摘要
目的探讨集束化方案预防泌尿外科机器人手术患者术后腹胀的效果。方法将122例泌尿外科机器人手术患者按住院时间分为对照组和观察组各61例。对照组予以泌尿外科机器人手术后常规护理,观察组在常规护理基础上增加预防术后腹胀的集束化护理方案,包括疼痛干预、早期活动、早期饮水、嚼口香糖、腹部按摩、温水足浴等措施。结果两组术后首次排气时间、首次排便时间、腹胀发生率及程度比较,差异有统计学意义(P<0.05,P<0.01)。结论实施预防泌尿外科机器人手术的集束化护理方案能够有效预防患者术后腹胀发生,缩短患者术后排气排便时间以及减轻术后腹胀的程度。
Objective To explore the effectiveness of care bundles on abdominal distension prevention after urological robotic surgery.Methods Totally 122 patients receiving urological robotic surgery were divided by hospitalization periods into a control group(n=61)and an intervention group(n=61).The control group received routine nursing after urological robotic surgery,while the intervention group additionally was subjected to care bundles to prevent abdominal distension after urological robotic surgery(pain management,early activity,early drinking of water,chewing gum,abdominal massage,soaking feet in warm water,etc.).Results The time to first postoperative flatus,and the time to first defecation,the incidence rate of abdominal distension after surgery and the degree of abdominal distension,in the 2 groups had significant differences(P<0.05,P<0.01).Conclusion Urological robotic surgery care bundles can effectively prevent the occurrence of abdominal distension after surgery,shorten the time to postoperative gas passage and defecation,and reduce the degree of abdominal distension.
作者
杨娜
王颖
屈晓玲
陈小芹
Yang Na;Wang Ying;Qu Xiaoling;Chen Xiaoqin(Department of Urology,Tongji Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)
出处
《护理学杂志》
CSCD
北大核心
2020年第22期24-27,共4页
Journal of Nursing Science
基金
同济医院科研基金项目(2018C20)。
关键词
泌尿外科
机器人手术
术后腹胀
集束化护理
urologic surgery
robotic surgery
postoperative abdominal distension
care bundles
作者简介
杨娜:女,硕士在读,主管护师;通信作者:王颖,752460170@qq.com。
