加速康复外科理念在普外科ICU老年患者术前访视中的应用

Application of the concept of speed-up rehabilitation in preoperative interview in elderly patients in ICU of general surgery department

目的探讨加速康复外科理念在普外科ICU老年患者术前访视中的应用效果。方法将240例普外科收治并择期手术且术后入住ICU的老年患者随机分为观察组和对照组各120例,其中对照组实施传统护理方法;观察组行专职术前访视。比较2组患者访视前后焦虑程度、术后两组相关评定指标和护理满意度。结果两组患者访视前后焦虑程度、术后两组相关评定指标和护理满意度比较,差异有统计学意义(P<0.01)。结论在ICU病房运用加速康复外科理念,对老年患者进行术前访视是有效且必要的,可以减轻患者的术后焦虑和紧张情绪,减少术后并发症的发生,提高护理满意度,利于术后康复治疗的顺利完成。

Objective To study the effect of speed-up rehabilitation in preoperative interview in elderly patients in ICU of general surgery department.Methods 240 patients admitted to general surgery and elective surgery and postoperative elderly patients who stayed in ICU were randomly divided into two groups,namely observation group and the comparison group.120 cases were in comparison group,which employed the traditional methods of nursing,and the other 120 patients were in the observation group,which implemented full-time preoperative interview.Two groups were compared in anxiety level before and after the visits,indicators related to assessment and nursing satisfaction.Results There were differences between the two groups in anxiety level before and after the visits,relevant assessment indicators and nursing satisfaction.The differences were statistically significant（P0.01）.Conclusion The concept of using the speed-up rehabilitation in the surgical ICU ward for elderly patients with preoperative visit is effective and necessary.It can ease the patient′s postoperative anxiety and reduce postoperative complications.At the same time,it can improve nursing satisfaction,which will help the successful completion of rehabilitation.