加速康复外科理念在胃肠外科护理管理中的应用价值研究

Research on Application Value of Accelerated Rehabilitation Surgery Concept in Nursing Management of Gastrointestinal Surgery

目的探讨加速康复外科理念对胃肠外科护理管理效果的影响。方法选取2016年1月-2018年12月期间该院收治的96例行胃肠手术的患者为研究对象,依据入院先后顺序将患者分为研究组和对照组,先入院的48例患者纳入对照组,实施常规管理,后入院的48例患者纳入研究组,实施加速康复外科护理管理,比较两组管理效果。结果研究组肛门首次排气、肠鸣音恢复、首次进食时间均较对照组显著缩短(P<0.05)。研究组疼痛持续时间为(4.2±1.1)d,术后VAS疼痛评分为(1.9±0.7)分,均显著低于对照组(P<0.05);研究组患者护理总满意率为93.75%,较对照组75.00%的护理满意率显著提高(P<0.05)。结论加速康复外科理念在胃肠外科护理管理中的应用,有助于改善患者术后胃肠功能,提高护理满意,对于提升该院整体护理质量具有重要作用。

Objective To explore the influence of the concept of accelerated rehabilitation surgery on the nursing management effect of gastrointestinal surgery. Methods Ninety-six patients undergoing gastrointestinal surgery admitted in the hospital from January 2016 to December 2018 were selected as the research subjects. The patients were divided into a study group and a control group according to the order of admission. The control group was subjected to routine management. The48 patients who were admitted to the hospital were included in the study group. The nursing management of accelerated rehabilitation surgery was implemented, and the management effects of the two groups were compared. Results The time of the first anal exhaust, recovery of bowel sounds, and the first meal in the study group were significantly shorter than those in the control group(P<0.05). The duration of pain in the study group was(4.2±1.1)d, and the postoperative VAS pain score was(1.9±0.7)points, which were significantly lower than those in the control group(P<0.05). The total satisfaction rate of patients in the study group was 93.75%, The control satisfaction rate of 75.00% in the control group was significantly increased(P<0.05). Conclusion The application of the concept of accelerated rehabilitation surgery in nursing management of gastrointestinal surgery can help improve the gastrointestinal function of patients after surgery, improve nursing satisfaction, and play an important role in improving the overall nursing quality of the hospital.