Volume 21 Issue 6
Jun.  2023
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FENG Minli, TAO Fuzheng, ZHU Zhe, WU Liya, SHEN Haiping. Influence of FTS concept based on Chinese medicine characteristics on comfort and postoperative recovery of patients undergoing laparoscopic cholecystectomy[J]. Chinese Journal of General Practice, 2023, 21(6): 1069-1072. doi: 10.16766/j.cnki.issn.1674-4152.003051
Citation: FENG Minli, TAO Fuzheng, ZHU Zhe, WU Liya, SHEN Haiping. Influence of FTS concept based on Chinese medicine characteristics on comfort and postoperative recovery of patients undergoing laparoscopic cholecystectomy[J]. Chinese Journal of General Practice, 2023, 21(6): 1069-1072. doi: 10.16766/j.cnki.issn.1674-4152.003051

Influence of FTS concept based on Chinese medicine characteristics on comfort and postoperative recovery of patients undergoing laparoscopic cholecystectomy

doi: 10.16766/j.cnki.issn.1674-4152.003051
Funds:

 2020PY065

  • Received Date: 2023-01-06
    Available Online: 2023-08-26
  •   Objective  To investigate the nursing effect of laparoscopic cholecystectomy patients guided by fast track surgery (FTS) concept with traditional chinese medicine (TCM) characteristics and its influence on patients ' comfort level and postoperative recovery.  Methods  A total of 180 patients who underwent laparoscopic cholecystectomy at Taizhou Integrated Traditional Chinese and Western Medicine Hospital from July 2020 to October 2022 were selected as the research subjects, and were divided into control group (90 cases) and observation group (90 cases) according to random number table method. Rapid rehabilitation surgical nursing and rapid rehabilitation surgical nursing based on the characteristics of TCM were respectively adopted. Clinical indicators, negative emotions, sleep quality, activities of daily living and complication rates were compared between the two groups.  Results  The time of first activity out of bed, exhaust time, defecation time and hospitalization time in the observation group were all shorter than those in the control group [(6.51?.25) h vs. (7.86?.92) h, (23.33?.46) h vs. (27.22?.55) h, (1.89?.54) d vs. (2.91?.92) d, (2.32?.04) d vs. (2.87?.25) d, all P < 0.05]. After the intervention, scores on the self-rating anxiety scale, the self-rating depression scale and Pittsburgh sleep quality index in the observation group were lower than those in the control group (all P < 0.05), and the score of daily living ability was higher than that in the control group [(82.54?.15) points vs. (78.45?.26) points]. The incidence of complications in the observation group was 5.56% (5/90), which was lower than 15.56% (14/90) in the control group (P < 0.05).  Conclusion  Based on the concept of TCM characteristics, it can effectively promote the postoperative rehabilitation of patients with laparoscopic cholecystectomy, relieve negative emotions, improve sleep quality, improve daily living ability, reduce the risk of complications, and significantly improve the comfort level of patients after surgery.

     

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