围手术期全面护理对胸腰椎骨折患者术后胃肠功能及满意度的影响  

Effect of Perioperative Comprehensive Nursing on Postoperative Gastrointestinal Function and Satisfaction of Patients with Thoracolumbar Fracture

作　　者：王迪 严华翠 WANG Di;YAN Huacui(Department of Surgery,People's Hospital of Jinxi County,Fuzhou 344800,China)

机构地区：[1]金溪县人民医院外科,抚州344800

出　　处：《中国医药指南》2024年第26期168-170,共3页Guide of China Medicine

摘　　要：目的探讨围手术期全面护理干预对胸腰椎骨折患者术后胃肠功能的影响。方法将金溪县人民医院2020年1月至2023年1月收治的80例胸腰椎骨折手术患者进行前瞻性研究,通过信封随机拆封的方式将患者分成观察组(n=40)及对照组(n=40);对照组行围手术期常规护理干预,观察组实施围手术期全面护理干预,比较两组患者术后胃肠功能的恢复情况及对护理服务的满意度。结果观察组胃肠功能肠鸣音恢复时间、首次排气时间、排便时间、正常饮食时间均短于对照组,术后3 d胃肠道功能分级优于对照组(均P<0.05)。观察组术后3 d内腹胀、便秘发生率均低于对照组(均P<0.05)。观察组术后4 d、7 d排便困难评分比较均低于对照组(均P<0.05)。观察组对于围手术期护理服务的满意度高于对照组(P<0.05)。结论在胸腰椎骨折患者的治疗中实施围手术期全面护理干预,能够加快患者术后胃肠功能的恢复并推动和谐护患关系的建立。Objective To explore the effect of perioperative comprehensive nursing intervention on postoperative gastrointestinal function of patients with thoracolumbar fracture.Methods A total of 80 patients with thoracolumbar fractures treated in Jinxi County People's Hospital from January 2020 to January 2023 were prospectively studied,and the patients were randomly divided into observation group(n=40)and control group(n=40)by unpacking envelopes.The control group received routine nursing intervention during perioperative period,while the observation group received comprehensive nursing intervention during perioperative period.The recovery of gastrointestinal function and satisfaction with nursing service were compared between the two groups.Results In the observation group,the recovery time of gastrointestinal function bowel sounds,the time of first gas evacuation,the time of defecation,and the time of normal diet were shorter than that of the control group,and the grading of gastrointestinal function was better than that of the control group in the 3 days postoperative period(all P<0.05).The incidence of abdominal distension and constipation in the observation group was lower than that of the control group in the 3 d postoperative period(both P<0.05).The scores of defecation difficulties in the observation group were lower than those in the control group in 4 and 7 d after surgery(both P<0.05).The observation group's satisfaction with perioperative nursing services was higher than that of the control group(P<0.05).Conclusions Comprehensive perioperative nursing intervention in the treatment of patients with thoracolumbar fractures can accelerate the recovery of gastrointestinal function after operation and promote the establishment of harmonious nurse-patient relationship.

关 键 词：胸腰椎骨折 全面护理干预 胃肠功能 护患关系 

分 类 号：R683.2[医药卫生—骨科学] R473.6[医药卫生—外科学]