快速康复理念在男科围手术期护理中的应用研究

发布时间：2018-06-18 23:36

  本文选题：快速康复 + 男科　； 参考：《中华男科学杂志》2016年11期

【摘要】：目的:研究快速康复外科(FTS)在男科围手术期护理中的应用效果。方法:选择行男科手术200例患者作为对照组,采用传统护理方法。男科手术的另200例患者作为观察组,应用FTS理念进行围手术期护理,在围手术期间应用各种已证实有效的方法,减少患者手术应激,使其快速康复。比较两组患者术后肠蠕动时间、首次排气时间、进食时间、下床活动时间、首次排便时间及肠道准备并发症,舒适度、患者护理满意度。结果:观察组与对照组相比,术后肠蠕动时间分别为(4.4±1.4)h和(5.8±0.9)h,首次排气时间(7.7±2.0)h和(10.8±1.8)h,进食时间(6.3±0.7)h和(12.9±0.7)h,下床活动时间(8.2±1.4)h和(14.3±2.7)h,首次排便时间(39.6±2.5)h和(49.2±2.6)h,以上5项指标观察组均短于对照组(P0.01);患者肠道准备并发症发生率观察组低于对照组(P0.05);观察组留置与早期拔除导尿管的舒适度高于对照组(P0.01);护理满意度[(99.4±0.3)%和(97.5±0.7)%],观察组高于对照组,两组比较差异具有统计学意义(P0.05)。结论:快速康复在男科围手术期护理中的应用是实效安全的,可以促进康复,改善质量,值得在男科临床护理中推广与应用。
[Abstract]:Objective: to study the effect of Fast Rehabilitation surgery (FTS) in perioperative nursing of andrology. Methods: 200 patients undergoing andrological operation were selected as control group and traditional nursing methods were used. Another 200 cases of male surgery were used as observation group. The perioperative nursing was carried out with FTS concept. During the perioperative period, all kinds of proven effective methods were used to reduce the surgical stress and make the patients recover quickly. The time of peristalsis, the time of first exhaust, the time of eating, the time of getting out of bed, the time of first defecation, the complications of intestinal preparation, the degree of comfort, the satisfaction of nursing were compared between the two groups. Results: the observation group was compared with the control group. Postoperative peristalsis time were 4.4 卤1.4hand 5.8 卤0.9h. the first venting time was 7.7 卤2.0hand 10.8 卤1.8h., the feeding time was 6.3 卤0.7hand 12.9 卤0.7h., the time of getting out of bed was 8.2 卤1.4hand 14.3 卤2.7h. the first defecation time was 39.6 卤2.5hand 49.2 卤2.6h. the above five indexes were shorter than those of the control group (P0.01). The incidence of occurrences in the observation group was lower than that in the control group (P 0.05), the comfort of indwelling and early removal of urethral catheter in the observation group was higher than that in the control group (P 0.01), and the nursing satisfaction degree [99.4 卤0.3% and 97.5 卤0.7%] was higher in the observation group than in the control group. The difference between the two groups was statistically significant (P 0.05). Conclusion: the application of rapid rehabilitation in perioperative nursing of andrology is effective and safe. It can promote rehabilitation and improve quality. It is worth popularizing and applying in clinical nursing of andrology.
【作者单位】： 南京大学医学院附属鼓楼医院泌尿男科;
【基金】：鼓楼医院院内课题(ZSH439)~~
【分类号】：R473.6
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本文编号：2037288