快速康复外科理念护理在心脏外科手术患者中的应用效果  

Application effects of fast track surgery concept nursing in patients undergoing cardiac surgery

作　　者：邢小香 XING Xiaoxiang(Department of Cardiac Surgery of Jiaozuo Hospital of the 988th Hospital of Joint Logistics Support Force,Jiaozuo 454000 Henan,China)

机构地区：[1]联勤保障部队第九八八医院焦作院区心脏外科,河南焦作454000

出　　处：《中国民康医学》2025年第9期172-174,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察快速康复外科(FTS)理念护理在心脏外科手术患者中的应用效果。方法:选取2021年3月至2022年2月于该院行心脏外科手术的110例患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各55例。对照组实施常规护理,观察组实施FTS理念护理。比较两组围手术期指标(术后首次排气时间、术后首次进食时间、尿管拔除时间)水平,护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、生命质量[生活质量评定量表(QOL)]评分,以及并发症发生率。结果:观察组术后首次排气时间、术后首次进食时间、尿管拔除时间均短于对照组,差异有统计学意义(P<0.05);护理后,两组SAS、SDS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组社会功能、角色功能、认知功能、躯体功能、情绪功能等各项QOL评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为3.64%(2/55),低于对照组的14.55%(8/55),差异有统计学意义(P<0.05)。结论:FTS理念护理应用于心脏外科手术患者可提高生命质量评分,改善围手术期指标水平,以及降低负性情绪评分和并发症发生率,效果优于常规护理。Objective:To observe application effects of fast track surgery(FTS)concept nursing in patients undergoing cardiac surgery.Methods:A prospective study was conducted on 110 patients who underwent cardiac surgeries in this hospital from March 2021 to February 2022.According to the random number table method,they were divided into control group and observation group,55 cases in each group.The control group received routine nursing,while the observation group received the FTS concept nursing.The levels of perioperative indexes(first postoperative exhaust time,first feeding time,catheter removal time),the negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]scores,the quality of life[quality of life scale(QOL)]scores before and after the nursing,and the incidence of complications were compared between the two groups.Results:The first exhaust time,the first feeding time and the catheter removal 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 scores of SAS and SDS in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The QOL scores of social function,role function,cognitive function,physical function and emotional function in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 3.64%(2/55),which was lower than 14.55%(8/55)in the control group,and the difference was statistically significant(P<0.05).Conclusions:The application of FTS concept nursing in the patients undergoing cardiac surgery can improve the quality of life scores,the perioperative index levels,and reduce the negative emotion scores and the incidence of complications Moreover,it is s

关 键 词：快速康复外科理念护理 心脏外科 生命质量 围手术期 负性情绪 并发症 

分 类 号：R473.5[医药卫生—护理学]