快速康复护理路径对胃肠疾病手术患者术后锻炼依从性及心理状态的影响

Effect of Quick Recovery Nursing Path on Postoperative Exercise Compliance and Psychological Status of Patients with Gastrointestinal Diseases

目的探讨快速康复护理路径对胃肠疾病手术患者术后锻炼依从性及心理状态的影响。方法选取我院2012年1月-2015年1月期间进行胃肠疾病手术的患者61例,随机分为观察组和对照组,观察组30例,对照组31例。术后对观察组实施快速康复护理路径进行干预,给予对照组实施常规护理干预,比较两组患者术后胃肠功能恢复时间、康复进程情况、锻炼依从性及心理状态评估结果。结果与对照组比较,观察组胃肠功能各指标恢复时间显著较短(P<0.05);观察组患者康复进程各指标显著短于对照组,其中总住院时间(21.23±6.56)d显著短于对照组(37.33±8.96)d(P<0.05);术后锻炼依从性方面观察组患者完全依从率为56.67%,高于对照组的32.26%,不完全依从率为3.33%,低于对照组的32.26%,两组完全依从率和不完全依从率相比均有显著差异(P<0.05);术后锻炼两组在恐惧、悲观心理状态均存在显著差异(P<0.05),康复进程状况与术后锻炼依从性、心理状态呈正相关。结论快速康复护理路径对胃肠疾病手术患者术后锻炼依从性及心理状态有积极影响,有利于患者完全依从术后护理康复计划,调整心理状况,尽快恢复胃肠功能,从而利于患者尽快康复。

Objective To analyze the effect of quick recovery nursing path on postoperative exercise compliance and psychological status of patients with gastrointestinal diseases. Methods From Jan. 2012 to Jan. 2015, a total of 61 patients with gastrointestinal diseases were selected in the study, and they were randomly divided into observation group（30 cases） and control group（31 cases）. After surgery, patients in the observation group were given quick recovery nursing path, the other patients in the control group were given conventional care. The recovery time of gastrointestinal function, rehabilitation process, exercise compliance and psychological status were compared respectively. Results The gastrointestinal function recovery time of the observation group was significantly shorter than that of the control group（P〈0.05）, the rehabilitation process indicators of the observation group were all significantly shorter than that of the control group（the total hospitalization time of the observation group was 21.23±6.56 d and the control group was 37.33±8.96 d）（P〈0.05）, the full compliance rate of the observation group was 56.67% which was higher than that of the control group 32.26%, and the incomplete compliance rate of the observation group was 3.33% which was lower than that of the control group 32.26%, and their differences were significant（P〈0.05）, their psychological status of fear and pessimism were also significantly different（P〈0.05）, and the rehabilitation process was positively correlated with exercise compliance and psychological status. Conclusion Quick recovery nursing path which has significant positive effect on postoperative exercise compliance and psychological status of patients with gastrointestinal diseases, can adjust patients＇ psychological condition and recover their gastrointestinal function as soon as possible.