快速康复外科护理对妇科腹腔镜手术患者康复水平的影响
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摘要
目的观察临床应用快速康复外科护理对妇科腹腔镜手术患者康复水平的影响。方法将124例行妇科腹腔镜手术患者按随机数字表法随机分为对照组和观察组,每组62例。对照组患者应用临床常规护理,观察组则同时给予快速康复外科护理,对比分析2种护理方法对患者康复水平的影响。结果术后6 h 2组患者肩部及腹部疼痛评分组间比较差异均无统计学意义(P>0.05),术后24 h及72 h 2组肩部及腹部疼痛评分均较术后6 h逐步明显下降(P<0.05),观察组各时间点下降程度均明显高于对照组(P<0.05);2组患者肠鸣音恢复、肛门排气、排便、下床活动以及住院时间比较观察组均明显低于对照组(P<0.05);2组患者术后72 h并发症发生率比较观察组明显低于对照组(P<0.05);观察组患者护理满意度明显高于对照组(P<0.05)。结论临床应用快速康复外科护理模式对妇科腹腔镜手术患者进行护理可明显缓解疼痛,促进患者术后恢复,可在临床推广应用。
Objective To observe the effects of clinical application of rapid rehabilitation surgical nursing on the rehabilitation levels of gynecological laparoscopic surgery patients.Methods A total of 124 patients who underwent gynecologic laparoscopic surgery in our hospital were randomly divided into control group(n=62) and observation group(n=62).The patients in control group were treated by clinical routine nursing,however,the patients in observation group were treated by rapid rehabilitation surgical care.The effects of two nursing methods on the levels of rehabilitation of patients were observed and compared between the two groups.Results There were no significant differences in shoulder and abdominal pain scores at 6 h after surgery between the two groups(P>0.05).The shoulder and abdominal pain scores at 24 h and 72 h after surgery were significantly decreased in both groups,as compared with those at 6 h after operation(P<0.05),moreover, the decrease degree in different time pionts in observation group was significantly higher than that in control group(P<0.05).In addition the recovery time of bowel sounds,anal exhaust,defecation, out-of-bed activity and hospitalization time in observation group were significantly shorter than those in control group(P<0.05),moreover, the incidence rate of complications at 72 h after operation was significantly lower than that in control group(P<0.05).The nursing satisfaction degree in observation group was significantly higher than that in control group(P<0.05).Conclusion The clinical application of rapid rehabilitation surgical nursing mode for patients undergoing gynecological laparoscopic surgery can significantly relieve pain and promote postoperative recovery,therefor, it can be promoted and applied in clinical practice.
Objective To observe the effects of clinical application of rapid rehabilitation surgical nursing on the rehabilitation levels of gynecological laparoscopic surgery patients.Methods A total of 124 patients who underwent gynecologic laparoscopic surgery in our hospital were randomly divided into control group(n=62) and observation group(n=62).The patients in control group were treated by clinical routine nursing,however,the patients in observation group were treated by rapid rehabilitation surgical care.The effects of two nursing methods on the levels of rehabilitation of patients were observed and compared between the two groups.Results There were no significant differences in shoulder and abdominal pain scores at 6 h after surgery between the two groups(P>0.05).The shoulder and abdominal pain scores at 24 h and 72 h after surgery were significantly decreased in both groups,as compared with those at 6 h after operation(P<0.05),moreover, the decrease degree in different time pionts in observation group was significantly higher than that in control group(P<0.05).In addition the recovery time of bowel sounds,anal exhaust,defecation, out-of-bed activity and hospitalization time in observation group were significantly shorter than those in control group(P<0.05),moreover, the incidence rate of complications at 72 h after operation was significantly lower than that in control group(P<0.05).The nursing satisfaction degree in observation group was significantly higher than that in control group(P<0.05).Conclusion The clinical application of rapid rehabilitation surgical nursing mode for patients undergoing gynecological laparoscopic surgery can significantly relieve pain and promote postoperative recovery,therefor, it can be promoted and applied in clinical practice.
引文
1 李程程.快速康复外科护理对妇科腹腔镜手术患者术后康复及并发症的影响.实用妇科内分泌杂志,2016,3:3-4.
2 陈爱中,范玲.快速康复外科护理对妇科腹腔镜手术患者康复水平的影响.实用临床医药杂志,2016,20:181-182.
3 万淑芬.快速康复外科护理干预对妇科腹腔镜手术患者康复水平的作用.中国医药指南,2017,15:214-215.
4 孙祖燕,沈居丽,贾惠芳,等.快速康复外科理论在妇科腹腔镜手术患者围手术期护理中的应用.心理医生,2016,22:159-160.
