“12345优护模式”对外科手术患者术后康复及并发症的影响

Effect of ＂superior care of 12345 mode＂ on postoperative rehabilitation and complication in surgical patients

目的探讨“12345优护模式”应用于外科手术患者中对术后康复及并发症的影响。方法选取2017年1至6月本院收治行常规围术期护理干预的外科手术患者215例作为对照组，再将2017年7至12月本院收治行“12345优护模式”围术期护理干预的外科手术患者218例作为观察组。对比两组手术情况、术后康复效果、并发症发生率及护理满意度情况。结果观察组手术时间、术中出血量分别为（103．61±23．17）min、（151．09±41．36）ml，与对照组相比，差异均无统计学意义（均P〉0．05）；观察组术后肛门排气时间、首次排便时间、首次进食时间、肠鸣音恢复时间、住院时间分别为（2．15±0．96）d、（4．51±1．38）d、（4．42±0．95）d、（16．12±3．52）h、（7．72±2．05）d，均短于对照组，差异均有统计学意义（均P〈0．05）；观察组术后并发症发生率为16．51％，低于对照组（49．77％），差异有统计学意义（P〈0．05）；观察组健康宣教、环境舒适、流程便捷、心理护理、总体服务评分分别为（95．62±3．44）分、（92．38±6．22）分、（93．27±6．01）分、（95．22±4．27）分、（94．65±4．15）分，均高于对照组，差异均有统计学意义（均P〈0．05）。结论“12345优护模式”应用于外科手术患者可有效促进术后康复，减少并发症发生率，提高护理满意度，值得推广。

Objective To investigate the effect of ＂superior care of 12345 mode＂ on postoperative rehabilitation and complications in surgical patients. Methods A total of 215 surgical patients undergoing routine perioperative nursing intervention at our hospital from January to June, 2017 were selected as a control group, and 218 patients receiving perioperative ＂superior care of 12345 mode＂ at our hospital from July to December, 2017 as an observation group. The surgical conditions, postoperative rehabilitation, incidence of complications, and nursing satisfaction were compared between these two groups. Results The operatiion time and intraoperative bleeding volume in the observation group were （103.61±23.17） min and （151.09 ± 41.36） ml respectively, with no statistical differences with those in the control group （P〉 0.05）. The anal exhaustion time, time of first defecation, and time for food after operation, recovering time of bowel sound, and hospital stay were （2.15 ± 0.96） days, （4.51 ±1.38） days, （4.42 ± 0.95） days, （16.12 ± 3.52） hours, and （7.72 ± 2.05） days in the observation group, which were shorter in those in the control group, with statistical differences （all P 〈0.05）. The incidence of complications was 16.51% in the observation group, which was lower than that in the control group （49.77%）, with a statistical difference （P 〈 0.05）. The scores of health education, environment comfort, convenient procedure, psychological nursing, and overall service were （95.62 ±3.44）, （92.38 ± 6.22）, （93.27 ± 6.01）, （95.22 ± 4.27）, and （94.65 ± 4.15） in the observation group, which were higher than those in the control group, with statistical differences （all P 〈 0.05）. Conclusion ＂Superior care of 12345 mode＂ for surgical patients can effectively promote postoperative recovery, reduce morbidity, and improve nursing satisfaction, so it is worth being generalized.