快速康复外科理念应用于脑膜瘤围手术期患者的临床护理效果

Observation on the Clinical Nursing Effect of Fast-track Surgery during the Operation of Meningioma

目的观察快速康复外科(FTS)理念应用于脑膜瘤围手术期患者的临床护理效果。方法纳入2016年7月-2019年7月收治的156例脑膜瘤患者,采用电脑随机法将其划分为观察组与对照组各78例,观察组应用快速康复外科理念护理干预,对照组应用常规护理模式,评价2组患者术后康复效果、并发症发生率、满意度、焦虑评分。结果观察组患者术后肛门排气时间、术后进食时间、术后离床时间、术后排便时间、住院时间、医疗费用均低于对照组,P<0.05。观察组患者术后并发症发生率3.85%,低于对照组15.38%,P<0.05。观察组患者满意度96.15%,高于对照组74.36%,P<0.05。干预后观察组焦虑情绪评分低于对照组,P<0.05。结论脑膜瘤围手术期患者应用快速康复外科理念护理干预可有效促进患者术后康复,降低术后并发症发生率,提高患者满意度,改善焦虑情绪。

Objective To observe the clinical effect of fast-track surgery(FTS)during the operation of meningioma.Methods 156 meningioma patients treated from July 2016 to July 2019 in our hospital were selected.Patients were randomly assigned to observation group(78 cases)and control group(78 cases)by computer.The observation group was served with FTS,and the control group was served with routine nursing care.The postoperative rehabilitation conditions,complication rate,nursing satisfaction and anxiety scores were evaluated.Results Compared with control group,the anal exhaust time,initial feeding time,initial ambulant time,initial defecation time,hospitalization time and treatment costs in the observation group were dramatically reduced(P<0.05).The incidence rate of postoperative complications in the observation group(3.85%)was lower than that in the control group(15.38%),and there had statistically significant difference(P<0.05).The nursing satisfaction in the observation group(96.15%)was higher than that in the control group(74.36%),and there had statistically significant difference(P<0.05).The anxiety scores in the observation group were lower than those in the control group,and there had statistically significant difference(P<0.05).Conclusion During the operation of meningioma,the fast-track surgery can promote patient’s recovery,reduce the incidence rate of postoperative complications,increase patient’s nursing satisfaction and relieve the anxiety emotions.