快速康复理念在提高手术室护理质量和降低患者并发症发生率的效果观察

Effect Observation of Fast Track Surgery on the Improvement of Operating Room Nursing Quality and Reduction of Surgical Complications

目的:探究快速康复理念(FTS)在提高手术室护理质量和降低患者并发症发生率方面的效果,为今后的研究积累经验。方法:选取2019年1月—2020年12月南昌大学第一附属医院手术室收治的110例患者作为研究对象,根据随机排列法进行分组,对照组55例,给予常规护理;试验组55例,给予FTS护理。观察护理质量评分、护理前(术前随访时)、护理后(术后随访时)心理状态变化及术后并发症发生情况。结果:试验组病情观察、护患沟通、心理疏导、手术护理评分均高于对照组,差异有统计学意义(t=10.460、9.716、9.322、9.596,P<0.05);护理后,试验组焦虑、抑郁评分均较护理前降低,且降低程度大于对照组,差异有统计学意义(t=6.982、5.056,P<0.05);试验组寒战、肺不张、出血、血栓、切口感染总发生率低于对照组,差异有统计学意义(χ^(2)=4.274,P<0.05)。结论:FTS理念的应用可提升手术室的护理质量,同时在消除患者负性情绪、减少术后并发症方面有着积极作用。

Objective:To investigate the effectiveness of the fast track surgery (FTS) concept in improving the quality of operating room care and reducing the complication rate of patients,and to gain experience for future studies.Methods:110 patients admitted to the operating room of the hospital from January 2019 to December 2020 were selected as the study subjects and were divided according to the randomized arrangement into control group of 55 patients given conventional care,and experimental group of 55 patients given FTS care.The quality of care scores,changes in psychological status before care (at preoperative follow-up) and after care (at postoperative follow-up) and the occurrence of postoperative complications were observed.Results:The condition observation,nurse-patient communication,psychological guidance,and surgical care scores of the experimental group were higher than those of the control group,and the differences were statistically significant when compared (t=10.460,9.716,9.322,9.596,P<0.05).After care,anxiety and depression were lower in the experimental group than before care,and the degree of reduction was greater than that in the control group,and the difference was statistically significant (t=6.982,5.056,P<0.05).The overall incidence of chills,pulmonary atelectasis,bleeding,thrombosis,and incisional infection in the experimental group was lower than that in the control group,and the difference was statistically significant (χ^(2)=4.274,P<0.05).Conclusion:The application of the FTS concept can improve the quality of care in the operating room,while having a positive effect in eliminating negative patient emotions and reducing postoperative complications.