摘要
目的探讨快速康复外科理念在肝胆外科围手术期护理中的应用效果。方法选取2014年2月-2015年12月行肝胆外科手术的122例患者作为研究对象,随机分为对照组和观察组各61例。对照组实施常规护理,观察组实施快速康复外科护理,比较2组患者术后首次下床时间、排气时间、排便时间、住院天数、焦虑情况、抑郁情况、睡眠情况、疼痛程度及感染情况。结果观察组术后首次下床时间、排气时间、排便时间、住院天数显著短于对照组,焦虑自评量表(self-rating anxiety scale,SAS)评分、睡眠状况自评量表(self-rating scale of sleep,SRSS)评分、抑郁自评量表(self-rating depression scale,SDS)评分、视觉模拟疼痛评分(visual analogue score,VAS)均明显低于对照组,感染发生率低于对照组(P<0.001)。结论快速康复外科理念应用于肝胆外科围手术期护理,可有效减轻患者术后疼痛,减少患者不良情绪与并发症的发生。
Objective To explore the application of the rapid rehabilitation surgery concept in perioperative nursing of patients undergoing operations in the department of hepatobiliary surgery.Methods Totally 122 patients undergoing operations in the department of hepatobiliary surgery between February 2014 and December 2015 were selected and randomly divided into an observation group(n= 61)and a control group(n= 61).The control group was given routine nursing,while the observation group was provided with nursing based on rapid rehabilitation surgery concept.The time of the first ambulation,flatus and defecation,hospitalization days,infection,pain,anxiety,depression and sleeping condition were observed and compared between the 2groups.Results Compared with the control group,the first ambulation,flatus and defecation time as well as hospital duration of the observation group were significantly shortened,and the rate of infection was significantly lowered. Moreover,the scores of the visual analogue scale,self-rating anxiety scale,self-rating scale of sleep and self-rating depression scale were also significantly lower than thosein the control group.Conclusion Rapid rehabilitation nursing during perioperative period can significantly reduce the patients′postoperative pain,negative feelings and complications.
出处
《中国临床护理》
2017年第2期127-129,共3页
Chinese Clinical Nursing
关键词
快速康复外科理念
围手术期护理
肝胆外科
Rapid rehabilitation surgery concept
Perioperative nursing
Hepatobiliary surgery
