江西赣州341000

出　　处：《临床医药实践》2024年第5期395-398,共4页Proceeding of Clinical Medicine

基　　金：江西省中医药管理局科技计划项目(项目编号:2022B322);赣州市科技计划项目(项目编号:GZ2023ZSF102)。

摘　　要：目的:探讨基于快速康复外科(ERSA)理念联合中医情志护理在机器人辅助下行妇科恶性肿瘤根治术围术期护理中的应用价值。方法:选择2021年4月—2022年5月在机器人辅助下行妇科恶性肿瘤根治术的患者84例,采用随机数字表法分为对照组和观察组,每组42例。对照组行常规护理,观察组行基于ERSA理念联合中医情志护理,对比两组术后康复指标、心理状况及护理满意度。结果:观察组术后首次排气时间、进食时间、下床活动时间及总住院时间均短于对照组,术后3 d Karnofsky评分(KPS评分)高于对照组,差异均有统计学意义(P<0.05)。两组患者出院当天焦虑自评量表(SDS)、抑郁自评量表(SAS)评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论:基于ERSA理念联合中医情志护理用于机器人辅助下妇科恶性肿瘤根治术围术期可促进患者术后康复,改善心理状况,提高满意度。Objective:To explore the application value of perioperative nursing of gynecological malignant tumor radical operation assisted by robot based on the concept of rapid rehabilitation surgery(ERSA)combined with traditional Chinese medicine emotional nursing.Methods:A total of 84 patients who underwent robot-assisted radical surgery for gynecological malignant tumors from April 2021 to May 2022 were selected and divided into control group and observation group by random number table method,with 42 cases in each group.The control group received routine nursing,and the observation group received ERSA combined with traditional Chinese emotional nursing.The postoperative rehabilitation indexes,psychological status and nursing satisfaction of the two groups were compared.Results:The first postoperative exhaust time,feeding time,getting out of bed time and total length of hospital stay in the observation group were shorter than those in the control group,and the postoperative 3 d Karnofsky(KPS)score was higher than that in the control group,the difference was statistically significant(P<0.05).The self-rating anxiety scale(SDS)and self-rating depression scale(SAS)on the day of discharge in the observation group were lower than those in the control group,and the total nursing satisfaction was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion:The application of ERSA concept combined with traditional Chinese medicine emotional nursing in the perioperative period of robot-assisted radical operation of gynecological malignant tumor can promote postoperative rehabilitation,improve psychological status and improve satisfaction.

关 键 词：妇科恶性肿瘤 快速康复外科理念 中医情志护理 机器人辅助 肿瘤根治术 

分 类 号：R737.3[医药卫生—肿瘤]