快速康复护理模式在手术患者护理中的应用效果

沈海萍; 陈小妹; 蒋云云; 韩翠兰; 滕蓓娜; 张巍晨

doi:10.16766/j.cnki.issn.1674-4152.001756

快速康复护理模式在手术患者护理中的应用效果

doi: 10.16766/j.cnki.issn.1674-4152.001756

浙江绿城心血管病医院手术室，浙江杭州 310012

基金项目:

浙江省医药卫生科技计划项目 2020PY065

详细信息

通讯作者:
沈海萍, E-mail: zdf5456@163.com

中图分类号: R472.3 R473.6
计量
- 文章访问数: 278
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- PDF下载量: 6
- 被引次数: 0
出版历程
- 收稿日期: 2020-05-14
- 网络出版日期: 2022-02-19

Effect of rapid rehabilitation nursing on patients in operating room

Department of Operating Room, Zhejiang Lvcheng Cardiovascular Hospital, Hangzhou, Zhejiang 310012, China

摘要

摘要: 目的探讨快速康复护理模式对手术患者心理状态、术后恢复情况以及护理满意度的影响。方法随机选取2018年1月—2019年12月于浙江绿城心血管病医院行择期手术治疗的患者120例，采取随机数字表法将病例分为干预组和对照组，每组60例。对照组患者照常实施手术室常规护理，干预组患者则采用快速康复护理模式，分析比较2组患者抑郁焦虑症状(抑郁焦虑自评量表SAS、SDS)、并发症发生情况、术后患者恢复情况(术后清醒时间、术后首次排气时间、住院总时长)以及护理满意度。结果患者干预前抑郁焦虑评分比较差异无统计学意义(P＞0.05)，干预结束后，干预组患者负性情绪评分为(22.11±1.21)分、(19.47±4.01)分，对照组为(37.12±4.01)分、(35.25±3.35)分，干预组评分明显低于对照组(P＜0.05)；干预结束后，干预组患者并发症发生率为5.00%，对照组为20.00%，干预组明显少于对照组(P＜0.05)；干预后，干预组患者术后恢复情况明显优于对照组(P＜0.05)；干预组患者护理满意度为96.66%，明显高于对照组的58.33%(P＜0.05)。结论快速康复护理模式可以有效改善手术患者心理状态、术后恢复情况，同时可以降低手术并发症发生率，提升护理满意度。
- 快速康复护理 /
- 并发症 /
- 手术室 /
- 护理满意度
Abstract: Objective To explore the effect of rapid rehabilitation nursing on the psychological state, postoperative recovery and nursing satisfaction of patients undergoing surgery. Methods A total of 120 patients who underwent elective surgery in The Cardiovascular Hospital of Greentown, Zhejiang, from January 2018 to December 2019 were randomly selected and divided into control and intervention groups by the random number table method, 60 patients in each group. Patients in the control group were given usual routine nursing care. Based on the rapid rehabilitation nursing, the patients in the intervention group were modelled. Depression anxiety symptoms (anxiety depression self-rating scale[SAS and SDS]), complications, postoperative patients recovery (waking hours after surgery, postoperative exhaust time and total duration) in hospital for the first time and nursing satisfaction were compared between the two groups. Results No significant difference in the scores of depression and anxiety was found before intervention (P>0.05). After the intervention, the negative mood scores of the intervention and control groups were 22.11±1.21, 19.47±4.01 and 37.12±4.01, 35.25±3.35, respectively. The score of intervention group was significantly lower than that of control group (P < 0.05). After the intervention, the complication rate was 5.00% in the intervention group, which was significantly lower than that in the control group (20.00%, P < 0.05). The postoperative recovery of patients in the intervention group was significantly better than that in the control group (P < 0.05). Moreover, the nursing satisfaction of patients in the intervention group was 96.66%, which was significantly higher than that in the control group (58.33%, P < 0.05). Conclusion Rapid rehabilitation can improve the psychological state, postoperative recovery and nursing satisfaction of patients and reduce the incidence of surgical complications.
- Rapid rehabilitation nursing /
- Complications /
- Operating room /
- Nursing satisfaction

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表 1 2组手术患者负性情绪评分比较(x ±s, 分)

组别	例数	SAS评分		SDS评分
组别	例数	干预前	干预后	干预前	干预后
对照组	60	38.65±8.01	37.12±4.01	38.75±5.01	35.25±3.35^a
干预组	60	38.54±7.98	22.11±1.21^a	39.65±6.21	19.47±4.01^a
t值		0.075	27.758	0.874	23.393
P值		0.940	＜0.001	0.384	＜0.001
注：与干预前比较，^aP＜0.05。

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表 2 2组手术患者术后恢复情况比较(x ±s, 分)

组别	例数	术后清醒时间(min)	术后排气时间(d)	住院时间(d)
对照组	60	41.2±9.1	3.3±0.7	18.5±1.3
干预组	60	30.1±9.2	2.2±0.8	14.2±1.4
t值		6.644	8.015	17.434
P值		＜0.001	＜0.001	＜0.001

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表 3 2组手术患者护理满意度比较(例)

组别	例数	非常满意	满意	一般	不满意	护理满意度[例(%)]
对照组	60	21	14	21	4	35(58.33)
干预组	60	40	18	2	0	58(96.66)
注：2组护理满意度比较，χ²=34.556，P＜0.001。

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