摘要
目的探讨对卵巢囊肿手术患者实施加速康复外科护理的干预效果。方法选取2017年6月-2018年6月本院收治的接受腹腔镜手术治疗的卵巢囊肿患者118例作为研究对象,采用随机数字表法将其分为观察组和对照组,各59例,分别接受加速康复外科护理干预和常规护理干预,比较两组患者的手术指标、术后VAS疼痛评分、抑郁和焦虑评分、术后并发症发生情况以及护理满意度。结果观察组患者术后排气时间、排大便时间、下床活动时间和住院时间均显著短于对照组患者,差异有统计学意义,P<0.05;观察组患者的VAS疼痛评分,SAS焦虑评分和SDS抑郁评分均显著低于对照组患者,差异有统计学意义,P<0.05;观察组者护理后并发症的总发生率为6.78%,显著低于对照组患者的22.03%,差异有统计学意义,P<0.05;观察组者护理总满意度为96.61%,显著高于对照组患者的84.75%,差异有统计学意义,P<0.05。结论加速康复外科护理干预有利于加速卵巢囊肿手术患者的术后康复速度,改善就医体验,提高护理满意度,值得临床推广。
Objective To analyze the effect of fast track surgery nursing in patients with ovarian cystectomy.Methods 118 ovarian cystectomy patients in our hospital from June 2017 to June 2018 were selected and divided into two groups(n=59).Patients in control group accepted fast track surgery nursing intervention,and patients in observation group accepted comprehensive nursing intervention.The operative index,VAS scores,SAS scores,SDS scores,complications and nursing satisfaction of the two groups were compared.Results The exhaust time,postoperative defecation time,ambulation time and hospital stay of patients in observation group were significantly lower than those of patients in control group,P<0.05;The rate of complications was 6.78%in observation group,significantly lower than 22.03%in control group,P<0.05;The nursing satisfaction of patients in observation group were 96.61%,significantly higher than 84.75%of patients in control group,P<0.05.Conclusion Fast track surgery nursing intervention could speed up the rehabilitation of patients with ovarian cystectomy,and improve the patient’s medical experience,which is worth to be spread.
关键词
卵巢囊肿
腹腔镜手术
加速康复外科
护理
ovarian cystectomy
laparoscopic surgery
fast track surgery
nursing