摘要
目的探讨基于快速康复外科(FTS)理念的护理路径在胃癌根治术中的应用效果。方法选取行胃癌根治术的患者447例,根据围手术期间护理干预方式不同分为实验组和对照组。对照组169例患者给予常规护理,实验组278例患者实施基于FTS理念的护理路径。对比2组术后临床指标差异。结果实验组术后3d疼痛程度评分低于对照组,首次下床活动时间、肠功能恢复时间,首次排便时间、尿管拔除时间、引流管拔除时间均早于对照组,住院时间短于对照组,差异有统计学意义(P<0.05或P<0.01)。结论 FTS护理路径在胃癌根治手术患者中应用安全有效,能促进患者术后康复。
Objective To investigate the effect of nursing path based on theory of fast-track surgery（ FTS） in patients with radical gastrectomy for gastric cancer. Methods A total of 447 patients undergoing radical gastrectomy for gastric cancer were assigned to the study group（ n = 278） and the control group（ n = 169）） according to the nursing interventions received. The control group was given routing nursing care routing nursing care,and the study group was given FTS-based nursing path. The postoperative outcomes of patients were compared between two groups. Results The pain degree was lower in the study group than that of controls at 3 days after operation,with a significant difference（ P〈0.05）. Patients in the study group hand early time in off-bed activity,intestinal function recovery,defecation,urinary catheter extraction,drainage tube extraction,as well as shorter length of stay,compared with those in the control group（ P〈0.05 or P〈0.01）. Conclusion FTSbased nursing path is a safe and effective approach for surgical patients with gastric cancer. It helps to achieve clinically meaningful outcomes by accelerating rehabilitation and reducing the length of postoperative hospital stay.
出处
《中西医结合护理（中英文）》
2016年第10期46-48,52,共4页
Journal of Clinical Nursing in Practice
关键词
快速康复外科
护理路径
胃癌根治术
fast-track surgery
nursing path
radical gastrectomy for gastric cancer
