基于康复理念机器人辅助袖状胃切除肥胖患者的集束化管理

Based on the clustering management of the rehabilitation concept robot auxiliary sleeve gastric resection obesity patients

目的讨论研究基于快速康复理念运用集束化护理方案干预达芬奇手术机器人辅助袖状胃切除联合食管裂孔疝修补术的肥胖患者效果分析。方法将2021年3月到2022年3月新疆维吾尔自治区人民医院行机器人辅助袖状胃切除联合食管裂孔疝修补术的68例肥胖患者纳入本研究,所有患者均接受达芬奇手术机器人辅助袖状胃切除联合食管裂孔疝修补术治疗方式。采用随机分配法分为对照组(接受常规基础护理,35例)和观察组(接受基于快速康复理念的集束化护理方案措施,33例)。比较2组患者护理前后心理状态变化情况,术后下床活动时间、饮水时间、进食时间,术后褥疮、低体温不良反应发生情况,术后当日至出院日疼痛程度评价结果。结果护理前2组患者临床数据,差异无统计学含义(P>0.05);护理后观察组整体心理状态评分相关数据信息明显比对照组更具优势,差异有统计学意义(P<0.05);观察组整体术后下床活动时间、饮水时间、进食时间等相关数据信息明显比对照组更具优势,差异有统计学意义(P<0.05);对比2组患者术后褥疮、低体温不良反应发生情况数据,观察组相关数据信息比对照组发生率有所减少,差异有统计学意义(P<0.05)。对比2组患者术后当日至出院日疼痛程度评价结果,观察组患者疼痛程度明显低于对照组,差异有统计学意义(P<0.05)。结论为达芬奇手术机器人辅助袖状胃切除联合食管裂孔疝修补术的肥胖患者开展基于快速康复理念的集束化护理工作,对患者心理状态产生积极影响,可显著少褥疮、低体温等不良反应的发生,减轻患者疼痛感受,促进患者尽快恢复健康。

Objective To discuss the effect of using a bundle nursing scheme based on the concept of rapid recovery in obese patients with da Vinci surgical robot-assisted sleeve gastrectomy combined with hiatal hernia repair.Methods A total of 68 obese patients who underwent robot-assisted sleeve gastrectomy combined with hiatal hernia repair in the hospital from March 2021 to March 2022 were included in the study,and all patients received da Vinci surgical robot-assisted sleeve gastrectomy combined with hiatal hernia repair,and were divided into control group(receiving conventional basic nursing)and observation group(receiving cluster nursing plan measures based on the concept of rapid recovery)by random allocation method,(1)comparing the changes of psychological state before and after nursing in the two groups,(2)compare the activity time,drinking time and eating time of the two groups after surgery,(3)compare the occurrence of postoperative pressure ulcers and hypothermia adverse reactions in the two groups,and(4)compare the pain evaluation results of the two groups from the day after surgery to the day of discharge.Results There was no significant difference between the relevant data and information between the two groups before nursing,P>0.05,and the data and information related to the overall psychological state score of the post-nursing observation group were significantly more advantageous than those in the control group,and the P<0.05 was statistically significant.The observation group had significantly more advantages than the control group,with a P<0.05 and a statistically significant difference.Compared with the data on the occurrence of postoperative pressure ulcer and hypothermia adverse reactions in the two groups,the incidence rate of relevant data and information in the observation group was reduced compared with that in the control group,and the P<0.05 was statistically significant.Compared with the results of the evaluation of pain degree from the day after surgery to the day of discharge between the two groups,the pain degree of the observation group was significantly lower than that of the control group,P<0.05,and the difference was statistically significant.Conclusion The clustered nursing work based on the concept of rapid recovery is carried out for obese patients assisted by da Vinci surgical robot sleeve gastrectomy combined with hiatal hernia repair,which has a positive impact on the psychological state of patients,can significantly reduce the occurrence of adverse reactions such as pressure ulcers and hypothermia,reduce patients'pain feelings,and promote patients'recovery as soon as possible.