缩短禁食时间促进经皮椎间孔镜下髓核摘除术患者的快速康复

Shortening fasting time nursing care for patients undergoing percutaneous transforaminal endoscopic discectomy to promote rapid rehabilitation

目的评估缩短禁食时间护理在经皮椎间孔镜下髓核摘除术患者中应用的护理效果。方法将2015年1月至2016年12月收治的68例经皮椎间孔镜下髓核摘除术患者,按数字随机法分为干预组(35例)和对照组(33例),分别实行缩短禁食时间护理和传统禁食时间护理,比较两组患者围手术期实际禁食禁饮时间、术前血糖、口渴及饥饿情况、术后胃肠功能影响指标、住院相关指标情况,以及护理满意度等相关指标。结果干预组患者术前禁食时间(7.34±4.96)h,术前禁饮时间(3.43±2.51)h;对照组患者术前禁食时间(15.92±5.07)h,术前禁饮时间(3.43±2.56)h;两组患者临床实际禁食禁饮时间均明显高于理论计划时间。干预组患者术前末梢血血糖显著高于对照组,差异有统计学意义(P<0.05)。干预组患者口渴发生率和饥饿发生率分别为28.57%、37.14%,均显著低于对照组的96.97%、93.94%,差异均有统计学意义(均P<0.05)。在患者对护理工作满意度方面,干预组显著高于对照组(97.14%比72.73%),两组间比较差异有统计学意义(P<0.05)。结论缩短禁食时间护理,有利于促进经皮椎间孔镜下髓核摘除术微创技术的快速康复优势,提高患者对护理工作的满意度。

Objective To evaluate the application effect of shortening fasting time nursing care for patients undergoing percutaneous transforaminal endoscopic discectomy(PTED).Methods From January 2015 to December 2016,this study enrolled sixty-eight patients undergoing percutaneous transforaminal endoscopic discectomy who were randomly divided into intervention group(thirty-five cases)and control group(thirtythree cases).The patients in the control group were given routine nursing care,and the patients in the intervention group were given shortening fasting time nursing care.The actual fasting time,preoperative blood sugar,thirst and hunger,postoperative gastrointestinal function index,the related indexes of hospitalization,and nursing satisfaction were compared between the two groups.Results The actual fasting time before operation in the intervention group was(7.34±4.96)h,and the actual water-deprivation time was(3.43±2.51)h;the actual fasting time before operation in the control group was(15.92±5.07)h,and the actual water-deprivation time was(3.43±2.56)h;the actual time of fasting and water-deprivation in the two groups were significantly longer than the theoretical planned time.The average peripheral blood glucose in the intervention group was significantly higher than that in the control group before operation,with statistically significant difference(P<0.05).The incidences of thirst and hunger in the intervention group were 28.57%and 37.14%,which were significantly lower than those in the control group(96.97%,93.94%),with statistically significant differences(all P<0.05).The nursing satisfaction in the intervention group was higher than that in the control group(97.14%vs.72.73%)(P<0.05).Conclusion Shortening fasting time nursing care are efficient to promote the rapid recovery of patients undergoing percutaneous transforaminal endoscopic discectomy,and improve the patients’nursing satisfaction.