基于循证的多学科合作快速康复外科护理方案用于腹部肿瘤手术患者的效果探讨  

Exploring the Effectiveness of an Evidence-based Multidisciplinary Collaborative Rapid Rehabilitation Surgical Care Program for Patients Undergoing Abdominal Tumor Surgery

作　　者：戴晓萍 罗楚 戴家伟 Dai Xiaoping;Luo Chu;Dai Jiawei(Shenzhen Guangming District People's Hospital,Shenzhen 518106,Guangdong Province,China)

机构地区：[1]深圳市光明区人民医院,广东深圳518106

出　　处：《中外医药研究》2024年第26期99-101,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探讨基于循证的多学科合作快速康复外科护理方案在腹部肿瘤手术患者中的应用效果,以提高护理质量。方法:2020年1月—2023年9月,从深圳市光明区人民医院选取88例进行手术治疗的腹部肿瘤患者开展研究,将其随机划分为两组,一组为观察组,另一组为对照组,各44例。对照组实施常规护理模式,观察组在其基础上实施基于循证的多学科合作快速康复外科护理。比较两组护理满意度、不良反应发生情况及临床指标水平。结果:观察组护理总满意度高于对照组(P=0.013)。观察组不良反应总发生率低于对照组(P=0.013)。观察组住院时间、排气时间、首次经口进食时间短于对照组(P<0.001)。两组术后即刻疼痛评分比较,无统计学差异(P>0.05);观察组术后24h疼痛评分低于对照组(P<0.001)。结论:对于腹部肿瘤手术患者而言,基于循证的多学科合作快速康复外科护理方案展现出了极为显著的效果,可提高护理满意度,降低不良反应发生率,改善临床指标。Objective:To explore the effectiveness of an evidence-based multidisciplinary collaborative rapid rehabilitation surgical care program for patients undergoing abdominal tumor surgery.Methods:Eighty-eight patients with abdominal tumors who underwent surgical treatment at Shenzhen Guangming District People's Hospital from January 2020 to September 2023 were selected as the study subjects,and randomly divided into the observation group and the control group,each with forty-four cases.The control group implemented conventional nursing care model,and the observation group implemented evidence-based multidisciplinary collaborative rapid rehabilitation surgical nursing care model on the basis of the control group.The two groups were compared in terms of nursing satisfaction,the occurrence of adverse reactions and the level of clinical indicators.Results:The total nursing satisfaction of the observation group was higher than that of the control group(P=0.013).The total incidence of adverse reactions in the observation group was lower than that of the control group(P=0.013).The observation group's hospitalization time,exhaustion time,and first time of feeding through the mouth were shorter than that of the control group(P<0.001).The differences in the immediate postoperative pain scores of the two groups were statistically not significant when comparing the two groups(P>0.05);the 24 h postoperative pain score of the observation group was lower than that of the control group(P<0.001).Conclusion:Evidence-based multidisciplinary collaborative rapid rehabilitation surgical care program for patients undergoing abdominal tumor surgery is effective,which can improve nursing satisfaction,reduce the incidence of adverse reactions,and improve clinical indicators.

关 键 词：循证 多学科合作 快速康复 外科护理 腹部肿瘤手术 

分 类 号：R473.6[医药卫生—护理学]