快速康复外科护理理念在腹腔镜肝脏切除术患者中的应用效果研究

The effects of fast track surgery and nursing for patients with laparoscopic hepatectomy

目的探讨快速康复外科理念在腹腔镜肝脏切除术围术期护理中的应用价值。方法选取2020年1月—12月在山东大学齐鲁医院接受腹腔镜肝脏切除术的100例患者为研究对象,按照手术时间分为2组,2020年1—7月手术的患者纳入对照组,8—12月手术的患者纳入观察组。对照组采用常规护理,观察组采用快速康复外科护理,比较2组患者术后恢复及不良反应发生情况、护理满意度。结果观察组患者在下床活动时间、首次排气时间以及排便时间方面,均显著短于对照组,差异具有统计学意义(P<0.05)。观察组患者恶心、呕吐、中重度疼痛发生率方面均低于对照组,差异具有统计学意义(P<0.05),2组患者在切口出血方面的差异无统计学意义(P>0.05)。观察组护理满意度高于对照组,差异具有统计学意义(P<0.05)。结论快速康复外科护理方案用于腹腔镜肝脏切除术围术期患者,能够有效促进术后恢复,并且具有较高的安全性。

Objective To explore the application value of fast track surgery and nursing for patients with laparoscopic hepatectomy.Methods 100 patients who underwent laparoscopic hepatectomy in our hospital from January 2020 to December 2020 were selected as the research object and divided into two groups according to the operation time.The patients who underwent surgery from January to July 2020 were included in the control group and the patients who underwent surgery from August to December 2020 were included in the observation group.Routine nursing scheme was used to intervene the patients in the control group and rapid rehabilitation surgical nursing scheme was used to intervene the patients in the observation group.The postoperative recovery,adverse reactions and nursing satisfaction of the two groups were compared.Results The time of getting out of bed,first exhaust and defecation in the observation group were significantly shorter than those in the control group(P<0.05).In the comparison of adverse reactions,the incidence of nausea,vomiting and moderate and severe pain in the observation group were lower than those in the control group(P<0.05).There was no significant difference in incision bleeding between the two groups(P>0.05).The nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion The nursing intervention of perioperative patients with laparoscopic hepatectomy with rapid rehabilitation surgical nursing scheme can effectively promote the postoperative recovery of patients,and has good safety.