摘要
目的研究快速康复模式在妇科腹腔镜手术中的应用。方法方便选取2018年8月—2019年4月期间该院进行妇科腹腔镜手术的患者,随机分为观察组与对照组各50例。对照组采用常规护理,观察组采用快速康复模式进行护理。比较两组患者术后的疼痛感评分、术后肠胃功能恢复状况、住院时间以及护理满意度。结果两组患者术后疼痛感在第2天与第3天均较第1天缓解,第3天较第1天有显著缓解,差异有统计学意义(P<0.05),两组患者术后第1天疼痛评分差异无统计学意义(P>0.05),但在术后第2天与第3天,观察组的疼痛感显著低于对照组,差异有统计学意义(t=8.437、11.068,P<0.05);观察组肠鸣音恢复时间(11.3±2.1)h、首次肛门排气时间(18.4±4.2)h、首次下床活动时间(18.2±3.1)h与患者术后住院时间(3.8±0.9)h均显著低于对照组(t=5.912、17.104、9.459、8.497,P<0.05);观察组术后并发症的发生率显著低于对照组,差异有统计学意义(χ^2=7.440,P<0.05);且其护理满意度显著高于对照组,差异有统计学意义(χ^2=19.385,P<0.05)。结论采用快速康复模式对妇科腹腔镜手术进行护理,可快速缓解患者术后疼痛不适感,加速肠胃功能恢复、缩短住院时间,显著减少术后并发症的发生,并能大大提高患者满意度,效果显著。
Objective To study the application of rapid recovery mode in gynecological laparoscopic surgery.Methods Patients who underwent gynecological laparoscopic surgery in the hospital from August 2018 to April 2019 were convenient selected and randomly divided into observation group and control group.The control group received routine care and the observation group was treated with a rapid rehabilitation mode.Postoperative pain scores,postoperative gastrointestinal function recovery,hospital stay,and care satisfaction were compared between the two groups.Results Postoperative pain in both groups was relieved on the 2nd and 3rd days compared with the first day,and the third day was significantly relieved compared with the first day(P<0.05).The pain score on the first day after operation in both groups.The difference was not significant(P>0.05),but on the 2nd day and the 3rd day after operation,the pain of the observation group was statistically significant lower than that of the control group,the difference was statistically significant(t=8.437,11.068,P<0.05);Group bowel sound recovery time(11.3±2.1)h,first anal exhaust time(18.4±4.2)h,first time to get out of bed(18.2±3.1)h and postoperative hospitalization time(3.8±0.9)h was significantly lower than that of the control group(t=5.912,17.104,9.459,8.497,P<0.05);the incidence of postoperative complications in the observation group was significantly lower than that of the control group,the difference was statistically significant(χ^2=7.440,P<0.05);and the nursing satisfaction was significantly higher than that of the control group,the difference was statistically significant(χ^2=19.385,P<0.05).Conclusion The rapid rehabilitation mode for gynecological laparoscopic surgery can quickly relieve postoperative pain and discomfort,accelerate the recovery of gastrointestinal function,shorten the length of hospital stay,significantly reduce the incidence of postoperative complications,and greatly improve patient satisfaction.
作者
张莉玲
ZHANG Li-ling(Women and Children's Hospital Affiliated to Xiamen University/Children's Neurological.Rehabtlitation Department,Xiamen Maternal and Child Health Hospital,Xiamen,Fujian Province,361000 China)
出处
《中外医疗》
2019年第35期141-143,162,共4页
China & Foreign Medical Treatment
关键词
快速康复模式
妇科腹腔镜手术
护理
Rapid rehabilitation mode
Gynecological laparoscopic surgery
Nursing
