加速康复外科护理在急性阑尾炎手术患者中的应用效果  

Application effects of enhanced recovery after surgery nursing in patients with acute appendicitis undergoing surgery

作　　者：宋珊珊 SONG Shanshan(Department of General Surgery of Kaifeng People’s Hospital,Kaifeng 475000 Henan,China)

机构地区：[1]开封市人民医院普通外科,河南开封475000

出　　处：《中国民康医学》2025年第6期191-193,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察加速康复外科护理在急性阑尾炎手术患者中的应用效果。方法:选取2020年2月至2023年6月该院收治的76例急性阑尾炎手术患者进行前瞻性研究,按照随机数字表法将其分为观察组与对照组各38例。对照组采用常规护理,观察组采用加速康复外科护理,比较两组术后首次下床活动时间、术后首次排气时间、术后首次排便时间、住院时间,视觉模拟评分法(VAS)评分,匹兹堡睡眠质量指数(PSQI)评分,舒适状况量表(GCQ)评分,负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]评分和并发症发生率。结果:观察组术后首次下床活动时间、术后首次排气时间、术后首次排便时间、住院时间短于对照组,差异均有统计学意义(P<0.05);护理后,观察组GCQ评分高于对照组,VAS、PSQI、HAMA、HAMD评分低于对照组,差异均有统计学意义(P<0.05);观察组并发症发生率为5.26%,明显低于对照组的23.68%,差异有统计学意义(P<0.05)。结论:加速康复外科护理应用于急性阑尾炎手术患者可提高GCQ评分,缩短术后首次下床活动时间、术后首次排气时间、术后首次排便时间和住院时间,以及降低负性情绪评分、VAS评分、PSQI评分和并发症发生率,效果优于单纯常规护理。Objective:To observe application effects of enhanced recovery after surgery nursing in patients with acute appendicitis undergoing surgery.Methods:A prospective study was conducted on 76 patients with acute appendicitis undergoing surgery admitted to the hospital from February 2020 to June 2023.According to the random number table method,they were divided into observation group and control group,38 cases in each group.The control group was given routine nursing,while the observation group was given the enhanced recovery after surgery nursing.The first out of bed time after the surgery,the first exhaust time after the surgery,the first defecation time after the surgery,the hospitalization time,the visual analogue scale(VAS)score,the Pittsburgh sleep quality index(PSQI)score,the general comfort questionnaire(GCQ)score,the negative emotion[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)]scores,and the incidence of complications were compared between the two groups.Results:The first out of bed time after the surgery,the first exhaust time after the surgery,the first defecation time after the surgery and the hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the GCQ score of the observation group was higher than that of the control group;the VAS,PSQI,HAMA and HAMD scores were lower than those of the control group;and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 5.26%,which was significantly lower than 23.68%in the control group,and the difference was statistically significant(P<0.05).Conclusions:The enhanced recovery after surgery nursing in the patients with acute appendicitis undergoing surgery can improve the GCQ scores,shorten the first out of bed time after the surgery,the first exhaust time after the surgery,the first defecation time after the surgery and the hospitalization time,and reduce the negative emot

关 键 词：加速康复外科护理 急性阑尾炎 负性情绪 并发症 

分 类 号：R473.6[医药卫生—护理学]