摘要
目的:分析中医护理结合快速康复理念在泌尿外科患者围手术期护理中的应用效果。方法:选取2019年3月-2021年8月徐州市铜山区中医院收治的泌尿外科手术患者72例,随机分为对照组和观察组,各36例。对照组采用快速康复理念护理,观察组采用快速康复理念护理结合中医护理。对比两组康复情况(包括术后排气时间、排便时间、拔除尿管时间、下床活动时间、住院时间),疼痛,并发症和围手术期护理满意度。结果:观察组术后排气时间、排便时间、拔除尿管时间、下床活动时间、住院时间均显著短于对照组,差异有统计学意义(P<0.05)。观察组术后12 h、48 h、72 h疼痛评分均低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为8.33%,显著低于对照组25.00%,差异有统计学意义(P<0.05)。观察组患者围手术期护理满意度为94.44%,显著高于对照组72.22%,差异有统计学意义(P<0.05)。结论:中医护理结合快速康复理念可缩短泌尿外科患者术后康复时间,减少疼痛和并发症,临床应用价值较高。
Objective:To analyze the application effect of traditional Chinese medicine nursing combined with rapid rehabilitation concept in perioperative nursing of urological surgery patients.Methods:A total of 72 patients with urological surgery treated in Xuzhou Tongshan District Hospital of Traditional Chinese Medicine from March 2019 to August 2021 were selected and randomly divided into control group and observation group,with 36 cases in each group.The control group was given rapid rehabilitation concept nursing and the observation group was given traditional Chinese medicine nursing combined with rapid rehabilitation concept nursing.The rehabilitation(including postoperative exhaust time,defecation time,urinary catheter removal time,ambulation time,hospitalization time),pain,complications and perioperative nursing satisfaction were compared between two groups.Results:The postoperative exhaust time,defecation time,urinary catheter removal time,ambulation time and hospitalization time in the observation group were significantly shorter than those in the control group,with statistically significant differences(P<0.05).The pain scores at 12 h,48 h and 72 h after surgery in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).The complication rate in the observation group was 8.33%,which was significantly lower than 25.00%in the control group,and the difference between the two groups was statistically significant(P<0.05).The perioperative nursing satisfaction of patients in the observation group was 94.44%,which was significantly higher than 72.22%of the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:Traditional Chinese medicine nursing combined with rapid rehabilitation concept can shorten postoperative rehabilitation time of urological surgery patients,reduce pain and complications,and has high application value.
作者
闫晓东
Yan Xiao-dong(Surgical Department,Xuzhou Tongshan District Hospital of Traditional Chinese Medicine,Xuzhou 221116,Jiangsu Province,China)
出处
《中国社区医师》
2022年第29期130-133,共4页
Chinese Community Doctors
关键词
泌尿外科疾病
中医护理
快速康复理念
围手术期
Urological surgery disease
Traditional Chinese medicine nursing
Rapid rehabilitation concept
Perioperative period