基于FTS理念的协同护理对腹股沟疝手术患者恢复情况和社会支持的影响  

Effects of collaborative nursing based on the Fast-Track Surgery concept on recovery and social support in patients after inguinal hernia surgery

作　　者：赵丽娜 张传利 何世银 ZHAO Lina;ZHANG Chuanli;HE Shiyin(Gastrointestinal Surgery Hernia Center,Hefei First People’s Hospital,Anhui,Hefei 230000,China)

机构地区：[1]安徽省合肥市第一人民医院胃肠外科疝中心,230000

出　　处：《河北医药》2024年第23期3674-3676,3680,共4页Hebei Medical Journal

摘　　要：目的 探讨基于加速外科康复(FTS)理念的协同护理对腹股沟疝手术患者恢复情况、社会支持的影响。方法 选取2022年1月至2023年4月就诊的97例腹股沟疝手术患者的临床资料进行研究。按照基于FTS理念的协同护理实施时间前后,将2022年1至8月实施常规护理干预的45例患者设为常规组,将2022年9月至2023年4月在常规护理基础上联合基于FTS理念的协同护理的52例患者设为试验组。比较2组患者恢复情况、术后疼痛情况[视觉模拟评分法(VAS)]、社会支持水平[社会支持评定量表(SSRS)]、腹胀发生情况以及护理满意度。结果 试验组术后进食时间、术后排气时间、术后肠鸣音恢复时间、术后胃肠道蠕动时间、住院时间均短于常规组患者(P<0.05);试验组术后24 h、48 h的VAS评分均低于常规组患者(P<0.05);干预后,试验组SSRS各维度评分均高于常规组(P<0.05);试验组腹胀情况优于常规组(P<0.05);试验组患者护理满意度(92.31%)高于常规组(75.56%)(P<0.05)。结论 基于FTS理念的协同护理在腹股沟疝手术患者中应用良好,可加速患者恢复,提高患者社会支持水平,改善术后疼痛、腹胀情况并提高护理满意度。Objective To explore the effects of collaborative nursing based on the Fast-Track Surgery(FTS)concept on recovery and social support in patients after inguinal hernia surgery.Methods The clinical data of 97 patients undergoing inguinal hernia surgery between January 2022 and April 2023 were collected and analyzed.According to the implementation time of FTS-based collaborative nursing,they were divided into control group(45 cases,routine nursing,before implementation,between January and August 2022)and experimental group(52 cases,routine nursing+collaborative nursing based on FTS concept,after implementation,between September 2022 and April 2023).The recovery status,postoperative pain(the Visual Analogue Scale[VAS]),social support(the Social Support Rating Scale[SSRS]),incidence of abdominal distension and nursing satisfaction were compared between the two groups.Results The postoperative eating time,exhaust time,recovery time of bowel sound,gastrointestinal peristalsis time and hospitalization time in experimental group were all significantly shorter than those of control group(P<0.05).At 24h and 48h after surgery,the VAS scores in the experimental group were significantly lower than those of the control group(P<0.05).After intervention,the SSRS scores in the experimental group were significantly higher than those of the control group(P<0.05),and the abdominal distension was significantly milder(P<0.05).Nursing satisfaction was significantly higher in the experimental group than that of the control group(92.31%vs 75.56%,P<0.05).Conclusion The application effect of FTS-based collaborative nursing is good in patients after inguinal hernia surgery,which can accelerate recovery,increase social support level,relieve postoperative pain and abdominal distension,and improve nursing satisfaction.

关 键 词：加速外科康复理念 协同护理 腹股沟疝手术 恢复情况 社会支持 

分 类 号：R473.6[医药卫生—护理学]