摘要
目的探讨基于循证的多学科合作快速康复外科模式在腹部肿瘤手术患者中的应用效果。方法选择2016年1—12月本院因确诊腹部肿瘤需要手术而收治的患者86例患者作为研究对象,按患者的住院ID号后两位数字参照随机数字表分为FTS组(44例)及对照组(42例)。FTS组患者采用循证的方法,由多学科合作实施快速康复外科护理;对照组患者采用常规的围手术期护理。比较两组患者术后排气时间、24 h疼痛评分、住院时间、满意度和并发症等。结果 FTS组患者在术后排气时间、术后24 h疼痛评分、住院时间、满意度及呕吐、腹胀、术后低体温及总体并发症发生率等方面与对照组比较,差异均有统计学意义(P<0.05)。结论运用循证方法联合多学科合作的快速康复外科护理模式,能减少腹部肿瘤手术患者的并发症,缩短住院时间,提高患者的满意度。
Objective To investigate the effectiveness of evidence-based multidisciplinary rapid rehabilitation surgery in patients undergoing abdominal tumor surgery. Methods From January to December of2016,86 cases of patients with abdominal tumor diagnosed by surgery in our hospital were selected as the subjects of study,according to the inpatient ID number,the two digits of patients were randomly divided into FTS group（ 44 cases） and control group（ 42 cases）. The patients in group FTS received evidence-based nursing methods,and multidisciplinary rehabilitation surgery was adopted. The control group received routine perioperative care. The postoperative exhaust time,24 h pain score,hospital stay,satisfaction and complications were compared between the two groups. Results The postoperative exhaust time,postoperative 24 h pain score,hospitalization time,satisfaction and vomiting,abdominal distension,postoperative hypothermia and overall complication rate of FTS group patients were compared with those of the control group,the differences were statistically significant（ P〈0.05）. Conclusions The use of evidence-based approach combined with multidisciplinary cooperative rapid rehabilitation surgery nursing mode can reduce the complications of abdominal tumor surgery,shorten the length of stay and improve the patients＇ satisfaction.
出处
《齐齐哈尔医学院学报》
2017年第16期1940-1942,共3页
Journal of Qiqihar Medical University
基金
广东省医学科研基金(A2015163)
关键词
腹部肿瘤
循证医学
多学科合作
快速康复外科护理模式
Abdominal neoplasms
Evidence-based medicine
Multidisciplinary collaboration
Rapid rehabilitation surgery nursing model
作者简介
通信作者：叶运廷，Email：mzwhyyt@163．com
