摘要
目的分析全胃术后患者运用快速康复理念支持下的护理干预效果。方法方便选取2019年10月—2020年11月该院收治的全胃切除术术后患者62例,根据不同护理方案分为常规组(n=31)、快速组(n=31)。快速组采用快速康复理念支持下护理干预,常规组采用常规护理。对比两组住院总费用、住院时间、护理满意度评分、术后肛门排气时间、并发症发生率。结果快速组住院时间(17.2±2.4)d、住院总费用(4.7±0.8)万元、术后肛门排气时间(17.8±2.4)h、并发症发生率(6.45%)均低于常规组住院时间(19.8±3.2)d、住院总费用(5.2±1.1)万元、排气时间(20.2±3.8)h、并发症发生率(25.81%),差异有统计学意义(t=3.619、2.047、2.973,χ^(2)=4.292,P<0.05);快速组护理满意度评分(93.6±2.1)分显著高于常规组(80.9±3.5)分,差异有统计学意义(t=17.324,P<0.05)。结论全胃术后患者运用快速康复理念支持下不留置胃管等护理干预可缩短住院时间,降低并发症发生率。
Objective To analyze the effect of nursing intervention supported by the concept of rapid recovery for patients after total stomach surgery.Methods A total of 62 patients undergoing total gastrectomy who were admitted to the hospital from October 2019 to November 2020 were conveniently selected,and they were divided into conventional group(n=31)and rapid group(n=31)according to different nursing plans.The rapid group adopted nursing intervention supported by the concept of rapid recovery,and the conventional group adopted conventional nursing.The total hospitalization cost,hospitalization time,nursing satisfaction score,postoperative anal exhaust time,and complication rate were compared between the two groups.Results The hospitalization time of rapid group(17.2±2.4)d,and the total hospitalization cost(4.7±0.8)ten thousand yuan,the postoperative anal exhaust time(17.8±2.4)h and complication rate(6.45%)were lower than those of the conventional group(19.8±3.2)d,total hospitalization cost(5.2±1.1)ten thousand yuan,exhaust time(20.2±3.8)h and complication rate(25.81%),the difference was statistically significant(t=3.619,2.047,2.973,χ^(2)=4.292,P<0.05).The nursing satisfaction score of the rapid group(93.6±2.1)points was significantly higher than that of the conventional group(80.9±3.5)points,and the difference was statistically significant(t=17.324,P<0.05).Conclusion Nursing interventions such as no indwelling gastric tube supported by the concept of rapid recovery for patients after total gastric surgery can shorten the hospital stay and reduce the incidence of complications.
作者
傅丽桑
杨媛萍
周秀花
FU Lisang;YANG Yuanping;ZHOU Xiuhua(Department of Nursing,Affiliated Hospital of Putian University,Putian,Fujian Province,351100 China;The First Department of Gastrointestinal Surgery,Affiliated Hospital of Putian University,Putian,Fujian Province,351100 China;Department of General Medicine,Affiliated Hospital of Putian University,Putian,Fujian Province,351100 China)
出处
《中外医疗》
2022年第3期137-141,共5页
China & Foreign Medical Treatment
基金
莆田学院2019年校内科研项目(2019084)。
关键词
全胃术
运用效果
不留置胃管
护理干预
快速康复理念
Total gastrectomy
Application effect
No gastric tube was left
Nursing intervention
Fast track concept
