快速康复外科护理在输尿管软镜术中的应用效果

Application effect of rapid rehabilitation surgical nursing in ureteral soft mirror surgery

目的探讨快速康复外科(FTS)护理在输尿管软镜术中的应用效果。方法选取2017年3月~2018年8月我院行输尿管软镜术的118例患者,按照随机抽签法分为实验组和对照组,每组各58例。实验组采用FTS科护理,对照组采用传统外科护理,对两组的并发症、留置尿管时间、住院时间、住院费用、视觉模拟量表(VAS)评分、心理状态[包括焦虑自评量表(SAS)及抑郁自评量表(SDS)评分]及满意度进行比较。结果实验组的留置尿管时间为(27.64±8.16)h,术后住院时间为(2.32±0.47)d,短于对照组[(78.48±13.92)h、(4.21±0.91)d],差异有统计学意义(P<0.05);实验组住院费用为(1.25±0.32)万元,低于对照组[(1.43±0.44)万元],差异有统计学意义(P<0.05);实验组VAS评分为(2.54±1.22)分,低于对照组[(4.48±1.69)分],差异有统计学意义(P<0.05);实验组住院总满意度为(98.95±4.27)%,高于对照组[(93.03±8.21)%],差异有统计学意义(P<0.05);两组护理前SAS、SDS评分比较,差异无统计学意义(P>0.05);两组护理后的SAS、SDS评分低于本组护理前,差异有统计学意义(P<0.05);实验组护理后SAS评分为(37.05±1.05)分,SDS评分为(37.25±1.05)分,低于对照组[(47.85±1.15)分、(48.65±1.15)分],差异有统计学意义(P<0.05);实验组的并发症发生率为8.62%,低于对照组(22.41%),差异有统计学意义(P<0.05);实验组临床护理总满意度为96.55%,高于对照组(77.59%),差异有统计学意义(P<0.05)。结论FTS护理模式应用于输尿管软镜术能减少并发症、促进患者快速康复、减轻患者疼痛、提高患者满意度,是一项值得推广的护理技术。

Objective To explore the application effect of rapid rehabilitation surgery(FTS)nursing in soft ureter surgery.Methods A total of 118 patients for soft ureter surgery admitted to our hospital from March 2017 to August 2018 were selected and divided into experimental group(n=58)and control group(n=58)by random drawing.The experimental group was treated with FTS nursing,while the control group was treated with traditional surgical nursing.The complications,the days of indwelling catheter,the cost of hospitalization,visual analogue scale(VAS),the psychological state of(including self-rating anxiety scale[SAS]score and self-rating depression scale[SDS]score)and satisfaction were compared between the two groups.Results The indwelling time of catheter in the experimental group was(27.64±8.16)h,and the postoperative hospital stay was(2.32±0.47)d,which were shorter than those in the control group([78.48±13.92]h,(4.21±0.91)d,and the differences were statistically significant(P<0.05).The VAS score of the experimental group was(2.54±1.22)points,which was lower than that of the control group(4.48±1.69)points,and the difference was statistically significant(P<0.05).The hospital satisfaction of the experimental group was(98.95±4.27)%,which was higher than the control group(93.03±8.21)%,and the difference was statistically significant(P<0.05).There was no significant difference in SAS and SDS score between the two groups before nursing(P>0.05).The SAS and SDS score of the two groups after nursing were lower than those before nursing,and there was significant difference between the two groups(P<0.05).The scores of SAS and SDS in the experimental group were(37.05±1.05)and(37.25±1.05)points,respectively,which were significantly lower than those in the control group of(47.85±1.15)points and(48.65±1.15)points,the differences were statistically significant(P<0.05).The incidence of complications in the experimental group was 8.62%,which was lower than that in the control group(22.41%),the difference was statisti cally significant (P<0.05). The total satisfaction of clinical nursing in the experimental group was 96.55%, which was higher than that in the control group (77.59%), the difference was statistically significant (P<0.05). Conclusion FTS nursing model can reduce the complications, promote the rapid recovery of the patients, reduce the pain, improve the satisfaction of the patients and benefit the patients. It is a nursing technique worth popularizing in order to reduce the complications, promote the rapid recovery of the patients, reduce the pain of the patients, improve the satisfaction of the patients, and benefit the patients.