摘要
目的观察快速康复外科(FTS)理念在腹腔镜全子宫切除术围手术期中的护理效果。方法选取2017年7月至2020年1月江南大学附属医院收治的79例拟行全子宫切除术患者,根据随机数字表法将其分为研究组(n=39)和对照组(n=40)。对照组实施围手术期常规护理,研究组实施围手术期FTS理念引导的护理,比较两组护理后首次排气时间、下床活动时间、住院时间、住院费用,以及下肢静脉血栓、感染、出血并发症发生率。结果研究组首次排气时间、下床活动时间、住院时间短于对照组,住院费低于对照组,差异有统计学意义(P<0.05);研究组下肢静脉血栓、感染、出血的总并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜全子宫切除术患者围手术期应用FTS理念引导的护理措施,可缩短首次排气时间、下床活动时间及住院时间,降低住院费用,控制各项并发症发生率,值得临床广泛推广应用。
Objective To observe the nursing effect of fast track surgery(FTS)concept in perioperative period of laparoscopic total hysterectomy.Methods A total of 79 patients undergoing total hysterectomy admitted to Affiliated Hospital of Jiangnan University from July 2017 to January 2020 were selected,according to random number table method,they were divided into study group(n=39)and control group(n=40).The control group received routine perioperative nursing,and the study group received perioperative FTS idea-guided nursing,the time of first exhaust,time of gett out of bed,hospitalization time,hospitalization cost,and incidence of complications of venous thrombosis,infection and bleeding of lower limbs were compared between the two groups after receiving different nursing modes.Results The first exhaust time,getting out of bed,and hospitalization time in the study group were shorter than those in the control group,and the hospitalization cost was lower than that in the control group,the differences were statistically significant(P<0.05);the total incidence of complications of lower limb venous thrombosis,infection,and bleeding in study group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion Perioperative nursing measures guided by the concept of FTS rapid rehabilitation surgery for patients undergoing laparoscopic total hysterectomy can shorten the time of first exhaust,the time of getting out of bed and the length of hospital stay,reduce the hospitalization cost and control the incidence of various complications,which is worthy of widespread clinical application.
作者
史迎春
王元
陈兰
陈莉
SHI Yingchun;WANG Yuan;CHEN Lan;CHEN Li(Department of Obstetrics and Gynecology,Affiliated Hospital of Jiangnan University,Jiangsu Province,Wuxi214122,China)
出处
《中国医药导报》
CAS
2021年第35期174-176,共3页
China Medical Herald
基金
江苏省妇幼健康科研项目(F201915)。
关键词
腹腔镜全子宫切除术
围手术期
快速康复外科理念
Laparoscopic total hysterectomy
Perioperative period
Concept of fast track surgery
