快速康复外科护理对高龄高危前列腺电切联合膀胱碎石患者围手术期的影响
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摘要
目的探讨快速康复外科护理对高龄高危前列腺电切联合膀胱碎石患者围手术期的影响。方法将120例前列腺增生合并膀胱结石的高龄高危患者按数字表法随机分为对照组和观察组各60例,对照组采用传统的常规护理,观察组采用快速康复外科护理,包括术前讲解相关知识、术中保温及限制液体入量、术后康复护理。结果观察组住院时间、留置尿管时间、膀胱冲洗时间、术后首次排气时间、术后并发症发生率及焦虑评分均低于对照组(P<0.05或P<0.01),观察组患者满意度高于对照组(P<0.01)。结论快速康复外科护理可以显著促进高龄高危前列腺电切联合膀胱碎石患者的康复,有效减少并发症,提高治疗效果。
Objective To explore the effects of Fast Track Surgery nursing on perioperative period of electrosurgical prostatectomy combined with bladder lithotripsy in high-risk elderly patients.Methods Totally,120 high-risk elderly patients with benign prostatic hyperplasia combined bladder stones were randomly divided into two groups according the random number table.The control group was treated with the traditional perioperative method,and the observation group received the Fast Track Surgery nursing which included preoperative health-education,intraoperative insulation,limiting intake and postoperative rehabilitation nursing.Results The time of postoperative hospitalization,indwelling catheter,bladder irrigation,first exhaust,postoperative complications and anxiety status of the observation group were lower than those of the control group(P<0.05 or P<0.01).The satisfaction of patients was higher than control group(P<0.01).Conclusion Fast Track Surgery nursing can promote health of electrosurgical prostatectomy combined with bladder lithotripsy in high-risk elderly patients,which can effectively improve the treatment effect and decrease surgical complications.
Objective To explore the effects of Fast Track Surgery nursing on perioperative period of electrosurgical prostatectomy combined with bladder lithotripsy in high-risk elderly patients.Methods Totally,120 high-risk elderly patients with benign prostatic hyperplasia combined bladder stones were randomly divided into two groups according the random number table.The control group was treated with the traditional perioperative method,and the observation group received the Fast Track Surgery nursing which included preoperative health-education,intraoperative insulation,limiting intake and postoperative rehabilitation nursing.Results The time of postoperative hospitalization,indwelling catheter,bladder irrigation,first exhaust,postoperative complications and anxiety status of the observation group were lower than those of the control group(P<0.05 or P<0.01).The satisfaction of patients was higher than control group(P<0.01).Conclusion Fast Track Surgery nursing can promote health of electrosurgical prostatectomy combined with bladder lithotripsy in high-risk elderly patients,which can effectively improve the treatment effect and decrease surgical complications.
引文
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[12] 安琦,余涛,胡茂林,等.快速康复外科联合腹腔镜手术在老年结直肠癌患者治疗中的效果[J].中华老年医学杂志,2016,35(11):1209-1211.DOI:10.3760/cma.j.issn.0254-9026.2016.11.017.
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[16] 樊军芳,史小艳,程沛,等.快速康复外科理念在膀胱肿瘤电切术患者围手术期护理中的应用[J].广东医学,2015,36(2):327-329.DOI:10.13820/j.cnki.gdyx.2015.02.032.
[17] 高慧云.快速康复护理对胃癌患者术后康复及生活质量的影响[J].护理管理杂志,2017,17(2):129-131.
[18] 刘娟,许敬萍,周萍,等.快速康复外科理念在泌尿外科常见腹腔镜手术围手术期护理中的应用[J].广东医学,2018,39(6):952-956.DOI:10.3969/j.issn.1001-9448.2018.06.037.
[19] ODOR P M,STER C I,WILKINSON I,et al.Effect of admission fascia iliaca compartment blocks on post-operative abbrebiated mental test scores in elderly fractured neck of femur patients:a retrospective cohort study[J].BioMed Central Anesthesiol,2017,17(1):1-8.DOI:10.1186/s12871-016-0297-8.
[20] TAUPYK Y,CAO X,ZHAO Y,et al.Fast-track laparoscopic surgery:A better option for treating colorectal cancer than conventional laparoscopic surgery[J].Oncology Letters,2015,10(1):361-367.DOI:10.3892/ol.2015.3166.
[21] 彭南海,夏灿灿,杨洋,等.院前干预联合延续护理在加速康复外科胃肠肿瘤患者中的应用及效果评价[J].护理管理杂志,2017,17(11):831-833.
[2] RAO J H,ZHANG F,LU H,et al.Effects of multimodal fast-track surgery on liver transplantation outcomes[J].Hepatobiliary & Pancreatic Diseases International,2017,16(4):364-369.DOI:10.1016/S1499-3872(17)60020-1.
