首页|基于行为研究法的快速康复护理在促进泌尿外科患者手术切口愈合及康复中的应用

基于行为研究法的快速康复护理在促进泌尿外科患者手术切口愈合及康复中的应用

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目的 探究基于行为研究法的快速康复护理在促进泌尿外科患者手术切口愈合及康复中的应用。方法 选取商丘市第四人民医院 2020 年 12 月到 2022 年 12 月收治的 104 例择期行泌尿外科手术患者,按照随机数字表法分为研究组(n=52,基于行为研究法的快速康复护理干预)和常规组(n=52,常规优质护理干预)。比较两组术后恢复、切口愈合、疼痛评分(VAS)、自我效能感及生活质量评分。结果 研究组首次肛门排气时间、术后正常进食时间、首次下床活动时间及住院时间均短于常规组,差异有统计学意义(P<0。05)。研究组术后 3 d切口红肿发生率低于常规组,差异有统计学意义(P<0。05)。研究组干预后自我效能感评分高于常规组,VAS评分低于常规组,差异有统计学意义(P<0。05)。研究组患者干预后生活质量量表中的心理情况、社会功能评分均高于常规组,差异有统计学意义(P<0。05);研究组并发症发生率低于常规组,差异有统计学意义(P<0。05)。结论 基于行为研究法的ERAS护理模式能有效促进泌尿外科腔镜手术患者身体功能恢复及切口愈合,缩短住院时间,减轻疼痛,提升其自我效能感及生活质量。
Application of Rapid Rehabilitation Nursing Based on Behavioral Research in Promoting Incision Healing and Rehabilitation of Urological Patients
Objective To explore the application of rapid rehabilitation nursing based on behavioral research in promoting incision healing and rehabilitation of urological patients.Methods A total of 104 patients undergoing elective urology surgery admitted to the Fourth People's Hospital of Shangqiu from December 2020 to December 2022 were selected and divided into study group(n=52,rapid rehabilitation nursing intervention based on behavioral research method)and routine group(n=52,routine high-quality nursing intervention)according to random number table method.Postoperative recovery,incision healing,visual analogue scale(VAS),self-efficacy,and quality of life score were compared between the two groups.Results The first anal exhaust,normal food intake,first getting out of bed activity,and hospital stay in the study group were shorter than those in the conventional group,the difference was statistically significant(P<0.05).The incidence of incision redness and swelling 3 days after operation in the study group was lower than that in the conventional group,and the difference was statistically significant(P<0.05).After intervention,the self-efficacy score of the study group was higher than that of the conventional group,and the VAS score was lower than that of the conventional group,with statistical significance(P<0.05).After intervention,the self-efficacy score of the study group was higher than that of the conventional group,and the VAS score was lower than that of the conventional group,with statistical significance(P<0.05).After intervention,the psychological status and social function scores of the quality of life scale in the study group were higher than those in the routine group,and the differences were statistically significant(P<0.05).The complication rate of the study group was lower than that of the conventional group,and the difference was statistically significant(P<0.05).Conclusion The ERAS nursing model based on behavioral study can effectively promote physical function recovery and incision healing,shorten hospital stay,relieve pain,and improve self-efficacy and quality of life of urological patients undergoing endoscopic surgery.

behavioral research methodrapid rehabilitation nursingurologywound healingrehabilitation

卢梦阳、邵越、谭永兰

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商丘市第四人民医院 护理部,河南 商丘 476000

商丘市睢阳区妇幼保健院 儿科,河南 商丘 476000

商丘市第四人民医院 妇产科,河南 商丘 476000

行为研究法 快速康复护理 泌尿外科 切口愈合 康复

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(2)
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