首页|颌面部多发骨折围术期护理中应用快速康复外科理念的效果分析

颌面部多发骨折围术期护理中应用快速康复外科理念的效果分析

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目的 分析颌面部多发骨折围术期护理中应用快速康复外科(Fast Track Surgery,FTS)理念取得的效果.方法 单纯随机选取2022年6月—2023年6月期间福建医科大学附属第一医院收治的颌面部多发骨折患者80例,使用随机数表法分为两组.对照组40例接受常规围术期护理措施,研究组40例在其基础上应用FTS理念进行围术期护理.针对两组患者的医院焦虑抑郁量表(Hospital Anxiety And Depression Scale,HADS)中焦虑(Anxiety,A)与抑郁HADS(Depressed,D)分量表评分、舒适状况量表(General Comfort Question-naire,GCQ)量表评分、张口度,以及护理满意度进行比较.结果 干预后研究组HADS(D)、HADS(A)量表分值较对照组低,差异有统计学意义(P均<0.05).护理后1个月,研究组GCQ量表评分高于对照组,差异有统计学意义(P<0.05),张口度指标为(27.65±4.50)mm,高于对照组的(24.60±5.03)mm,差异有统计学意义(t= 2.858,P<0.05).研究组护理总满意率为97.50%,高于对照组的80.00%,差异有统计学意义(χ2=4.507,P<0.05).结论 颌面部多发骨折患者采用FTS理念进行围术期护理可以有效改善不良心理状况,促进张口度恢复,且提高了舒适度与护理满意度.
Effect of Fast Track Surgery in Perioperative Nursing of Multiple Maxillo-facial Fractures
Objective To analyze the effect of fast track surgery(FTS)in perioperative nursing of multiple maxillofa-cial fractures.Methods A total of eighty patients with multiple maxillofacial fractures admitted to the First Affiliated Hospital of Fujian Medical University from June 2022 to June 2023 were simple randomly selected and divided into two groups using a random number table.The control group of forty patients received conventional perioperative nurs-ing measures,and the study group of forty patients received perioperative nursing based on FTS concept.The scores of anxiety(A)and depression(D)in hospital anxiety and depression scale(HADS),general comfort questionnaire(GCQ)scale,mouth opening and nursing satisfaction were compared between the two groups.Results After intervention,HADS(D),HADS(A)and scale scores of the study group were lower than those of the control group,and the differ-ences were statistically significant(both P<0.05).One month after nursing,the GCQ scale score of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).The index of mouth open-ing was(27.65±4.50)mm was higher than that of control group was(24.60±5.03)mm,and the difference was statisti-cally significant was(t=2.858,P<0.05).The total satisfaction rate of the study group 97.50%was higher than that of the control group 80.00%,and the difference was statistically significant(χ2=4.507,P<0.05).Conclusion The use of FTS concept in perioperative nursing for patients with maxillofacial multiple fractures can effectively improve adverse psychological conditions,promote the recovery of mouth opening,and improve comfort and nursing satisfaction.

Maxillofacial multiple fracturesPerioperative nursingRapid rehabilitation surgical concept

朱燕、潘丽珍、马晓丹、吴芮

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福建医科大学附属第一医院,福建福州 350004

颌面部多发骨折 围术期护理 快速康复外科理念

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(4)
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