基于加速康复外科理念护理对鼻中隔偏曲患者术后康复及疼痛的影响

Effect of nursing care based on accelerated rehabilitation surgical concept on postoperative rehabilitation and pain in patients with nasal septal deviation

目的探究基于加速康复外科理念护理对鼻中隔偏曲患者术后康复及疼痛的影响。方法选取2020年1月至2022年12月宜春市第二人民医院收治的60例鼻中隔偏曲患者为研究对象,按随机数字表法分为对照组和观察组,每组30例。对照组给予常规护理,观察组采用加速康复外科理念护理。比较两组的临床指标(导管拔管时间、定向力恢复时间、麻醉后监测治疗室停留时间、住院时间),视觉模拟评分(VAS),生活质量评分,并发症发生情况(恶心呕吐、低体温、术后躁动、术后出血)。结果观察组的导管拔管时间、定向力恢复时间、停留时间、住院时间均短于对照组,差异有统计学意义(P<0.05);观察组术后VAS评分低于对照组,差异有统计学意义(P<0.05);观察组护理后生活质量评分高于对照组,差异有统计学意义(P<0.05);观察组护理后并发症总发生率低于对照组,差异有统计学意义(P<0.05);观察组护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论基于加速康复外科理念护理在鼻中隔偏曲患者治疗中疗效确切,能有效缓解患者疼痛,提高生活质量,降低并发症发生率,提升护理满意度,值得临床推广应用。

Objective To explore the effect of nursing based on accelerated rehabilitation surgical concept on postoperative rehabilitation and pain in patients with nasal septal deviation.Methods Sixty patients with nasal septal deviation treated in the Yichun Second People's Hospital from January 2020 to December 2022 were selected as the study objects,and they were divided into control group and observation group according to random number table method,with 30 cases in each group.The control group was given conventional care and surgery.The observation group was given accelerated rehabilitation surgical concept care and surgery.The clinical indicators(catheter extraction time,orientation recovery time,postanesthesia monitoring and treatment room stay time,and hospitalization time),visual analogue scale(VAS)score,quality of life score,and complication rate(nausea and vomiting,hypothermia,postoperative agitation,and postoperative hemorrhage)were observed in the both two groups.Results The catheter extraction time,orientation recovery time,dwell time and hospitalization time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).The postoperative VAS scores of the observation group were lower than that of the control group,and the differences were statistically significant(P<0.05).The observation group's post-care quality of life score was higher than that of the control group,and the difference was statistically significant(P<0.05).The total incidence of complication after nursing in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The total nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Nursing based on the concept of accelerated rehabilitation surgery has a definite effect in the treatment of patients with nasal septal deviation,which can effectively relieve the pain of patients,improve the quality of life,reduce the incidence of complications,and enhance nursing satisfaction,and is worthy of clinical promotion and application.