Background: The authors have developed criteria utilizing the mnemonic “SPEEDS” (saturation, pain, extremity movement, emesis, dialogue, stable vitals signs) to evaluate and predict which patients would not require ...Background: The authors have developed criteria utilizing the mnemonic “SPEEDS” (saturation, pain, extremity movement, emesis, dialogue, stable vitals signs) to evaluate and predict which patients would not require phase I nursing intervention and could transition to phase II recovery. Methods: Seventy-three adult surgery patients underwent a standardized general anesthetic. Patients were evaluated with the modified Aldrete, Fast-Track and SPEEDS criteria immediately before leaving the OR and then 5, 10, 15 and 30 minutes after arrival in the recovery area. Results: Significantly more patients met phase I bypass criteria when evaluated with Modified Aldrete (90%) and Fast-Track (94%) as compared to SPEEDS (77%) (p 0.0429 modified Aldrete vs. SPEEDS, p 0.0038 Fast-Track vs. SPEEDS). However, SPEEDS was more sensitive having a lower number of patients meeting phase II criteria yet requiring phase I intervention (32%) vs. Fast-track (43%) and Modified Aldrete (44%) (p 0.001 SPEEDS vs. modified Aldrete and Fast-Track). SPEEDS was more accurate (74%) in predicting which patients should move directly to phase II compared to modified Aldrete (42%) (p 0.001) and Fast-track (59%) (p = 0.05). Conclusion: SPEEDS criteria are as specific and more sensitive in determining phase I nursing interventions for ambulatory surgery patients when compared to Fast-Track and modified Aldrete criteria.展开更多
目的分析四肢骨折患者采用快速康复外科(Fast-track Surgery,FTS)理念进行围术期护理取得的效果。方法单纯随机选取2022年8月—2023年7月武城县中医院接受手术治疗的90例四肢骨折患者,以随机数表法分为两组。对照组(45例)接受常规围术...目的分析四肢骨折患者采用快速康复外科(Fast-track Surgery,FTS)理念进行围术期护理取得的效果。方法单纯随机选取2022年8月—2023年7月武城县中医院接受手术治疗的90例四肢骨折患者,以随机数表法分为两组。对照组(45例)接受常规围术期护理,研究组(45例)在对照组的基础上采用FTS理念对围术期护理进行优化。比较两组焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)、健康调查简表-36(Mos Item Short From Health Survey,SF-36)评分及术后并发症发生率。结果干预后,研究组SDS(40.68±5.00)分、SAS(39.65±5.89)分均低于对照组的(45.40±5.47)分、(44.90±4.74)分,差异有统计学意义(t=4.272、4.658,P均<0.05)。研究组并发症发生率为4.44%,低于对照组的20.00%,差异有统计学意义(χ^(2)=5.075,P<0.05)。干预后研究组SF-36评分高于对照组,差异有统计学意义(P<0.05)。结论四肢骨折患者采用FTS理念进行围术期护理能够有效改善心理状况,降低术后并发症风险,保障生活质量,具有临床应用价值。展开更多
文摘Background: The authors have developed criteria utilizing the mnemonic “SPEEDS” (saturation, pain, extremity movement, emesis, dialogue, stable vitals signs) to evaluate and predict which patients would not require phase I nursing intervention and could transition to phase II recovery. Methods: Seventy-three adult surgery patients underwent a standardized general anesthetic. Patients were evaluated with the modified Aldrete, Fast-Track and SPEEDS criteria immediately before leaving the OR and then 5, 10, 15 and 30 minutes after arrival in the recovery area. Results: Significantly more patients met phase I bypass criteria when evaluated with Modified Aldrete (90%) and Fast-Track (94%) as compared to SPEEDS (77%) (p 0.0429 modified Aldrete vs. SPEEDS, p 0.0038 Fast-Track vs. SPEEDS). However, SPEEDS was more sensitive having a lower number of patients meeting phase II criteria yet requiring phase I intervention (32%) vs. Fast-track (43%) and Modified Aldrete (44%) (p 0.001 SPEEDS vs. modified Aldrete and Fast-Track). SPEEDS was more accurate (74%) in predicting which patients should move directly to phase II compared to modified Aldrete (42%) (p 0.001) and Fast-track (59%) (p = 0.05). Conclusion: SPEEDS criteria are as specific and more sensitive in determining phase I nursing interventions for ambulatory surgery patients when compared to Fast-Track and modified Aldrete criteria.
文摘目的分析四肢骨折患者采用快速康复外科(Fast-track Surgery,FTS)理念进行围术期护理取得的效果。方法单纯随机选取2022年8月—2023年7月武城县中医院接受手术治疗的90例四肢骨折患者,以随机数表法分为两组。对照组(45例)接受常规围术期护理,研究组(45例)在对照组的基础上采用FTS理念对围术期护理进行优化。比较两组焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)、健康调查简表-36(Mos Item Short From Health Survey,SF-36)评分及术后并发症发生率。结果干预后,研究组SDS(40.68±5.00)分、SAS(39.65±5.89)分均低于对照组的(45.40±5.47)分、(44.90±4.74)分,差异有统计学意义(t=4.272、4.658,P均<0.05)。研究组并发症发生率为4.44%,低于对照组的20.00%,差异有统计学意义(χ^(2)=5.075,P<0.05)。干预后研究组SF-36评分高于对照组,差异有统计学意义(P<0.05)。结论四肢骨折患者采用FTS理念进行围术期护理能够有效改善心理状况,降低术后并发症风险,保障生活质量,具有临床应用价值。
