快速康复护理理念在胆总管结石患者围手术期护理中的应用效果

Application effect of fast recovery nursing concept in perioperative nursing of patients with choledocholithiasis

目的探究快速康复护理(FTS)理念在胆总管结石患者围手术期护理中的应用效果。方法选取2019年3月至2020年12月本院收治的80例胆总管结石患者作为研究对象,采用抽签法随机分为参照组与研究组,各40例。参照组实施常规护理,研究组实施FTS理念护理,比较两组胃肠道功能恢复时间、疼痛程度、心理状态、并发症发生率及护理满意度。结果研究组肠鸣音恢复时间、进食时间、肛门排便时间、住院时间均明显短于参照组,差异有统计学意义(P<0.05)。研究组并发症发生率低于参照组,差异有统计学意义(P<0.05)。术后第1、2天,研究组视觉模拟评分法(VAS)评分低于参照组,差异有统计学意义(P<0.05)。护理后,两组汉密尔顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)评分均低于护理前,且研究组低于参照组,差异有统计学意义(P<0.05)。研究组护理满意度高于参照组,差异有统计学意义(P<0.05)。结论胆总管结石患者在手术治疗过程中配合实施FTS理念护理,有助于缩短治疗时间,预防并发症,缓解焦虑、抑郁等不良情绪,提高护理满意度,应用效果显著。

Objective To explore the application effect of the fast recovery nursing(FTS)concept in the perioperative nursing of patients with choledocholithiasis.Methods 80 patients with choledocholithiasis admitted to our hospital from March 2019 to December 2020 were selected as the study subjects,and they were randomly divided into the reference group and the study group by drawing lots,with 40 cases in each group.The reference group carries out routine care,the study group carries out both implemented FTS concept nursing,gastrointestinal function recovery time,pain degree,psychological state,complication rate and nursing satisfaction were compared between the two groups.Results Bowel sound recovery time,feeding time,anal defecation time and hospital stay in the study group were significantly shorter than those in the reference group,and the differences were statistically significant(P<0.05).The complication rate in the study group was lower than that in the reference group,and the difference was statistically significant(P<0.05).On the first and second days after surgery,the visual analogue scale(VAS)in the study group was lower than that in the reference group,and the difference was statistically significant(P<0.05).After nursing,the scores of Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)of the two groups were lower than before nursing,and the study group was lower than the reference group,and the differences were statistically significant(P<0.05).The nursing satisfaction in the study group was higher than that in the reference group,and the difference was statistically significant(P<0.05).Conclusion The implementation of FTS concept nursing during the surgical treatment can help shorten the treatment time of patients with choledocholithiasis,prevent complications,and significantly eliminate bad moods such as anxiety and depression,and improve satisfaction,the application effect is significant.