多学科协作快速康复外科护理在妇科肿瘤围术期患者中的应用效果

Application effects of multidisciplinary collaborative fast track surgery nursing in perioperative patients with gynecological tumors

目的:观察多学科协作快速康复外科护理在妇科肿瘤围术期患者中的应用效果。方法:选取78例妇科肿瘤围术期患者为研究对象,按照随机数字表法分为观察组与对照组各39例。对照组实施常规护理,观察组实施多学科协作快速康复外科护理,比较两组首次下床时间、肛门首次排气时间、住院时间、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分和护理满意度。结果:观察组首次下床时间、肛门首次排气时间和住院时间均明显短于对照组,差异有统计学意义(P<0.05);出院时,两组SAS和SDS评分均低于护理前,且观察组明显低于对照组,差异有统计学意义(P<0.05);观察组护理满意度为97.44%,明显高于对照组的79.49%,差异有统计学意义(P<0.05)。结论:多学科协作快速康复外科护理应用于妇科肿瘤围术期患者可缩短术后首次下床时间、肛门首次排气时间和住院时间,降低SAS评分和SDS评分,以及提高护理满意度,效果优于常规护理。

Objective:To observe application effects of multidisciplinary collaborative fast track surgery nursing in perioperative patients with gynecological tumors.Methods:78 perioperative patients with gynecological tumors were selected as the research objects,and were divided into observation group and control group according to the random number table method,39 cases in each group.The control group was given routine nursing,while the observation group used the multidisciplinary collaborative fast track surgery nursing.The first out-of-bed time,the first exhaust time,the hospitalization time,the self-rating anxiety scale(SAS)score,the self-rating depression scale(SDS)score and nursing satisfaction were compared between the two groups.Results:The first out-of-bed time,the first exhaust time and the hospitalization time of the observation group were significantly shorter than those of the control group,and the differences were statistically significant(P<0.05).At discharge,the SAS and SDS scores of the two groups were lower than those before the nursing;those of the observation group were significantly lower than those of the control group;and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 97.44%,which was significantly higher than 79.49%of the control group,and the difference was statistically significant(P<0.05).Conclusions:The multidisciplinary collaborative fast track surgery nursing applied to the perioperative patients with gynecological tumors can shorten the first out-of-bed time,the first exhaust time and the hospitalization time,reduce the SAS score and the SDS score,and improve the nursing satisfaction.Moreover,it is superior to the routine nursing.