首页|基于快速康复外科理念下的护理干预对子宫肌瘤手术患者的影响

基于快速康复外科理念下的护理干预对子宫肌瘤手术患者的影响

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目的:探讨针对子宫肌瘤手术患者实施基于快速康复外科(FST)理念下护理干预的效果.方法:选择2020年6 月—2023 年 4 月首钢水钢医院收治的 160 例子宫肌瘤患者作为研究对象,按随机数表法将患者分为两组.对照组(80 例)实施常规护理干预,观察组(80 例)实施基于FST理念下的护理干预,两组均持续护理 1 周.对比两组术后康复情况、心理应激[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、疼痛情况[视觉模拟评分法(VAS)]、并发症及护理满意度.结果:观察组术后肛门排气、下床活动及住院时间分别为(13.22±1.06)h、(21.26±3.65)h、(4.29±0.54)d,均短于对照组的(14.35±1.28)h、(35.36±4.33)h、(5.18±0.59)d,差异有统计学意义(P<0.05);观察组护理后SAS、SDS评分分别为(46.35±3.18)分、(47.78±3.96)分,低于对照组的(48.05±3.66)分、(50.15±4.05)分,差异有统计学意义(P<0.05);观察组护理后VAS评分低于对照组,差异有统计学意义(P<0.05);与对照组相比,观察组并发症发生率(2.50%)较低,护理满意度(96.25%)较高,差异有统计学意义(P<0.05).结论:针对行子宫肌瘤手术的患者实施基于FST理念下的护理干预,可减轻心理应激、疼痛程度,加快术后康复速度,降低并发症发生率,提高护理满意度.
Impact on Nursing Intervention Based on the Concept of Rapid Rehabilitation Surgery on Patients Undergoing Uterine Fibroid Surgery
Objective:To explore the effect of nursing intervention based on the concept of rapid rehabilitation surgery(FST)on patients undergoing uterine fibroids surgery.Method:Patients with uterine fibroids admitted to the hospital from June 2020 to April 2023 were selected as the study objects,and 160 patients were divided into two groups according to the random numbers table method.The control group(80 cases)performed routine care,the observation group(80 cases)performed nursing intervention based on the FST concept,and Both groups received continuous care for 1 week.The postoperative rehabilitation,psychological stress[anxiety self-rating scale(SAS),depression self-assessment scale(SDS)],pain[visual analogue scoring method(VAS)],complications and nursing satisfaction of the two groups were compared.Result:The postoperative anal discharge,ambulation and hospital stay were(13.22±1.06)h,(21.26±3.65)h,(4.29±0.54)d,respectively,All of those were shorter than the(14.35±4.36±4.33)h,(35.36)h,(5.18±0.59)d of the control group(P<0.05).The SAS and SDS scores in the observation group were(46.35±3.18)and(47.78±3.96),respectively,Those were shorter than the(48.05±3.66)and(50.15±4.05)points of control group(P<0.05).The VAS score was lower in the observation group than that in the control group(P<0.05).Compared with the control group,there was lower complication rate(2.50%in the observation group)and higher nursing satisfaction(96.25%)(P<0.05).Conclusion:The nursing intervention based on FST concept on patients undergoing uterine fibroids surgery can reduce psychological stress and pain degree,speed up postoperative rehabilitation speed,reduce the incidence of complications,and improve nursing satisfaction.

Uterine fibroidsSurgery Surgical concept of rapid rehabilitationNursing interventionPsychological stressPostoperativeRehabilitation

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首钢水钢医院 贵州 六盘水 553000

子宫肌瘤 手术 快速康复外科理念 护理干预 心理应激 术后康复

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(21)