摘要
目的观察分析快速康复外科理念(FTS)在腰椎手术患者临床护理中的应用效果。方法选取2016年1月-2018年6月于该院择期进行腰椎手术治疗的患者56例,采用随机数表法分为两组,每组28例,在围手术期内,对照组采取常规护理,观察组在护理中引入快速康复外科理念,评估并比较两组患者术后疼痛、生活质量、恢复情况及术后并发症情况。结果①观察组患者垫枕头时间(t=32.669,P=0.000)、卧床时间(t=14.148,P=0.000)、术后3 d疼痛评分(t=13.208,P=0.000)均少于对照组,观察组术后3 d生活质量评分(t=3.076,P=0.003)多于对照组,差异有统计学意义(P<0.05);②术后随访观察3个月,观察组患者并发症率为3.6%,也显著少于对照组35.7%(χ^2=7.240,P=0.007<0.05)。结论在腰椎手术患者围术期护理中引入快速康复外科理念,有助于减小患者痛苦、促进患者术后恢复、预防并发症发生,具有重要应用价值。
Objective To observe and analyze the application effect of rapid rehabilitation surgery concept(FTS)in clinical nursing of patients with lumbar spine surgery.Methods A total of 56 patients who underwent elective lumbar spine surgery in the hospital from January 2016 to June 2018 were randomly divided into two groups,28 in each group.During the perioperative period,the control group was routine nursing,the observation group introduced the concept of rapid rehabilitation surgery in the nursing,and evaluated and compared the postoperative pain,quality of life,recovery and postoperative complications of the two groups.Results 1.The patients in the observation group had less pillow time(t=32.669,P=0.000),bedtime(t=14.148,P=0.000),and postoperative 3 d pain score(t=13.208,P=0.000).The quality of life score(t=3.076,P=0.003)was significantly higher in the observation group than in the control group,and the difference were statistically significant(P<0.05).2.The postoperative follow-up observation was 3 months.The complication rate of the observation group was 3.6%was also significantly less than 35.7%of the control group(χ^2=7.240,P=0.007<0.05).Conclusion Introducing the concept of rapid rehabilitation surgery in perioperative nursing of patients with lumbar spine surgery can help reduce patient suffering,promote postoperative recovery and prevent complications.It has important application value.
作者
严寿芹
YAN Shou-qin(Operating Room of Sheyang County People's Hospital,Yancheng,Jiangsu Province,224300 China)
出处
《系统医学》
2019年第20期172-174,共3页
Systems Medicine
关键词
快速康复外科理念
腰椎手术
护理
应用效果
评价观察
Rapid rehabilitation surgery concept
Lumbar surgery
Nursing
Application effect
Evaluation observation
