快速康复外科理念与临床护理路径相结合的综合诊疗模式在产科围手术期的应用效果

Application effect of fast track surgery-clinical nursing path diagnosis and treatment model in obstetrics perioperative period

目的探讨快速康复外科理念与临床护理路径(FTS-CNP)相结合的综合模式对产科围手术期的治疗模式的效果。方法选择2015年4月至2017年3月海口市妇幼保健院进行剖宫产的60例患者,按照随机数字表法将收集的60例患者分为对照组和观察组各30例,对照组患者接受常规围手术期管理,观察组进行FTS-CNP管理模式,记录术后进食时间、术后活动时间、住院时间、并发症发生率以及生理、心理健康评分。结果观察组进食时间、术后活动时间、住院时间和并发症发生率分别为(0.52±0.15)、(1.17±0.38)、(5.43±0.90)d和0,对照组分别为(1.54±0.24)、(2.19±0.58)、(7.80±0.80)d和40%(12/30),2组比较差异均有统计学意义(t值为11.40、4.64、6.23,χ2值为13.33,P<0.05);剖宫产术后观察组生理健康和心理健康评分分别为(152.21±5.15)分和(127.23±2.38)分,对照组分别为(115.14±2.24)分和(101.92±2.58)分,2组比较差异有统计学意义(t值为11.21、14.04,P<0.05)。结论FTS-CNP管理模式可以为产科围手术期患者提供优质高效的服务,有望取得较好的社会经济效益。

Objective To explore the effect of comprehensive mode combining the concept of fast track surgery-clinical nursing path(FTS-CNP)on the perioperative treatment of obstetrics.Methods A total of 60 patients who underwent cesarean section in our hospital from April 2015 to March 2017 were selected and divided into the control group and the observation group according to the random number table method.The control group patients received conventional perioperative management,and the observation group underwent FTS-CNP management mode,recording postoperative feeding time,postoperative activity time,hospitalization time,complication rate,and physical and mental health score values.Results The eating time,postoperative activity time,length of stay,and complication rate in the observation group were(0.52±0.15)days,(1.17±0.38)days,(5.43±0.90)days,and 0,and the control group were(1.54±0.24)days,(2.19±0.58)days,(7.80±0.80)days,and 40%(12/30).There was a statistical difference between the two groups(t value was 11.40,4.64,6.23,χ2 value was 13.33,P<0.05).Physiological and mental health of the observation group after cesarean section The scores were 152.21±5.15 and 127.23±2.38,and the control group was 115.14±2.24 and 101.92±2.58.There was also a statistical difference between the two groups(t value was 11.21,14.04,P<0.05).Conclusions FTS group management mode can provide obstetrics perioperative patients with quality and efficient services,which is hopeful to achieve good social and economic benefits.