[3] 尹文文,丁华,侯翠翠,等.快速康复外科理念在后腹腔镜下肾上腺肿瘤切除术围手术期中的应用[J].微创泌尿外科杂志,2016,5(1):52-55.DOI:10.3969/j.issn.2095-5146.2016.01.015.
[4] LI K,LI J P,PENG N H,et al.Fast-track improves postoperative nutrition and outcomes of colorectal surgery:a single-center prospective trial in China[J].Asia Pacific Journal of Clinical Nutrition,2014,23(1):41-47.DOI:10.6133/apjcn.2014.23.1.09.
[5] CHEN L,SUN L,LANG Y,et al.Fast-track surgery improves postoperative clinical recovery and cellular and humoral immunity after esophagectomy for esophageal cancer[J].BioMed Central Cancer,2016,16(1):1-12.DOI:10.1186/s12885-016-2506-8.
[6] 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[J].广东医学,2017,38(1):159-161.DOI:10.13820/j.cnki.gdyx.2017.01.022.
[7] 中国加速康复外科专家组.中国加速康复外科围手术期管理专家共识(2016)[J].中华外科杂志,2016,54(6):413-418.
[8] ZUNG W W K,BRODIE H K H,FABRE L,et al.Comparative efficacy and safety of Bupropion and placebo in the treatment of depression[J].Psychopharmacology,1983,79(4):343-347.DOI:10.1007/BF00433415.
[9] WANG T,YAN J,LI S,et al.Increased insular connectivity with emotional regions in primary insomnia patients:a resting-statfunctional magnetic resonance imaging study[J].European Radiology,2017,27(9):1-7.DOI:10.1007/s00330-016-4680-0.
[10] 冯志英,王建荣,张黎明,等.住院患者护理工作满意度量表的研制[J].中华护理杂志,2007,42(1):63-66.
[11] HUANG Z,YI L,ZHONG Z,et al.Comparison of fast-track versus conventional surgery protocol for patients undergoing robot-assisted laparoscopic radical prostatectomy:a Chinese experience[J].Scientific Reports,2018,8(1):1-6.DOI:10.1038/s41598-018-26372-x.
[12] 安琦,余涛,胡茂林,等.快速康复外科联合腹腔镜手术在老年结直肠癌患者治疗中的效果[J].中华老年医学杂志,2016,35(11):1209-1211.DOI:10.3760/cma.j.issn.0254-9026.2016.11.017.
[13] YU Z,ZHUANG C L,YE X Z,et al.Fast-track surgery in gastrectomy for gastric cancer:a systematic review and meta-analysis[J].Langenbecks Archives of Surgery,2014,399(1):85-92.DOI:10.1007/s00423-013-1148-4.
[14] 周远秀,李雪梅,王永权.快速康复外科理念在高龄高危前列腺增生患者术后护理中的应用[J].第三军医大学学报,2013,35(15):1647-1649.DOI:10.16016/j.1000 -5404.2013.15.013.
[15] LIU Y.Application of fast track surgery in routine nursing for patient with colorectal cancer[J].Saudi Journal of Biological Sciences,2017,24(8):1939 -1942.DOI:10.1016/j.sjbs.2017.11.045.
[16] 樊军芳,史小艳,程沛,等.快速康复外科理念在膀胱肿瘤电切术患者围手术期护理中的应用[J].广东医学,2015,36(2):327-329.DOI:10.13820/j.cnki.gdyx.2015.02.032.
[17] 高慧云.快速康复护理对胃癌患者术后康复及生活质量的影响[J].护理管理杂志,2017,17(2):129-131.
[18] 刘娟,许敬萍,周萍,等.快速康复外科理念在泌尿外科常见腹腔镜手术围手术期护理中的应用[J].广东医学,2018,39(6):952-956.DOI:10.3969/j.issn.1001-9448.2018.06.037.
[19] ODOR P M,STER C I,WILKINSON I,et al.Effect of admission fascia iliaca compartment blocks on post-operative abbrebiated mental test scores in elderly fractured neck of femur patients:a retrospective cohort study[J].BioMed Central Anesthesiol,2017,17(1):1-8.DOI:10.1186/s12871-016-0297-8.
[20] TAUPYK Y,CAO X,ZHAO Y,et al.Fast-track laparoscopic surgery:A better option for treating colorectal cancer than conventional laparoscopic surgery[J].Oncology Letters,2015,10(1):361-367.DOI:10.3892/ol.2015.3166.
[21] 彭南海,夏灿灿,杨洋,等.院前干预联合延续护理在加速康复外科胃肠肿瘤患者中的应用及效果评价[J].护理管理杂志,2017,17(11):831-833.