小儿泌尿外科快速康复外科理念护理联合情志护理的应用价值

Application Value of Fast Track Surgery Nursing Combined with Emotional Nursing in Pediatric Urology Surgery

目的:探究小儿泌尿外科围术期应用快速康复外科(FTS)理念护理联合情志护理的效果。方法:选取2017年3月-2018年4月于笔者所在医院行泌尿系统手术的84例儿童患者作为观察对象。实施FTS联合情志护理前(2017年3-9月)收治的42例患儿列为常规组并予以常规围术期护理,实施FTS联合情志护理后(2017年10月-2018年4月)收治的42例患儿列为观察组。对比两组患儿的术后清醒时间、首次排气时间、拔管时间、住院时间、汉密尔顿焦虑量表(HAMA)评分及并发症发生率。结果:观察组清醒时间、首次排气时间、拔管时间、住院时间均优于常规组,差异均有统计学意义(P<0.05);观察组术后HAMA评分低于常规组,差异有统计学意义(P<0.05);观察组术后并发症发生率(4.76%)低于常规组(19.05%),差异有统计学意义(P<0.05)。结论:FTS护理联合情志护理可以显著改善患儿术前的焦虑情绪,同时让手术进行得更为顺利,缩短患儿病程,因此该护理方法具备临床推广价值。

Objective:To explore the effect of FTS nursing combined with emotional nursing in perioperative period of pediatric urology.Method:A total of 84 children who underwent urological surgery in our hospital from March 2017 to April 2018 were selected as observation objects.Forty-two cases of children who did not receive FTS combined with emotional nursing(March to September 2017)were classified as routine group and given routine perioperative nursing,forty-two cases of children who received FTS combined with emotional nursing(October 2017 to April 2018)were classified as observation group.The awakening time,first exhaust time,extubation time,hospitalization time,Hamilton Anxiety Scale(HAMA)score and the incidence of complications were compared between the two groups.Result:The awakening time,first exhaust time,extubation time and hospitalization time in the observation group were significantly better than those in the conventional group,the differences were significant(P<0.05).The HAMA score of the observation group was significantly lower than that of the routine group,the difference was significant(P<0.05).The incidence of postoperative complications in the observation group was 4.76%,which was significantly lower than 19.05%in the conventional group,the difference was significant(P<0.05).Conclusion:FTS nursing combined with emotional nursing can significantly improve the anxiety of children before operation,make the operation more smoothly and shorten the course of the disease,so this nursing method has clinical value.