摘要
目的:探讨快速康复外科(FTS)护理干预在行胆囊切除术患者中的应用效果。方法:选取2022年1月—2024年6月玉山县中医院收治的60例行胆囊切除术患者为研究对象,采用随机数字表法将其分为对照组和观察组,各30例。对照组采用常规护理干预,观察组采用FTS护理干预。两组均干预1周。比较两组心理状态、疼痛程度、术后康复情况、并发症发生情况及生活质量。结果:干预后,观察组焦虑自评量表、抑郁自评量表、疼痛视觉模拟评分均较对照组低,差异均有统计学意义(P<0.05)。观察组术后首次下床活动时间、术后首次肛门排气时间、饮食恢复时间及住院时间均短于对照组,差异均有统计学意义(P<0.05)。干预后,观察组健康调查简表中各个维度评分均高于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率为3.33%,低于对照组的26.64%,差异有统计学意义(P<0.05)。结论:将FTS护理干预应用于行胆囊切除术患者围手术期护理中,不仅能够改善其负性情绪,缓解疼痛程度,缩短术后康复时间,还能减少并发症的发生情况,提升其生活质量水平。
Objective:To investigate the application effect of fast track surgery(FTS)nursing intervention in patients undergoing cholecystectomy.Methods:A total of 60 patients with cholecystectomy admitted to Yushan County Hospital of Traditional Chinese Medicine from January 2022 to June 2024 were selected as the study objects,and were divided into a control group and an observation group by random number table method,with 30 cases in each group.The control group was treated with routine nursing intervention,and the observation group was treated with FTS nursing intervention.Both groups were treated for one week.The psychological state,pain degree,postoperative rehabilitation,occurrence of complications and quality of life of the two groups were compared.Results:After intervention,the scores of Self-Rating Anxiety Scale,Self-rating Depression Scale and Visual Analogue Pain in observation group were lower than those in control group,the differences were statistically significant(P<0.05).The first time of getting out of bed after surgery,the first time of anal exhaust after surgery,the time of diet recovery and the time of hospitalization in the observation group were shorter than those in the control group,with statistical significance(P<0.05).After intervention,the scores of all dimensions in the MOS Item Short Form Health Survey of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 3.33%,which was lower than 26.64%in the control group,the difference was statistically significant(P<0.05).Conclusion:The application of FTS nursing intervention in perioperative nursing of patients undergoing cholecystectomy can not only improve their negative emotions,relieve their pain,shorten the postoperative rehabilitation time,tut also can reduce the occurrence of complications,and improve their quality of life.
作者
陈子慧
童丽群
CHEN Zihui;TONG Liqun(Department of Surgery,Yushan County Hospital of Traditional Chinese Medicine,Shangrao 334000,China)
出处
《中国伤残医学》
2024年第21期126-129,共4页
Chinese Journal of Trauma and Disability Medicine
关键词
胆囊切除术
快速康复外科护理干预
心理状态
疼痛程度
术后康复情况
并发症
生活质量
Cholecystectomy
fast track surgery nursing intervention
Mental state
Degree of pain
Postoperative rehabilitation
Complications
Quality of life
作者简介
陈子慧(1990-),女,汉族,本科,主管护师,研究方向:外科护理学;通信作者:童丽群,女,汉族,本科,主管护师,研究方向:外科护理学,邮箱:378010362@qq.com。
