摘要
目的探讨快速康复外科(FTS)理念在难治性输尿管结石患者中的应用价值。方法方便选择2018年2月—2020年10月该院收治的难治性输尿管结石患者300例,按随机数表法分为两组,各150例。对照组实施常规护理,观察组采取FTS理念护理。对比两组负性情绪、围术期相关指标、并发症发生率及生活质量。结果干预前,两组抑郁自评量表(SDS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);干预后,观察组SAS评分为(44.26±2.75)分、SDS评分为(46.93±2.05)分,低于对照组的(48.73±3.10)分、(51.28±2.64)分,差异有统计学意义(t=13.211、15.939,P<0.05)。观察组手术时间(52.23±8.54)min、恢复排便时间(43.72±4.57)h、下床活动时间(18.45±2.11)h、住院时间(4.67±1.84)d,短于对照组的(75.48±11.62)min、(56.52±5.61)h、(29.27±3.30)h、(7.56±2.13)d,差异有统计学意义(t=19.746、21.666、33.832、12.575,P<0.05)。观察组并发症发生率(6.67%)少于对照组(21.33%),差异有统计学意义(χ^(2)=13.400,P<0.05)。干预前,两组生理、心理、社会、环境领域评分比较,差异无统计学意义(P>0.05);干预后,观察组生理领域评分为(75.92±6.18)分、心理领域评分为(77.16±6.44)分、社会领域评分为(78.92±6.58)分、环境领域评分为(74.63±6.25)分,高于对照组的(69.13±5.13)分、(70.28±5.92)分、(71.26±6.05)分、(68.52±5.84)分,差异有统计学意义(t=10.354、9.633、10.496、8.077,P<0.05)。结论FTS理念护理能够缩短难治性输尿管结石患者手术时间,保证结石完全清除,减轻负性情绪,减少并发症,加快术后康复进程。
Objective To explore the application value of the concept of Fast Rehabilitation Surgery(FTS)in patients with refractory ureteral calculi.Methods Conveniently selected 300 patients with refractory ureteral calculi admitted to the hospital from February 2018 to October 2020,and divided them into two groups according to the random number table method,each with 150 cases.The control group received routine nursing care,and the observation group took FTS concept nursing care.The negative emotions,perioperative indicators,complication rate and quality of life were compared between the two groups.Results Before intervention,there was no statistically significant difference in self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores between the two groups(P>0.05).After intervention,the SAS score and SDS score of the observation group were(44.26±2.75)points and(46.93±2.05)points respectively,which were lower than those of the control group(48.73±3.10)points and(51.28±2.64)points,the difference was statistically significant(t=13.211,15.939,P<0.05).In the observation group,the operation time was(52.23±8.54)min,the recovery time of defecation was(43.72±4.57)h,the ambulation time was(18.45±2.11)h,and the hospital stay was(4.67±1.84)d,which were shorter than that of control group(75.48±11.62)min,(56.52±5.61)h,(29.27±3.30)h,(7.56±2.13)d,the difference was statistically significant(t=19.746,21.666,33.832,12.575,P<0.05).The complication rate of the observation group(6.67%)was lower than that of the control group(21.33%),and the difference was statistically significant(χ^(2)=13.400,P<0.05).Before intervention,there were no statistically significant differences in scores in physiological,psychological,social and environmental fields between the two groups(P>0.05).After intervention,the scores of the observation group were(75.92±6.18)points in the physiological field,(77.16±6.44)points in the psychological field,(78.92±6.58)points in the social field and(74.63±6.25)points in the environmental field,higher than the control group(69.13±5.13)points,(70.28±5.92)points,(71.26±6.05)points,(68.52±5.84)points,the difference was statistically significant(t=10.354,9.633,10.496,8.077,P<0.05).Conclusion FTS concept nursing can shorten the operation time of patients with refractory ureteral stones,ensure the complete removal of the stones,reduce negative emotions,reduce complications,and speed up the recovery process after surgery.
作者
曾菊芳
ZENG Jufang(Department of Urology,Dongguan Third Bureau Hospital,Dongguan,Guangdong Province,523710 China)
出处
《中外医疗》
2022年第3期187-190,共4页
China & Foreign Medical Treatment
关键词
难治性输尿管结石
快速康复外科理念护理
微创手术
术后恢复
并发症
Refractory ureteral calculi
Concept nursing of rapid rehabilitation surgery
Minimally invasive surgery
Postoperative recovery
Complications
