基于快速康复外科理念的精细化护理在颅脑损伤患者术后护理中的应用效果  

Application Effect of Refined Nursing Based on the Concept of Fast Track Surgery in Postoperative Nursing of Patients with Craniocerebral Injury

作　　者：陈晓影[1] 李学新[1] 吕红霞 刘凯丽 CHEN Xiaoying;LI Xuexin;LYU Hongxia;LIU Kaili(Department of Neurosurgery,Affiliated Hospital of Binzhou Medical College,Binzhou 256600,China)

机构地区：[1]滨州医学院附属医院神经外科,山东滨州256600

出　　处：《反射疗法与康复医学》2024年第15期187-190,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨基于快速康复外科(FTS)理念的精细化护理在颅脑损伤患者术后护理中的应用效果。方法选取2021年9月—2023年9月我院收治的76例颅脑损伤手术患者为研究对象,按随机数字表法将其分为对照组和观察组,各38例。对照组采取常规护理,观察组采取基于FTS理念的精细化护理。对比两组术后恢复情况、不适症状、并发症发生率及护理满意度。结果护理后,观察组下床活动时间及住院时间均短于对照组,术后72 h疼痛视觉模拟评分低于对照组,Kolcaba的简化舒适状况量表中各维度评分均高于对照组,组间差异有统计学意义(P<0.05)。观察组并发症发生率为5.26%,低于对照组的21.05%,差异有统计学意义(P<0.05)。观察组护理总满意度为97.37%,高于对照组的78.95%,差异有统计学意义(P<0.05)。结论基于FTS理念的精细化护理能促进颅脑损伤患者术后恢复,减轻身心不适,减少并发症,提高护理满意度。Objective To explore the application effect of refined nursing based on the concept of fast track surgery(FTS)in postoperative nursing of patients with craniocerebral injury.Methods A total of 76 patients with craniocerebral injury treated in our hospital from September 2021 to September 2023 were selected as the study objects and were divided into a control group and an observation group according to random number table method,with 38 cases in each group.The control group received routine nursing,while the observation group received refined nursing based on FTS concept.The postoperative recovery,discomfort symptoms,incidence of complications,and nursing satisfaction between the two groups were compared.Results After nursing,the time of getting out of bed and staying in hospital in the observation group were shorter than those in the control group,and the pain visual analogue scale score 72 h after surgery was lower than that in the control group,the scores of Kolcaba's simplified comfort status scale were higher than those of the control group,the differences between the two groups were statistically significant(P<0.05).The incidence of complications in the observation group was 5.26%,which was lower than 21.05%in the control group,the difference was statistically significant(P<0.05).The total nursing satisfaction in the observation group was 97.37%,which was higher than 78.95%in the control group,the difference was statistically significant(P<0.05).Conclusion The refined nursing based on FTS concept can promote the postoperative recovery of patients with craniocerebral injury,relieve physical and mental discomfort,reduce complications,and improve nursing satisfaction.

关 键 词：颅脑损伤 快速康复外科理念 精细化护理 术后恢复情况 不适症状 

分 类 号：R473.6[医药卫生—护理学]