摘要
目的探讨流程化沟通模式(CICARE)联合快速康复外科(FTS)在腹腔镜胆道探查围手术期护理中的应用效果。方法选择2017年8月至2020年3月在安徽省第二人民医院普外科行腹腔镜下胆囊切除+胆总管探查取石术的97例患者作为研究对象。根据围手术期护理干预方式不同,将研究对象分为常规护理组(34例)、FTS护理组(31例)与CICARE-FTS组(32例)。比较3组患者术后康复及术后并发症发生等情况。结果 CICARE-FTS组患者术后首次排气时间为(17.91±5.18)h、首次排便时间为(80.38±10.55)h、引流管拔出中位天数为3 d、术后住院中位天数为5 d,均短于常规护理组和FTS护理组,差异有统计学意义(P<0.05)。CICARE-FTS组患者术后并发症发生率为34.38%,远低于常规护理组(79.41%)和FTS组(61.29%),差异有统计学意义(P<0.05)。CICARE-FTS组患者术后第5天、第10天焦虑自评量表(SAS)评分和疼痛视觉模拟评分(VAS)均低于常规护理组和FTS组,差异有统计学意义(P<0.05)。随着时间推移,3组患者SAS评分和VAS评分均有所下降,以CICARE-FTS组下降趋势最明显,差异有统计学意义(P<0.05)。结论 CICARE联合FTS护理应用于腹腔镜胆道探查围手术期,具有加速患者康复进程、降低并发症发生率、减少不良情绪发生和减轻疼痛等优点,值得临床推广。
Objective To investigate the effect of CIC ARE combined with FTS in perioperative nursing of laparoscopic biliary exploration. Methods The clinical data of 97 patients who underwent laparoscopic cholecystectomy and common bile duct exploration in the Department of General Surgery of the No.2 Provincial People’s Hospital of Anhui Province from August 2017 to March 2020 were analyzed. The subjects were divided into 34 cases of routine nursing group, 31 cases of FTS nursing group and 32 cases of CIC ARE-FTS group according to different perioperative nursing intervention methods. The postoperative rehabilitation and postoperative complications of the three groups were analyzed and compared. Results The first exhaust time(17.91±5.18)h, first defecation time(80.38±10.55) h, drainage tube extubation time(3 days) and days of postoperative hospital stay(5 days) in CICARE-FTS group were shorter than the other two groups, and the difference was statistically significant(P<0.05). The overall incidence of postoperative complications in CICARE-FTS group was 34.38%, which was lower than that in the routine nursing group(79.41%) and the FTS group(61.29%), and the difference had statistical significance(P<0.05). The scores of self-rating anxiety scale(SAS) and pain visual simulation score(VAS) in CICARE-FTS group were lower than those in routine nursing group and FTS group, and the difference was statistically significant(P<0.05).Conclusions CICARE-FTS group has the advantages of accelerating the recovery process, reducing the incidence of complications, reducing the occurrence of bad emotions and allaying pain, which is worthy of clinical promotion.
作者
邢桂枚
李敏
曹葆强
XING Guimei;Li Min;CAO Baoqiang(Department of Education,Anhui No.2 Provincial People’s Hospital,Hefei 230041,China)
出处
《安徽医学》
2021年第3期315-318,共4页
Anhui Medical Journal
基金
安徽省自然科学基金项目(项目编号:1808085MH237)。
