摘要
目的探究应用快速康复外科(fast-track surgery,FTS)理念优化心脏介入围术期流程对桡动脉支架植入术后患者康复的影响。方法将2017年6月至2018年5月于我科行桡动脉支架植入术的患者采用随机数字表法分为对照组及FTS组,每组各95例。其中对照组,男60例、女35例,年龄35～88(65.2±9.6)岁;FTS组,男62例、女33例,年龄34～86(61.5±11.3)岁。对照组实施围术期常规处理措施,FTS组运用快速康复理念进行流程优化干预,对患者入院前、住院期间及出院后疾病康复进行针对性的个体化管理,比较分析两组的住院时间、患者满意度、术后并发症、疾病自我管理能力及再住院率。结果与对照组比较,FTS组患者住院时间明显缩短,术后并发症降低,住院满意度增加,患者对疾病的自我管理能力提高,再住院率降低,两组差异有统计学意义(P<0.05)。结论 FTS理念应用于心脏介入对围术期进行流程优化,可有效降低术后患者并发症发生率,提高自我管理能力,缩短住院时间,有效避免心脏不良事件的发生,有利于患者的心脏康复。
Objective To explore the influence of applying the fast-track surgery(FTS) to optimize the process in the perioperative period of cardiac intervention on the rehabilitation of patients with radial artery stenting surgery.Methods A total of 190 patients with radial artery stenting surgery in the Department of Cardiology, West China Hospital from June 2017 to May 2018 were enrolled. They were randomized into a control group(n=95) and a FTS group(n=95) by random umber table. There were 60 males and 35 females aged 35-88(65.2±9.6) years in the control group as well as 62 males and 33 females aged 34-86(61.5±11.3) years in the FTS group. Patients in the control group received routine perioperative care, but patients in the FTS group received individual precision interventions by applying the FTS concept to optimize the process of perioperative care, including individual care management before being admitted into hospital, during hospital, and after discharge from hospital. Duration of hospital stay, satisfaction scores, number of comorbidities after surgery, disease self-management ability, and readmission rates were compared between the two groups. Results Compared to the control group, the FTS group had significantly shorter duration of hospital stay, less comorbidities, higher satisfaction scores and disease self-management ability, and lower readmission rate to hospital(P<0.05). Conclusion Applying FTS into the perioperative period of cardiac interventions to optimize its process can help patients recover from radial artery stenting surgery, increase patients’ self-management abilities, shorten duration of hospital stay and decrease comorbidities and cardiac adverse events.
作者
杨雪梅
倪钊
任玉英
彭勇
YANG Xuemei;Nl Zhao;REN Yuying;PENG Yong(Department of Cardiology,West China Hospital,Sichuan University,Chengdu,610041,P.R.China;School of Nursing,Duke University,Durham,North Caroline,27710,USA)
出处
《中国胸心血管外科临床杂志》
CAS
CSCD
2019年第4期364-368,共5页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
关键词
快速康复
围术期流程优化
桡动脉穿刺
支架植入术
心脏康复
Fast-track surgery
perioperative process optimization
radial artery puncture
stent implantation
cardiac rehabilitation
