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作 者:何志杰 HE Zhijie(Department of Cardiovascular Surgery,Zhoukou Central Hospital,Zhoukou Henan 466000,China)
机构地区:[1]周口市中心医院心脏大血管外科,河南周口466000
出 处:《临床研究》2025年第5期157-161,共5页Clinical Research
摘 要:目的探究基于快速康复外科(FTS)理念指导下针对性护理对心血管外科患者治疗期间应激反应、护理质量及并发症发生率的影响。方法选择2021年1月至2023年1月周口市中心医院心血管外科收治的96例患者,应用奇偶数分为对照组(常规护理管理)及观察组(联合基于FTS理念指导下针对性护理)各48例,对比两组心率(HR)、平均动脉压(MAP)、心理状态评分、护理管理质量评分、生命质量量表、并发症发生率。结果术后1 d,观察组HR、MAP水平低于对照组,差异有统计学意义(P<0.05)。术后1 d,观察组CD-RISC各项评分均高于对照组,差异有统计系意义(P<0.05)。观察组护理质量各项评分高于对照组,差异有统计学意义(P<0.05)。术后1 d,观察组GQOLI-74各项评分高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率(4.17%)低于对照组(25.00%),差异有统计学意义(P<0.05)。结论心脏大血管外科患者治疗期间采用基于FTS理念指导下针对性护理,可减轻患者应激反应,改善心理状态,提高生命质量、护理管理质量,降低并发症发生率。Objective To explore the impact of targeted nursing based on fast-track surgery(FTS)concepts on stress response,quality of care,and complication rates in patients undergoing cardiovascular surgery Methods A total of 96 patients treated at the Department of Cardiovascular Surgery of Zhoukou Central Hospital from January 2021 to January 2023 were selected and randomly assigned to a control group(receiving standard nursing management)and an observation group(receiving targeted nursing guided by FTS concepts),with 48 patients in each group.Heart rate(HR),mean arterial pressure(MAP),psychological state scores,nursing management quality scores,quality of life scale scores,and complication rates were compared between the two groups.Results On the first postoperative day,HR and MAP levels in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).On the first postoperative day,the scores on the CD-RISC scale in the observation group were higher than those in the control group,with statistical significance(P<0.05).The nursing quality scores in the observation group were higher than in the control group,with statistically significant differences(P<0.05).On the first postoperative day,the GQOLI-74 scores in the observation group were higher than those in the control group,with statistically significant differences(P<0.05).The complication rate in the observation group(4.17%)was lower than that in the control group(25.00%),with statistically significant differences(P<0.05).Conclusion The use of targeted nursing based on FTS concepts during the treatment of cardiovascular surgery patients can reduce stress response,improve psychological state and quality of life,enhance nursing management quality,and decrease complication rates.
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