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快速康复护理在胃肠道手术患者围术期护理中的应用效果

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目的 探讨快速康复护理在胃肠道手术患者围术期护理中的应用效果。方法 选择河南大学第一附属医院2021 年 5 月至 2023 年 5 月期间收治的 50 例胃肠道手术患者,通过随机抽签法进行分组,两组各 25 例。对照组实施围术期常规护理,观察组在此基础上实施快速康复护理,比较两组各项临床指标、疼痛情况、术后并发症和护理满意率。结果 两组术中出血量和手术时间比较,差异无统计学意义(P>0。05);观察组首次肛门排气、首次下床活动、恢复普食时间和住院天数短于对照组,差异有统计学意义(P<0。05);观察组术后 6 h、术后 24 h、术后 48 h和术后 72 h疼痛数字评分法(NRS)评分低于对照组,差异有统计学意义(P<0。05);观察组术后并发症发生率(4。00%)低于对照组(24。00%),差异有统计学意义(P<0。05);观察组护理满意率(100。00%)高于对照组(84。00%),差异有统计学意义(P<0。05)。结论 快速康复护理用于胃肠道手术患者围术期护理中能缩短首次肛门排气时间、恢复普食时间、首次下床活动时间和住院天数,减轻术后疼痛程度,减少并发症发生,并提高护理满意率,值得应用。
Applied Effect of Fast-track Rehabilitation Nursing on Perioperative Nursing of Patients undergoing Gastrointestinal Surgery
Objective To explore the applied effect of fast-track rehabilitation nursing surgery during the gastrointestinal operation.Methods 50 patients undergoing gastrointestinal surgery admitted to the first affiliated hospital of Henan university between May 2021 and May 2023 were selected.According to random number table,patients were assigned to control group(n=25,routine care)and observation group(n=25,routine care and fast-track surgery).The clinical Indicators,pain levels,postoperative complications and nursing satisfaction rates were compared between the two groups.Results The intraoperative bleeding volume and operation time between the two groups were not significantly different(P>0.05).The anal exhaust time,ambulant time,normal diet recovery time and hospital stays in the observation group were significantly shorter than control group(P<0.05).The observation group had lower numerical rating scale(NRS)scores at 6 h,24 h,48 h and 72 h postoperatively than the control group(P<0.05).The total complication rates in the observation group(4.00%)were significantly lower than control group(24.00%)(P<0.05).The total satisfaction in the observation group(100.00%)was significantly higher than control group(84.00%)(P<0.05).Conclusion During the gastrointestinal operation,the fast-track surgery can effectively increase the patient's nursing satisfaction,reduce the anal exhaust time,ambulant time,normal diet recovery time,hospital stays,pain degrees and postoperative complications.It is worthy of clinical application.

gastrointestinal operationperioperative nursingfast-track nursing

肖娜丽、陈小爽

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河南大学第一附属医院 消化病联合微创病区,河南 开封 475000

胃肠道手术 围术期护理 快速康复护理

河南省医学科技攻关计划项目

LHGJ20220659

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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