摘要
目的探究基于快速康复外科(FTS)理论的多维度干预对行腹腔镜胆囊切除术患者手术治疗效果的影响。方法选取2019年3月至2021年5月于山东大学齐鲁医院行腹腔镜胆囊切除术的92例患者为研究对象,按随机信封法分为2组,各46例。观察组给予基于FTS理论的多维度干预,对照组给予常规围手术期护理干预。对比2组患者的术后恢复情况、疼痛程度、应激指标及生活质量。结果相较于对照组,观察组的术后离床活动时间、进食时间、肛门排气和排便时间,以及拔除引流管时间均更早,术后住院时间更短,72 h睡眠时间更长(P均<0.05)。术后6 h、12 h和24 h,2组的视觉模拟评分法评分均比术后2 h更低(P均<0.05),且观察组相较于同期对照组更低(P均<0.05)。出院时,2组的血浆皮质醇、肾上腺素水平及汉密尔顿焦虑量表评分均比入院时更低,生理职能、生理功能、社会功能及总体健康评分均比入院时更高(P均<0.05),且观察组均优于对照组(P均<0.05)。结论基于FTS理论的多维度干预可加快行腹腔镜胆囊切除术患者术后康复进程,延长睡眠时间,缓解术后疼痛程度、心理和生理应激反应,提高生活质量。
Objective To explore the effect of multidimensional intervention based on the fast-track surgery(FTS)theory on the surgical treatment of patients undergoing laparoscopic cholecystectomy.Methods A total of 92 patients who underwent laparoscopic cholecystectomy at Qilu Hospital of Shandong University from March 2019 to May 2021 were selected as the research subjects and divided into two groups via envelope randomization.The 46 patients in the observation group were given multidimensional intervention based on the FTS theory,and the 46 patients in the control group were given routine perioperative nursing intervention.The postoperative recovery,pain intensity,stress indicators,and quality of life of the two groups were compared.Results Compared with the control group,the postoperative ambulation time,eating time,anal exhaust and defecation time,removal time of drainage tube,and postoperative hospital stay in the observation group were shorter,and the 72-hr sleep time was longer(all P<0.05).At 6,12,and 24 hrs after operation,the Visual Analogue Scale scores of the two groups were lower than those at 2 hrs after operation(all P<0.05),and the observation group had lower scores than the control group on the corresponding period(all P<0.05).At discharge,the levels of plasma cortisol,epinephrine,and Hamilton Anxiety Rating Scale scores in the two groups were lower than those at admission,and the scores of physical role function,physical function,social function,and general health were higher than those at admission(all P<0.05).The above indicators in the observation group were better than those in the control group(all P<0.05).Conclusion Multidimensional intervention based on the FTS theory can speed up the postoperative rehabilitation process of patients undergoing laparoscopic cholecystectomy,prolong the sleep time,relieve the postoperative pain,psychological and physical stress response,and improve the quality of life.
作者
郭巧艺
邱慧鑫
李娜
王俐娴
刘考
GUO Qiaoyi;QIU Huixin;LI Na;WANG Lixian;LIU Kao(Department of Organ Transplantation,Qilu Hospital of Shandong University,Jinan,Shandong,250011,China)
出处
《中西医结合护理（中英文）》
2022年第8期1-4,共4页
Journal of Clinical Nursing in Practice
关键词
腹腔镜胆囊切除术
快速康复外科理论
多维度干预
生活质量
laparoscopic cholecystectomy
fast-track surgery theory
multidimensional intervention
quality of life
