摘要
目的:探讨快速康复外科护理模式在单孔荧光胸腔镜解剖性肺段切除术中的安全性及有效性。方法:回顾性分析2020年1月至6月在东南大学医学院附属南京市胸科医院胸外科进行单孔荧光胸腔镜解剖性肺段切除术的96例患者的临床资料。根据护理方式将患者分为常规护理组(n=46)和快速康复外科护理组(n=50),两组患者均顺利康复出院,无围手术期死亡病例。记录两组患者基本资料,比较两组术后并发症、术后拔除胸管时间、术后住院时间、住院总费用、护理满意度等指标的差异。结果:快速康复外科护理组的术后并发症发生率(4.0%vs. 17.4%,P<0.05)、术后拔除胸管时间[(3.24±1.02) d vs.(5.17±1.29) d,P<0.05]、术后住院时间[(4.56±1.15) d vs.(6.37±1.51) d,P<0.05]及住院总费用[(5.61±0.86)万元vs.(6.12±1.20)万元,P<0.05]均低于或少于常规护理组,差异具有统计学意义;快速康复外科护理组的护理满意度高于常规护理组(96.0%vs. 82.6%,P<0.05)。结论:快速康复外科护理在单孔荧光胸腔镜解剖性肺段切除术围手术期的应用安全可行,可明显降低术后并发症发生率,缩短患者术后拔除胸管时间,利于患者尽早出院,从而有效减轻患者的医疗费用负担,收获患者较高的满意度。快速康复外科护理为肺段切除术围手术期管理提供可靠的护理保障,值得在临床推广应用。
Objective: To explore the safety and effectiveness of rapid rehabilitation nursing mode in perioperative nursing of patients undergoing uniportal fluorescent thoracoscopic anatomical segmentectomy. Methods: The clinical data of 96 patients who underwent uniportal fluorescent thoracoscopic anatomical segmentectomy from January to June 2020 in Nanjing Chest Hospital Affiliated to School of Medicine of Southeast University were retrospectively analyzed. There were 39 males and 57 females, aged 28-78 years. They were divided into routine perioperative nursing group(n=46) and perioperative rapid rehabilitation nursing group(n=50). The basic data of the two groups were recorded, and the differences of postoperative complications, postoperative chest tube removal time, postoperative hospital stay, total hospitalization expenses and nursing satisfaction were compared between the two groups. Results: The patients in both groups recovered successfully and discharged without perioperative death. Postoperative complication rate(4% vs. 17.4%, P<0.05), postoperative chest tube removal time [(3.24±1.02) d vs.(5.17±1.29) d, P<0.05], postoperative hospital stay [(4.56±1.15) d vs.(6.37±1.51) d, P<0.05], and total hospitalization expenses [(5.61±0.86)million yuan vs.(6.12±1.20) million yuan, P<0.05], and all being significantly different. Conclusion: It is safe and feasible to implement rapid rehabilitation nursing mode for patients with uniportal fluorescence thoracoscopic anatomical segmentectomy, which can significantly reduce the incidence of postoperative complications, facilitate the removal of the chest tube and discharge the patients as soon as possible, so as to effectively reduce the medical expenses of patients, and obtain higher nursing satisfaction of patients, which can improve the perioperative rapid rehabilitation of segmentectomy, and is worth applying in clinical practice.
作者
杨阳
王蓓
YANG Yang;WANG Bei(Department of Thoracic Surgery,Nanjing Chest Hospital Afiliated to School of Medicine of Southeast University,Nanjing 210029,China)
出处
《现代医学》
2022年第7期892-896,共5页
Modern Medical Journal
关键词
快速康复
护理
肺段切除术
单孔胸腔镜
荧光
rapid rehabilitation
nursing care
segmentectomy
uniportal thoracoscopy
fluorescence
