胃肠手术患者护理中应用快速康复外科理念的优势及效果

Advantages and Effects of Applying Rapid Rehabilitation Surgery Concept in Patients with Gastrointestinal Surgery

目的了解胃肠手术患者护理中应用快速康复外科理念的优势及效果。方法方便选取该院2016年1月—2019年1月收治的100例胃肠手术患者,随机分组,常规护理组给予常规护理,快速康复外科理念护理组开展快速康复外科理念护理。比较两组满意度;胃肠手术实施时间、伤口痊愈时间;护理前后简明生活质量量表评分、应激指标;并发症的发生率。结果快速康复外科理念护理组的满意度100.00%高于常规护理组82.00%(χ^2=5.923,P<0.05)。护理前两组简明生活质量量表评分、应激指标接近(P>0.05);护理后快速康复外科理念护理组简明生活质量量表评分、应激指标优于常规护理组(t=6.244、6.912、7.022,P<0.05)。快速康复外科理念护理组胃肠手术实施时间(61.32±3.21)min、伤口痊愈时间(7.52±1.11)d优于常规护理组(t=6.011、6.965,P<0.05)。快速康复外科理念护理组并发症的发生有3例,并发症的发生率更少(χ^2=6.823,P<0.05)。结论胃肠手术患者实施快速康复外科理念护理效果确切,可有效加速手术进程和伤口愈合进程,减少并发症,减轻不良应激,改善生存质量。

Objective To understand the advantages and effects of applying the concept of rapid rehabilitation surgery in the nursing of patients with gastrointestinal surgery. Methods One hundred patients with gastrointestinal surgery from January 2016 to January 2019 in our hospital were convenient selected and randomly divided into two groups. The routine nursing group gave routine care, and the rapid rehabilitation surgery concept nursing group carried out the concept of rapid rehabilitation surgery. Comparison of two groups of satisfaction;gastrointestinal surgery implementation time, wound healing time;concise quality of life scale before and after nursing scores, stress indicators;incidence of complications was implemented. Results The satisfaction degree of the rapid rehabilitation surgical concept nursing group was 100.00% higher than that of the conventional nursing group 82.00%(χ^2=5.923, P<0.05). Before the nursing, the two groups of concise quality of life scale scores and stress indicators were close(P>0.05);the post-nursing rapid rehabilitation surgery concept nursing group's concise quality of life scale score, stress index was better than the conventional nursing group(t=6.244, 6.912, 7.022, P<0.05). The speed of gastrointestinal surgery in the nursing group was (61.32±3.21)min, and the wound healing time was (7.52±1.11)d, which was better than the conventional nursing group(t=6.011, 6.965, P<0.05). There were 3 cases of complications in the nursing group of the rapid rehabilitation surgery, and the incidence of complications was less(χ^2=6.823, P<0.05). Conclusion The practice of rapid rehabilitation surgery in patients with gastrointestinal surgery is effective, which can effectively accelerate the process of surgery and wound healing, reduce complications, reduce adverse stress and improve quality of life.