加速康復(fù)外科理念在胃腸外科護(hù)理管理中的應(yīng)用價(jià)值研究

孫明旭 叢志平 王海燕

[摘要] 目的 探討加速康復(fù)外科理念對(duì)胃腸外科護(hù)理管理效果的影響。方法 選取2016年1月—2018年12月期間該院收治的96例行胃腸手術(shù)的患者為研究對(duì)象，依據(jù)入院先后順序?qū)⒒颊叻譃檠芯拷M和對(duì)照組，先入院的48例患者納入對(duì)照組，實(shí)施常規(guī)管理，后入院的48例患者納入研究組，實(shí)施加速康復(fù)外科護(hù)理管理，比較兩組管理效果。結(jié)果 研究組肛門首次排氣、腸鳴音恢復(fù)、首次進(jìn)食時(shí)間均較對(duì)照組顯著縮短（P<0.05）。研究組疼痛持續(xù)時(shí)間為（4.2±1.1）d，術(shù)后VAS疼痛評(píng)分為（1.9±0.7）分，均顯著低于對(duì)照組（P<0.05）;研究組患者護(hù)理總滿意率為93.75%，較對(duì)照組75.00%的護(hù)理滿意率顯著提高（P<0.05）。結(jié)論 加速康復(fù)外科理念在胃腸外科護(hù)理管理中的應(yīng)用，有助于改善患者術(shù)后胃腸功能，提高護(hù)理滿意，對(duì)于提升該院整體護(hù)理質(zhì)量具有重要作用。

[關(guān)鍵詞] 加速康復(fù)外科;護(hù)理管理;胃腸外科;術(shù)后康復(fù)

[中圖分類號(hào)] R47 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1672-5654（2020）01（a）-0103-03

[Abstract] Objective To explore the influence of the concept of accelerated rehabilitation surgery on the nursing management effect of gastrointestinal surgery. Methods Ninety-six patients undergoing gastrointestinal surgery admitted in the hospital from January 2016 to December 2018 were selected as the research subjects. The patients were divided into a study group and a control group according to the order of admission. The control group was subjected to routine management. The 48 patients who were admitted to the hospital were included in the study group. The nursing management of accelerated rehabilitation surgery was implemented， and the management effects of the two groups were compared. Results The time of the first anal exhaust， recovery of bowel sounds， and the first meal in the study group were significantly shorter than those in the control group（P<0.05）. The duration of pain in the study group was （4.2±1.1）d， and the postoperative VAS pain score was （1.9±0.7）points， which were significantly lower than those in the control group（P<0.05）. The total satisfaction rate of patients in the study group was 93.75%， The control satisfaction rate of 75.00% in the control group was significantly increased（P<0.05）. Conclusion The application of the concept of accelerated rehabilitation surgery in nursing management of gastrointestinal surgery can help improve the gastrointestinal function of patients after surgery， improve nursing satisfaction， and play an important role in improving the overall nursing quality of the hospital.

[Key words] Accelerated rehabilitation surgery; Nursing management; Gastrointestinal surgery; Postoperative rehabilitation

加速康復(fù)外科理念屬于新型外科管理路徑，通過優(yōu)化圍手術(shù)期的多種護(hù)理措施，包括健康教育、術(shù)前準(zhǔn)備、術(shù)后活動(dòng)等，最大限度減少手術(shù)應(yīng)激反應(yīng)，從而縮短患者住院時(shí)間，減少并發(fā)癥，提高患者生存質(zhì)量，促進(jìn)患者康復(fù)[1]。隨著加速康復(fù)外科理念在我國(guó)應(yīng)用的日益成熟，其優(yōu)勢(shì)得到了普遍認(rèn)可。該次研究選取2016年1月—2018年12月期間該院收治的96例行胃腸手術(shù)的患者為研究對(duì)象，進(jìn)一步從管理角度闡述了加速康復(fù)外科理念在胃腸手術(shù)患者中的應(yīng)用價(jià)值，現(xiàn)報(bào)道如下。

1? 資料與方法

1.1? 一般資料

選取該院收治的96例行胃腸手術(shù)的患者為研究對(duì)象，依據(jù)入院先后順序?qū)⒒颊叻譃檠芯拷M和對(duì)照組，先入院的48例患者納入對(duì)照組，男25例、女23例，年齡26～69歲，平均（56.81±3.21）歲;后入院的48例患者納入研究組，男27例、女21例，患者年齡24～68歲，平均（56.51±3.42）歲，納入標(biāo)準(zhǔn)：患者術(shù)前均經(jīng)胃鏡及病理檢查確診且符合手術(shù)相關(guān)指征;患者及家屬均對(duì)研究知情同意，自愿配合研究并簽署知情同意書。排除標(biāo)準(zhǔn)：心、肝等重要臟器功能受損的患者;合并凝血功能障礙的患者;有腹部手術(shù)史的患者。將兩組基線資料比較，差異無統(tǒng)計(jì)學(xué)意義（P>0.05），可進(jìn)行對(duì)比研究。