快速康复外科(FTS)护理理念应用于胃肠道手术护理效果的临床探讨

Clinical Discussion on Nursing Effect of Fast Recovery Surgery(FTS)Nursing Concept Applied to Gastrointestinal Surgery

目的分析FTS(快速康复外科)护理理念应用于胃肠道手术围术期中的护理效果和价值。方法方便选取2020年1—12月时段内该院收治符合研究条件的82例胃肠道手术患者展开分析,随机分为对比组(常规护理)、研究组(FTS护理)各41例,对比评估术前不适情况、术后恢复指标、并发症发生率以及生活质量和护理满意度等数据。结果分析术前不适情况,研究组抑郁(27.55±1.28)分、焦虑(26.69±1.14)分以及饥饿(1.14±0.86)分和口渴(1.21±0.75)分,评分均较对比组更低,差异有统计学意义(t=25.365、29.524、9.200、9.263,P<0.05);分析术后恢复指标,研究组排气时间(25.45±3.81)h、下床时间(22.51±3.72)h以及首次普食时间(2.21±0.89)d和住院时间(7.64±0.78)d等均较对比组更短,差异有统计学意义(t=18.184、17.042、9.184、20.805,P<0.05);分析并发症发生率,和对比组(19.51%)比较,研究组(4.88%)明显更低,差异有统计学意义(χ^(2)=4.100,P<0.05);分析患者生活质量,研究组生理健康评分(81.55±3.58)分、心理健康评分(81.69±3.24)分、社会关系评分(81.33±3.55)分、周围环境评分(81.51±3.39)分均较对比组更高,差异有统计学意义(t=10.668、12.377、10.561、11.819,P<0.05);分析护理满意度,和对比组(78.05%)比较,研究组(95.12%)明显更高,差异有统计学意义(χ^(2)=5.145,P<0.05)。结论在胃肠道手术患者中,采纳实施FTS护理,可显著改善患者术前不适,促进术后康复,降低并发症发生率,提高患者生活质量及护理满意度,具有较高推荐、推广价值。

Objective To analyze the nursing effect and value of FTS(fast recovery surgery)nursing concept applied in perioperative period of gastrointestinal surgery.Methods From January to December 2020,82 patients with gastrointestinal surgery who were admitted to the hospital and met the research conditions were conveniently selected and analyzed,and they were randomly divided into the control group(routine nursing)and the study group(FTS nursing),41 cases in each,to compare and evaluate data such as preoperative discomfort,postoperative recovery indicators,complication rates,quality of life and nursing satisfaction.Results Analysis of preoperative discomfort showed that the scores of depression(27.55±1.28)points,anxiety(26.69±1.14)points,hunger(1.14±0.86)points and thirst(1.21±0.75)points in the study group were lower than those in the control group,the difference was statistically significant(t=25.365,29.524,9.200,9.263,P<0.05).Analysis of postoperative recovery indicators,the study group's exhaust time(25.45±3.81)h,bed time(22.51±3.72)h,and the first general eating time(2.21±0.89)d and the length of hospital stay(7.64±0.78)d was shorter than that of the control group,the difference was statistically significant(t=18.184,17.042,9.184,20.805,P<0.05).The complication rate was analyzed and compared with the control group(19.51%),the study group(4.88%)was significantly lower,the difference was statistically significant(χ^(2)=4.100,P<0.05).Analysis of the patient's quality of life,the study group's physical health score(81.55±3.58)points,mental health score(81.69±3.24)points,social relations score(81.33±3.55)points,and surrounding environment score(81.51±3.39)points were all higher than the comparison,the difference was statistically significantgroup(t=10.668,12.377,10.561,11.819,P<0.05).Analysis of nursing satisfaction,compared with the comparison group(78.05%),the study group(95.12%)was significantly higher,the difference was statistically significant(χ^(2)=5.145,P<0.05).Conclusion In patients undergoing gastrointestinal surgery,the adoption of FTS nursing can significantly improve patients’discomfort before surgery,promote postoperative recovery,reduce the incidence of complications,and improve the quality of life of patients and nursing satisfaction.It has high recommendation and promotion value.