快速康复理念在乳腺癌手术护理中的应用

发布时间：2018-02-04 23:29

本文关键词： 快速康复理念乳腺癌根治术手术室护理　出处：《实用临床护理学电子杂志》2017年02期 　论文类型：期刊论文

【摘要】：目的旨在研讨快速康复外科理念在手术室护理中的运用。方法选取我院2016年01月~2016年06月乳腺外科收治的乳腺癌患者68例作为研究对象。对照组患者采取常规手术室护理;研究组在采用常规手术室护理措施同时增加快速康复理念干预。观察指标包括:术前血液动力学、术后24 h舒适度及焦虑评分、麻醉清醒时间、手术配合度及护理满意度。结果术前血压、心率,研究组明显优于对照组,差异有统计学意义(P0.05);研究组(4.53±1.52)和(69.83±15.43)舒适评分以及满意程度明显优于对照组(5.15±1.57)和(54.95±15.34),差异有统计学意义(P0.05);同时术后SAS焦虑评分研究组(34.97±4.77)明显优于对照组(39.71±5.96),差异有统计学意义(P0.05);麻醉清醒时间,研究组(25.06±3.12)min低于对照组(36.65±4.88)min;手术配合度,研究组良好的比例高于对照组(35:616:11),差异有统计学意义(P0.05)。结论快速康复外科理念在乳腺癌手术护理中运用能够显著改善患者的心理状态及生理应急反应,可使患者舒适度及满意度上升,提高患者治疗、护理的依从性及术后生活品质,减少并发症,有较高的临床推行应用价值。
[Abstract]:Objective to study the application of the concept of rapid rehabilitation surgery in the nursing of operating room. Methods 68 cases of breast cancer patients admitted in our hospital from January 2016 to June 2016 were selected as the object of study. The patients in the control group were given routine nursing care in operating room. The study group adopted routine operating room nursing measures and increased the intervention of rapid rehabilitation concept. The observed indexes included: preoperative hemodynamics, 24 h comfort and anxiety score after operation, anaesthesia waking time. Results preoperative blood pressure, heart rate, study group were significantly better than the control group, the difference was statistically significant (P 0.05). The scores of comfort and satisfaction in the study group (4.53 卤1.52) and 69.83 卤15.43) were significantly better than those in the control group (5.15 卤1.57) and 54.95 卤15.34 (P < 0.05). . The difference was statistically significant (P 0.05). At the same time, the SAS anxiety score in the study group (34.97 卤4.77) was significantly higher than that in the control group (39.71 卤5.96), and the difference was statistically significant (P 0.05). The waking time of anesthesia in the study group was 25.06 卤3.12 minutes lower than that in the control group (36.65 卤4.88 min). The rate of good cooperation in the study group was higher than that in the control group (35: 616: 11). Conclusion the application of the concept of rapid rehabilitation surgery in nursing care of breast cancer can significantly improve the psychological state and physiological emergency response of patients. It can increase the comfort and satisfaction of patients, improve the compliance of patients with treatment, nursing care and quality of life after operation, reduce complications, and have a higher clinical application value.
【作者单位】：徐州医科大学附属宿迁医院;
【基金】：2015年宿迁市科技支撑计划项目(社会发展)(项目编号S201516)
【分类号】：R473.73
【正文快照】： 乳腺癌是女性易e患恶性肿瘤之一,手术治疗是目前临床医治乳腺癌的常见措施[1]。恰当的手术室护理干预是确保根治术成功及术后康复的重要方法[2]。快速康复理念(FST)是指采取一系列围手术期措施,旨在减轻患者手术创伤,以期达到患者快速康复[3]。该理念不仅要求手术操作的微创,

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