5 曹卉娟,邢建民,刘建平.视觉模拟评分法在症状类结局评价测量中的应用.中医杂志,2009,50:600-602.
6 许淑仙,李霞,张建华.快速康复外科理念在妇科腹腔镜手术病人围术期护理中的应用.护理研究,2018,7:576-579.
7 劳东玲.妇科腹腔镜手术中应用快速康复外科技术的观察及护理.齐齐哈尔医学院学报,2012,33:2105-2106.
8 许柳琴,陈瑜,郭秋兰,等.快速康复外科护理与传统护理在腹腔镜胆囊切除术围手术期的应用研究.护士进修杂志,2016,31:1008-1010.
9 郑娟如,张永海,吴丹燕,等.快速康复外科理念在泌尿外科老年患者后腹腔镜手术护理中的应用.广东医学,2017,38:159-161.
10 李佳.妇科腹腔镜手术中应用快速康复外科技术的观察及护理.医药前沿,2012,33:2105-2106.
11 黄玉梅.快速康复理念在妇科腹腔镜手术患者护理中的应用效果观察.临床合理用药杂志,2017,10:146-147.
12 陆金美,郭晓娟,赵文芳.快速康复理念在腹腔镜术后非切口疼痛护理中的应用.中国保健营养旬刊,2013,3:491-491.
13 邴保霞,王志秀,梁振湖.给氧体位康复训练在妇科腹腔镜术后非切口疼痛中的应用效果.临床合理用药杂志,2016,9:126-127.
14 廖潇潇,邓杰,黄桂航.体位干预联合小茴香熨烫胃脘部用于妇科腹腔镜术后非切口疼痛.护理学杂志,2017,32:37-38.
15 郁海蓉.快速外科康复理念在妇科腹腔镜围术期患者护理中的应用分析.中国保健营养,2015,5:25.
16 成汉荣.快速康复外科理念在妇科腔镜手术中的护理应用.按摩与康复医学,2014,12:148-149.
17 杨素坚,张丽达,彭秀琨,等.快速康复外科在胃肠道手术围术期的作用探讨.按摩与康复医学,2016,7:91-92.
2 陈爱中,范玲.快速康复外科护理对妇科腹腔镜手术患者康复水平的影响.实用临床医药杂志,2016,20:181-182.
3 万淑芬.快速康复外科护理干预对妇科腹腔镜手术患者康复水平的作用.中国医药指南,2017,15:214-215.
4 孙祖燕,沈居丽,贾惠芳,等.快速康复外科理论在妇科腹腔镜手术患者围手术期护理中的应用.心理医生,2016,22:159-160.
5 曹卉娟,邢建民,刘建平.视觉模拟评分法在症状类结局评价测量中的应用.中医杂志,2009,50:600-602.
6 许淑仙,李霞,张建华.快速康复外科理念在妇科腹腔镜手术病人围术期护理中的应用.护理研究,2018,7:576-579.
7 劳东玲.妇科腹腔镜手术中应用快速康复外科技术的观察及护理.齐齐哈尔医学院学报,2012,33:2105-2106.
8 许柳琴,陈瑜,郭秋兰,等.快速康复外科护理与传统护理在腹腔镜胆囊切除术围手术期的应用研究.护士进修杂志,2016,31:1008-1010.
9 郑娟如,张永海,吴丹燕,等.快速康复外科理念在泌尿外科老年患者后腹腔镜手术护理中的应用.广东医学,2017,38:159-161.
10 李佳.妇科腹腔镜手术中应用快速康复外科技术的观察及护理.医药前沿,2012,33:2105-2106.
11 黄玉梅.快速康复理念在妇科腹腔镜手术患者护理中的应用效果观察.临床合理用药杂志,2017,10:146-147.
12 陆金美,郭晓娟,赵文芳.快速康复理念在腹腔镜术后非切口疼痛护理中的应用.中国保健营养旬刊,2013,3:491-491.
13 邴保霞,王志秀,梁振湖.给氧体位康复训练在妇科腹腔镜术后非切口疼痛中的应用效果.临床合理用药杂志,2016,9:126-127.
14 廖潇潇,邓杰,黄桂航.体位干预联合小茴香熨烫胃脘部用于妇科腹腔镜术后非切口疼痛.护理学杂志,2017,32:37-38.
15 郁海蓉.快速外科康复理念在妇科腹腔镜围术期患者护理中的应用分析.中国保健营养,2015,5:25.
16 成汉荣.快速康复外科理念在妇科腔镜手术中的护理应用.按摩与康复医学,2014,12:148-149.
17 杨素坚,张丽达,彭秀琨,等.快速康复外科在胃肠道手术围术期的作用探讨.按摩与康复医学,2016,7:91-92.