摘要
目的探讨快速康复模式在腹腔镜肝切除围手术期护理中的应用价值分析。方法方便选择2017年9月—2018年9月该院收治的100例腹腔镜肝切除患者纳入研究对象,依照随机数字表法分成两组,命名为对照组与研究组,各50例。对照组腹腔镜肝切除患者实施常规围手术期护理方法,研究组腹腔镜肝切除患者实施快速康复模式围手术期护理方法。比较分析两组仔细观察并记录两组患者的手术相关指标(包括肛门排气时间、排便时间、下床活动时间、进食时间、住院天数),护理前后的心理状态,以及护理满意度。结果研究组的肛门排气时间为(2.25±1.60)d,排便时间为(2.90±0.45)d,下床活动时间为(1.60±1.02)d,进食时间为(2.65±1.21)d,住院天数为(9.80±2.35)d,与对照组比较,差异有统计学意义(t=3.997、6.570、9.155、2.218、5.425,P<0.05);研究组护理前的焦虑自评量表(SAS)评分为(63.20±2.45)分,抑郁自评量表(SDS)评分为(63.70±2.70)分,与对照组比较,差异无统计学意义(t=0.256、0.219,P>0.05);研究组护理后的SAS评分为(37.35±1.20)分,SDS评分为(38.40±1.15)分,与对照组比较,差异有统计学意义(t=32.088、33.280,P<0.05);研究组的护理满意度为96.00%,与对照组比较,差异有统计学意义(χ2=6.060,P<0.05)。结论在腹腔镜肝切除围手术期护理中应用快速康复模式的价值确切。
Objective To investigate the value of rapid rehabilitation in the perioperative nursing of laparoscopic liver resection.Methods A total of 100 patients undergoing laparoscopic hepatectomy from September 2017 to September 2018 were Convenient enrolled in the study.They were divided into two groups according to the random number table method,named control group and study group,each with 50 cases.Patients in the control group underwent routine perioperative nursing care in patients undergoing laparoscopic hepatectomy,and the perioperative nursing methods in the rapid recovery mode were performed in the study group.Comparative analysis The two groups carefully observed and recorded the surgical related indicators(including anal exhaust time,defecation time,time to get out of bed,eating time,hospital stay),psychological state before and after nursing,and nursing satisfaction.Results The anal exhaust time,defecation time,out-of-bed activity time,eating time,hospitalization time and hospitalization time of the study group were(2.25±1.60)d,(2.90±0.45)d,(1.60±1.02)d,(2.65±1.21)d,(9.80±2.35)d,respectively.There were significant differences between the study group and the control group(t=3.997,6.570,9.155,2.218,5.425,P<0.05).The self-rating anxiety scale(SAS)and self-rating depression scale(SDS)before nursing in the study group were(63.20±2.45)points and(63.70±2.70)points respectively.There was no significant difference between the two groups(t=0.256,0.219,P>0.05).The SAS score and SDS score of the study group after nursing were(37.35±1.20)points and(38.40±1.15)points respectively.There were statistically significant differences between the study group and the control group(t=32.088,33.280,P<0.05).The nursing satisfaction of the study group was 96.00%,which was significantly different from that of the control group(χ2=6.060,P<0.05).Conclusion The value of applying rapid rehabilitation mode in perioperative nursing of laparoscopic liver resection is exact.
作者
黄秀环
林碧华
蔡秋妮
HUANG Xiu-huan;LIN Bi-hua;CAI Qiu-ni(Department of Hepatobiliary Surgery,Zhongshan Hospital,Xiamen University,Xiamen,Fujian Province,361004 China;Department of Vascular Pediatric Surgery,Zhongshan Hospital,Xiamen University,Xiamen,Fujian Province,361004 China)
出处
《中外医疗》
2019年第33期122-124,共3页
China & Foreign Medical Treatment
关键词
快速康复模式
腹腔镜肝切除
围手术期护理
应用价值
Rapid recovery mode
Laparoscopic liver resection
Perioperative nursing
Application value
