基于快速康复外科理念的围术期护理在腹腔镜卵巢囊肿切除术患者中的应用效果

Application effect of perioperative nursing based on the concept of fast track surgery in patients undergoing laparoscopic ovarian cystectomy

目的探究基于快速康复外科理念的围术期护理在腹腔镜卵巢囊肿切除术患者中的应用效果,为临床护师选择合理护理方案提供参考。方法88例接受腹腔镜卵巢囊肿切除术的患者,依据随机数字表法分为A组和B组,每组44例。B组患者接受常规围术期护理措施,A组采用基于快速康复外科理念的围术期护理措施。比较两组康复相关指标、并发症发生率、护理满意度。结果A组肛门首次排气时间(25.21±4.15)h、下床活动时间(15.34±3.45)h、住院时间(5.22±1.15)d,均短于B组的(38.14±4.24)h、(20.76±3.51)h、(7.54±1.21)d,差异有统计学意义(P<0.05)。A组患者并发症发生率为2.27%,低于B组的13.64%,差异有统计学意义(P<0.05)。A组护理总满意度为93.18%,高于B组的77.27%,差异有统计学意义(P<0.05)。结论在腹腔镜卵巢囊肿切除术治疗中,基于快速康复外科理念的围术期护理工作能够促进患者快速恢复,预防多种并发症,更为安全可靠,值得推荐。

Objective To investigate the application effect of perioperative nursing based on the concept of fast track surgery in patients undergoing laparoscopic ovarian cystectomy,and provide reference for rational selection of nursing regimens.Methods A total of 88 patients undergoing laparoscopic ovarian cystectomy were divided into group A and group B according to random numerical table,with 44 cases in each group.Group B received routine perioperative nursing measures,while group a received perioperative nursing measures based on the concept of fast track surgery.The rehabilitation related indexes,incidence of complications and nursing satisfaction were compared between the two groups.Results The first anal exhaust time(25.21±4.15)h,off-bed activity time(15.34±3.45)h and hospitalization time(5.22±1.15)d of group A were shorter than(38.14±4.24)h,(20.76±3.51)h and(7.54±1.21)d of group B,and the difference was statistically significant(P<0.05).The incidence of complication of group A was 2.27%,which was lower than 13.64%of group B,and the difference was statistically significant(P<0.05).The nursing satisfaction rate of group A was 93.18%,which was higher than 77.27%of group B,and the difference was statistically significant(P<0.05).Conclusion In laparoscopic ovarian cystectomy,perioperative nursing based on the concept of fast track surgery can promote the rapid recovery of patients,prevent multiple complications,and it is safer and more reliable.It is worth recommending.