摘要
目的探讨快速康复外科理念(FTS)护理在胆囊结石腹腔镜手术患者中的应用效果。方法选取2019年1月至2021年12月本院收治的胆囊结石患者60例,按随机数字表法分为两组,每组30例患者。对照组采取常规护理,观察组实施FTS护理,持续护理至术后5 d。比较两组心理状态、术后疼痛、术后康复情况、并发症发生情况和生活质量。结果两组护理前心理状态、术后疼痛和生活质量比较,差异无统计学意义(P>0.05);观察组护理后汉密尔顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)评分比对照组低(P<0.05)。观察组护理后视觉模拟评分法(VAS)评分比对照组低(P<0.05)。观察组术后肛门排气时间、进食时间、下床活动时间、胃肠功能恢复时间以及住院时间均比对照组短(P<0.05)。观察组并发症发生率(3.33%)低于对照组(20.00%)(P<0.05)。观察组护理后健康调查简表(SF-36)各项评分均高于对照组(P<0.05)。结论FTS护理可改善胆囊结石腹腔镜手术患者消极情绪,降低患者术后疼痛程度,进而促进患者术后快速康复,降低切口感染、肺部感染等并发症发生风险,有利于患者康复,促进生活质量的提升。
Objective To explore the effect of FTS nursing in laparoscopic cholecystolithiasis patients.Methods From January 2019 to December 2021,60 patients with cholecystolithiasis in our hospital were selected and divided into two groups according to the random number table.Each group was 30 patients.The control group received routine nursing,while the observation group received FTS nursing until 5 days after operation.The psychological status,postoperative pain,postoperative rehabilitation,complications and quality of life of the two groups were compared.Results The psychological status,postoperative pain and quality of life of the two groups were compared before and after nursing(P>0.05).The scores of Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)in the observation group after nursing were lower than those in the control group(P<0.05).The VAS score of the observation group was lower than that of the control group(P<0.05).The time of anal exhaust,eating,getting out of bed,gastrointestinal function recovery and hospitalization in the observation group were shorter than those in the control group(P<0.05).The incidence of complications in the observation group(3.33%)was lower than that in the control group(20.00%)(P<0.05).The scores of SF-36 in the observation group were higher than those in the control group(P<0.05).Conclusion FTS nursing can improve the negative emotions of patients with cholecystolithiasis undergoing laparoscopic surgery,alleviate the pain of patients after surgery,thus speeding up the rehabilitation of patients after surgery,reducing the risk of complications,which is conducive to the rehabilitation of patients and promoting the improvement of quality of life.
作者
吴长松
翁细华
WU Changsong;WENG Xihua(Yugan Center for Disease Control and Prevention,Shangrao 335100,China;Yugan County People's Hospital,Shangrao 335100,China)
出处
《中国医药指南》
2022年第35期21-24,共4页
Guide of China Medicine
关键词
胆囊结石
快速康复外科理念
腹腔镜手术
术后康复
并发症
生活质量
Gallstone
Concept of rapid rehabilitation surgery
Laparoscopic surgery
Postoperative rehabilitation
Complication
Quality of life
