摘要
目的总结加速康复外科(fast track surgery,FTS)护理在腹腔镜卵巢囊肿剥除术中应用体会,探讨其临床价值。方法选取解放军总医院妇产科2016年1~12月期间收治的卵巢囊肿患者,随机分为两组,均采取腹腔镜卵巢囊肿剥除术,观察组采用FTS护理路径,实施积极、规范、有效的个体化护理方法;对照组采用常规护理方法。记录并比较两组的一般情况、康复相关指标以及护理满意度情况。结果观察组48例,对照组50例。两组患者的平均年龄、体重指数、腹部手术史、手术时间、术中出血量和囊肿类型比较,差异无统计学意义(P>0.05);观察组的住院时间[(2.5±0.9)d vs(4.5±1.7)d]、相关诊疗费用[(8 254.2±762.9)元vs(10 265.8±1 253.3)元]、术后排气时间[(17.1±5.3)h vs(29.5±10.6)h)]均少于对照组,差异有统计学意义(P<0.01);观察组的护理满意度(91.7%)高于对照组(74.0%),差异有统计学意义(P<0.05)。结论将FTS引入腹腔镜卵巢囊肿剥除手术患者的康复管理中,能够加快患者术后康复速度、改善就医体验,缩短平均住院时间,具有重要的临床价值。
Objective To investigate the effect of fast tract surgery used in perioperative nursing care for patients with laparoscopic ovarian cystectomy. Methods All patients selected in our hospital during the period of Jan. to Dec. 2016 undergoing laparoscopic ovarian cystectomy were analyzed. All cases were randomly divided into two groups. The observation group was treated with fast track surgery nursing care,while the control group received routine nursing care. The general situation,rehabilitation related indicators and nursing satisfaction were recorded and compared between the two groups. Results The average age,body mass index abdominal operation history,operation time,the amount of bleeding and the proportion of cyst types in the two groups were not statistically significant（ P〈0. 05）. The average length of stay[（ 2. 5 ±0. 9） d vs（ 4. 5 ± 1. 7） d],the cost of diagnosis and treatment [（ 8 254. 2 ± 762. 9） yuan vs（ 10 265. 8 ±1 253. 3） yuan]and the time of postoperative exhaust [（ 17. 1 ± 5. 3） h vs（ 29. 5 ± 10. 6） h） ] in the observation group were less than those in the control group,the difference was statistically significant（ P〈0. 05）. The nursing satisfaction of the observation group（ 91. 7%） was higher than that of the control group（ 74. 0%）,the difference was statistically significant（ P〈0. 05）. Conclusions Fast track surgery nursing care can speed up the rehabilitation of laparoscopic ovarian cystectomy,improve the patient ＇s medical experience and shorten the average length of stay.
出处
《中华腔镜外科杂志（电子版）》
2017年第4期248-251,共4页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
基金
解放军总医院临床扶持基金(2015FC-TSYS-1013)
关键词
加速康复外科
腹腔镜
护理
卵巢囊肿
Fast track surgery
Laparoscopy
Nursing
Ovarian cysts
