基于FTS理念的麻醉恢复期护理在全麻骨科手术患者护理中的应用效果

Effectiveness of FTS-based anesthesia recovery period nursing in patients receiving orthopedic surgeries under general anesthesia

目的 探讨基于快速康复外科(FTS)理念的麻醉恢复期护理在全麻骨科手术患者护理中的应用效果,以期为临床治疗提供参考。方法 选取2019年9月—2021年12月于新乡市第二人民医院行全麻骨科手术的患者94例为研究对象。采用随机数字表法,将患者分为对照组和观察组,每组47例。对照组患者采取常规护理干预,观察组患者在对照组基础上采取基于FTS理念的麻醉恢复期护理。比较2组患者干预前后(干预后为苏醒时)体温、视觉模拟评分法(VAS)评分及收缩压、舒张压和心率水平。比较2组患者住院期间并发症发生情况。比较2组患者护理满意度。结果 干预前,2组患者体温、VAS评分比较,差异无统计学意义(P>0.05)。干预后,2组患者VAS评分低于干预前,而体温高于干预前,同时观察组患者VAS评分低于对照组,而体温高于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者收缩压、舒张压、心率比较,差异无统计学意义(P>0.05)。干预后,2组患者收缩压、舒张压、心率高于干预前,而观察组低于对照组,差异均有统计学意义(P<0.05)。观察组患者并发症发生率低于对照组,差异有统计学意义(P<0.05)。观察组患者护理满意度高于对照组,差异有统计学意义(P<0.05)。结论 基于FTS理念的麻醉恢复期护理应用于全麻骨科手术患者护理中,能够促进患者体温恢复,减少患者生命体征波动,降低患者疼痛程度,减少并发症的发生,进而加快患者术后康复,获得更高的护理满意度,值得推广应用。

Objective To explore the effectiveness of fast-track surgery(FTS)-based anesthesia recovery period nursing in patients receiving orthopedic surgeries under general anesthesia,so as to provide evidence for clinical treatment.Methods From September 2019 to December 2021,94 patients who underwent orthopedic surgery under general anesthesia in the Second People’s Hospital of Xinxiang were selected as the study participants.They were assigned to a control group and an observation group by random number table,with 47 cases in each group.The patients in the control group received the routine nursing intervention,and the patients in the observation group received FTS-based anesthesia recovery nursing on the basis of the control group.Body temperature,visual analogue scale(VAS) score,systolic blood pressure,diastolic blood pressure,and heart rate levels were compared between the two groups before and after the intervention(after the intervention as regaining consciousness).Complications during hospitalization were compared between the 2 groups.Satisfaction with nursing was compared between the 2 groups.Results Before the intervention,there was no significant difference in body temperature and VAS score between the two groups(P>0.05).After the intervention,the VAS score of the two groups was lower than that before the intervention,while the body temperature was higher than that before the intervention;meanwhile,the VAS score of the observation group was lower than that of the control group,while the body temperature was higher than that of the control group,all with statistical significance(P<0.05).Before the intervention,there was no significant difference in systolic blood pressure,diastolic blood pressure,and heart rate between the two groups(P>0.05).After the intervention,systolic blood pressure,diastolic blood pressure,and heart rate in the two groups were significantly higher than those before the intervention,with the observation group lower than those in the control group(P<0.05).The incidence rate of complications in the observation group was significantly lower than that in the control group(P<0.05).The satisfaction rate of nursing in the observation group was significantly higher than that in the control group(P<0.05).Conclusion The application of FTS-based anesthesia recovery period nursing in patients underwent orthopedic surgery under general anesthesia can promote the recovery of body temperature,reduce the fluctuation of vital signs,lower the degree of pain,decrease the occurrence of complications,and accelerate the postoperative rehabilitation of patients,with higher nursing satisfaction.These advantages hold promise for a wider application of this procedure clinically.