快速康复外科理念在普外科围手术期护理中的应用

Application of the rapid rehabilitation surgery concept in perioperative nursing of general surgery department

目的探讨快速康复外科护理措施在普外科患者围术期的应用效果。方法选取2013年1月~2015年1月在我院普外科接受手术治疗的患者200例作为研究对象,随机分为两组,其中观察组100例患者应用快速康复外科护理措施,对照组100例患者采用传统的护理方法,观察比较两组临床治疗效果、生活质量、临床治疗的住院时间、住院费用及并发症的发生情况。结果两组患者均治愈出院,未发生胆漏、胆管损伤、感染等并发症;与对照组比较,观察组进食、下床活动时间明显提前,排气排便时间、住院天数明显缩短,住院费用显著降低（P〈0.05）;护理后观察组患者的生活质量较高,与对照组比较,差异具有统计学意义（P〈0.05）;护理后观察组患者的满意度为99%,对照组患者的满意度为70%,两组患者满意度差异具有统计学意义（P〈0.05）;护理后观察组患者的并发症发生率为3%,对照组患者的并发症发生率为14%,两组患者并发症发生率差异具有统计学意义（P〈0.05）。结论快速康复外科护理措施应用于基层医院普外科患者的围术期安全,可有效的促进患者的康复效果,值得临床借鉴与推广。

Objective To explore the application effect of rapid rehabilitation surgical nursing measures in the perioperative period of patients in Department of general surgery. Methods 200 patients who received surgical treatment in the Department of general surgery of our hospital from January 2013 to January 2015, were selected as the research subjects, and were randomly divided into two groups. Observation group of 100 patients were given rapid rehabilitation of surgical care measures, and control group of 100 patients were treated with traditional methods. The clinical treatment effect, quality of life, clinical treatment of hospitalization time, hospitalization expenses and complications of two groups were observed and compared. Results The patients of two groups were cured and discharged. There were no complications such as bile leakage, bile duct injury, infection and so on. Compared with the control group, the eat time and the time of getting out of bed in the observation group were obviously ahead, and the discharge time and length of stay in the observation group were significantly shorter, and the cost of hospitalization in the observation group was significantly lower（P〈0.05）. After nursing care, the quality of life in the observation group was higher than that in the control group, and the difference was statistically significant（P〈0.05）. After nursing, the observation group patients＇ satisfaction was 99%, the control group patients＇ satisfaction was 70%, and the difference between the two groups was statistically significant（P〈0.05）. The complication rate of observation group was 3%, the incidence rate of complication in control group was 14%, and there was significant difference in the incidence rate of complications between the two groups（P〈0.05）. Conclusion Rapid rehabilitation of surgical nursing measures applied to the perioperative safety of patients in the primary hospital, can effectively promote the rehabilitation of patients, is worthy of clinical reference and promotion.